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Poma Systems 1
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Entry Properties
Last modified
3/19/2015 1:39:02 PM
Creation date
3/28/2005 9:51:34 AM
Metadata
Fields
Template:
Contracts
Company Name
Poma Systems
Contract #
N-2004-155
Agency
Public Works
Expiration Date
6/30/2007
Insurance Exp Date
1/11/2007
Destruction Year
2012
Notes
Amended by N-2004-155-01
Document Relationships
Poma Systems 1a
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\P (INACTIVE)
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<br />Ma~ 15 06 09:49a <br /> <br />Wright Ins Srv <br /> <br />949-489 5702 <br /> <br />p.l <br /> <br />. <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE I OATE(MM/OOIYYYY) <br />5/15/2006 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Wright Insurance Services ONLY AND CONFERS NO RIGHTS. UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />33971 Selva Rd 11120 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Dana Point, CA 92629 <br />(949) 489-1833 INSURERS AFFORDING COVERAGE NAIC# <br />-_. -----~~-_.- -. -~'--'. Sequoia ~nsurance . <br />INSURED Poma, Greg N -d-001- /55 INSURER k. Company <br /> '. -- <br /> INSURER 8: <br /> 3405 Ladril.lo Isle INSURER c: <br /> CA 92606 .--. - - <br /> Irvine, INSURER 0: <br /> ,949-294-8639 INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NM,tED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING <br />AtN REQUlREfvl:NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAlDCLArMS. <br /> <br />L~= C'~ TY~~~~~~RANr':~ POLICY NUMBER ~~Y,J~f~e P8k+~~~~ <br /> <br />GENERAL LIABILITY <br /> <br />~. COM. MERCIAL GENERA. L.L1A8ILlTY <br /> <br />_ _~I CLAIMS MADE r!:IOC::UR <br /> <br />A X SBP200891 <br /> <br />~-'-~-~-'-- <br />1.~!'fL AGGR~~E LIMIT APPLIES PER <br />=Y~L1CY I ~r~~8T rl-LOC <br />~OMOBILE L1A8IUTY <br />'--- ANY AUTO <br />f-- ALL OWNED AUTOS <br />I-- SCHEDULED AUTOS <br />~ HIRED AUTo,<:; <br />NON-OWNED AUTOS <br /> <br />liMITS <br /> <br />.-.-...-.- <br /> <br />01-11-06 <br /> <br />01-11-07 <br /> <br />EACH OCCURRENCE S 1,000,000 <br />PREMISES~E~I::~~~~I!ct1J s _ ~ ~.~~-'_~~ <br />MEDEXP(Anyonepersonj 5 10,000 <br />PeRSONAL&ADVINJURY S Included <br />GENERAL AGGREGATE S 2~ob6~Ooo <br />~OOUCTS-COMP~~('o~G s 2,000,000 <br /> <br />COMElINED SINGLE LIMIT <br />(Eaacc::ldent] <br /> <br />80DlL Y INJURY <br />(PerpelSOl1) <br /> <br />BODILY INJURY <br />(Peraccident) <br /> <br />..-.._.....~ <br /> <br />PROPERTY DAMAGE <br />(Peraccid"nt) <br /> <br />~_iAGE LIABILITY <br />__I ANY AUTO <br /> <br />AUTO ONLY _ EA ACClDENT $ <br /> <br />OTHER THAN <br />AUTO ONLY; <br /> <br />EA Ace s <br /> <br />'.._~ <br /> <br />~CESSJUMBRElL~ LIABILITY <br />_ "I OCCUR [_J CLAIMS MADE <br /> <br />-~-I DEDUCTIBLE <br />-I RETENTION S <br />WORKERS COMPENSATION AND <br />EMPLOYERS l\A6IUTY <br />ANY PROf>RIE1OR1PARTNERIEXECUTrvE' <br />OFFlCERiMEM8ER EXCLVOED? <br />UWt?ArPk~~~I~s below <br />OlHER <br />A Bus/pers/Prop <br /> <br />~_~ ~CCURRE~E <br />AGGREGATE <br />--~-- -- <br /> <br />AGG $ <br />j. <br />, <br /> <br />f----- <br /> <br />-'-..~-_. <br />, <br /> <br />I 1~~Ns I IOJt <br />E.L EACH ACCIDENT ._ _ +~ <br />EL DISEASE . ~e:~PlOYE $ <br />EL DISEASE - POLICY LIMIT $ <br /> <br />SBP200891. <br /> <br />01-11-06 <br /> <br />01-11-07 <br /> <br />$5,000 Special Form <br />$500 Deductible <br /> <br />DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES I EXCl,.USlONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS <br />Computer Consulting <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana, its officers, <br />employees, agents & representitives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES tilE CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOf, THE ISSUING INSURER WILl~O P.MIL30 DAYS WRITTEN <br />NOllcE TO THE CERT1FICATE HOLDER NAMED TO THE LEFT, BUT FJ\ILURE 10 DO so SHAlL <br />IMPOSE NO OBliGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT AGENTS OR <br />REPRESENTAT1VES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />; ;',,)"::::;\1 <br /> <br /> <br />ACORD25(2001108) <br /> <br />/) <br /> <br />l <br /> <br />~/ i <br />. y. .) <br />./~ .. ~~~fr~=- <br /> <br />.. <br />
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