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MEXICAN AMERICAN OPP FOUND 7 - 2004
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MEXICAN AMERICAN OPP FOUND 7 - 2004
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Entry Properties
Last modified
1/3/2012 2:37:42 PM
Creation date
1/25/2005 9:05:19 AM
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Contracts
Company Name
Mexican American Oppertunity Foundation
Contract #
A-2004-204
Agency
Community Development
Council Approval Date
10/4/2004
Expiration Date
9/30/2005
Insurance Exp Date
1/30/2007
Destruction Year
2010
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<br /> THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCl,lMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU THE 'TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />, lYPE OF INSURANCE POLlCY NUMBER DATE MfN~ DATE MW~ LIMITS <br />LTR N'R <br /> GENERAL LIABILITY PHPK156499 01/30/2006 01/30/2007 EACH OCCURRENCE S 1,000,000 <br /> X COMMERCIAL GENERAL L.IABIlITY ~~~~~SY~~~nrel $ 100.000 <br /> I CLAIMS MADE [KJ OCCUR MED EXP (Anyone parson) S ,,000 <br />A X PERSONAL & ADV INJURY $ l,OOO,OO( <br /> - GENERAL AGGREGATE S 3,OOO,00C <br /> 'G-EN'L AGGREGATE UMIT APPl.IES PER: PRODUGTS-COMPIOPAGG $ 3,OOO,OOC <br /> m POLICY n ~r8i n lOC <br /> AUTOMOBILE LIABILITY PHPK156499 01/30/2006 01/30/2007 COMBINED SINGLE LIMIT <br /> ~ (EaacCldenl) S l,OOO,OOC <br /> ANYAUTQ <br /> I-'-'- <br /> ALL OWNED AUTOS 60DIL Y INJURY <br /> I- (Per penon} S <br /> SCHEDUl.ED AUTOS <br />A X I- HIRED AUTOS <br /> f- BQDlL Y INJURY $ <br /> NON-OWNED AUTOS (Peraccldelll) <br /> - <br /> - - PROPERTY DAMAGE . <br /> '" fO":" (Peraccidenl) <br /> GARAGE UABILI1Y e>vtD }\~ ~----- AUTO ONLY. EA ACCIDENT S <br /> =J ANY AUTO OTHER THAN EAACC S <br /> p,'):"2Y1.:...;, > [~ ~ AUTO ONLY: AGG S <br /> EXCESS/UMBRELLA LIABILITY /.' \:.S f>.\\Ol(\e~ EACH OCCURRENCE $ <br /> P OCCUR 0 CLAIMS MADE \..\Sf>. 'C\t AGGREGATE s <br /> MSiS\3l\\ o-f '].,.) <br /> ([ s <br /> R DEDUCTIBLE S <br /> RETENTlOt-I S S <br /> WORKERS COMPeNSATION' AND I TORY LlMlrn I IU~r\" <br /> EMPLOYERS' L1A6IL1TY <br /> ANY PROPRIETORJPARTNERlEXECUllVE E.l.. EACH ACCIDENT S <br /> OfFICER/MEMBER EXCLUDED? E.l.. DISEASE" EA EMPLOYEt S <br /> If yes. desc;riba under <br /> SPECLAl. PROVISIONS below E.L DISEASE - POLICY LIMIT S <br /> OTHER PHPKH6499 01/30/2006 01/30/2007 See Below <br /> rime Coverage <br />A rofessional Liability PHPKl>6499 01/30/2006 01/30/2007 $1,000,000 OCC/$3,000,OOO OCC <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROlJlStONS <br />~ity of Santa Ana, its officers, agents and employees are named as additional insureds with <br />~espects to all operations by the named insured for general liability only as a funding SOUrce. <br />~ ten day notice of cancellation shall be given in the event of non-payment of premium <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlODIYYYY) <br /> ru 01/31/2006 <br />PRODUCER (626) 599-8830 FAX (626),99-8831 THIS CERTIFICATE J~ !SSUED AS A MATTER OF INFORMATION <br />Pacific General Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />40, E. Santa Clara Street ALTER THE COVERAGE AFFORDED BY.THE POLICIES BELOW. <br />Suite 100 <br />Arcadia, CA 91006 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Mexican American Opportunity Foundation INSURER A:. Philadelph;a Indemnity Insurance Company <br /> 401 N. Garfield Avenue It - :>-ou'f-I .) f ;? DJ' INSURER B: <br /> Montebello, CA 90640 INSURER c: <br />r . ./" u It" 175~' . ,) t?'I <br />./' A--- ~Q;::)'1 INSURER D: <br />/1-,70 o.r- / i", A -,I v U \ .. - 07 V' D..:' "{- iNSURER E: <br /> <br />COVERAGES <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana/Fez Daisy Wheel Network <br />Santa Ana Work Center <br />Attn: Rea Gonzalez <br />1000 E. Santa Ana, Suite 200 <br />Santa Ana, CA 92701 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~ MAIL <br />.-..3.!l...- DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOl.DER NAJ/lED TO THE l.EFT, <br /> <br /> <br />ACORD 25 (2001/0B) FAX: (714)565-2602 <br />
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