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TSCM CORPORATION 4A - 2005
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TSCM CORPORATION 4A - 2005
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Entry Properties
Last modified
4/20/2020 11:10:15 AM
Creation date
3/30/2005 4:10:45 PM
Metadata
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Template:
Contracts
Company Name
TSCM Corporation
Contract #
A-2005-007
Agency
Community Development
Council Approval Date
1/18/2005
Expiration Date
12/31/2006
Insurance Exp Date
1/1/2009
Destruction Year
2011
Notes
Amends A-2004-023
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<br /> ._.. __ ..u _........._.. <br />~pectrum K1Sk Mgmt. & Insurance Services ON~ Y AND CONFERS NO RIOHTIl UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOlOS NOT AMEND, EXTEND OR <br />CA ~ic. #OC77485 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />74 Disc~very <br />Irvine. CA 92618 INSURERS AFFORDING COVERAGE NAIC# <br />I---'~ NIC Insurance Compillny 36056 <br />INSURtO TSCM Corp. INSURER A:. <br />18281 Gothard St.,Ste.l09 IN$URf::R B: Safeco Insurance Cmr"anies <br />Huntington Beach, CA 92648 INSURER c' St. Paul Fire & Marine Ins. CO. <br /> INSURER 0: State Compensation Ins. Fund 35076 <br /> INSURER E: <br /> <br />I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PI'RIOD INDICATED. NOTWITHSTANDIN( <br />I,NY REQUIREMENT, 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 BY PAID CLAIMS. <br />INSR DD' TYPE OF INSURANCE POLICY NUMBER POL.ICY EFfECTIVE POLICY EXPIRATION UMITS <br /> ~NERAL LIASH.ITV GS512459 01/01/2005 01/01/2006 EACH OCCURRENCE $ 1 000,000 <br /> X COM~ERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50.001 <br /> I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 5,001 <br /> A ~- PERSONAl. & A[JV INJURY $ 1,000,00( <br />I f- GENERAL AGGREGATE $ 2.000,00C <br /> GEN'L AGGREGATE LIMIT APPliES PEA: PRODUCTS. COMP/OP AGG $ 1,000 001 <br /> ~. POllCV fXl j~& n-lOC <br /> AUTOMOBILE UABllrrv 01-CE-703426-70 01/01/2005 01/01/2006 COM8IN!;:O SINGLE LIMIT <br /> ~ ANY AUTO (Eaaccident) $ 1,000,001 <br />I I <br />I : : All OWNED AUTOS BODilY INJURY <br /> -.-..-- (Per person) $ <br /> I SCHEDULED AUTOS <br /> B ~- HIRED AUTOS <br /> '- BOOIL Y INJURY $ <br /> NON-OWN!;:D AUTOS (pereccidenll <br /> ~ <br /> PROPERTY DAMAGE $ <br /> (peraceident) <br /> ~~G.lIA."ITY AUTO ONLY - EA ACCIDENT $ <br /> , ANV AUTO OTHER THAN !;:AACC $ <br /> AUTO ONL V: AGO $ <br /> OOESSlUM~RELL"'lIAeeLrTY QK06100114 01/01/7.005 01/01/2006 EACH OCCURRENCE $ 2 000,000 <br /> I X OCCUR 0 CLAIMS MADE AGGREGATE $ 2,000,000 <br /> C $ <br /> r---, <br /> i-xi ~ECUCTIBLE $ <br /> X RETENTION $ 10, OO~ $ <br /> WORKERS COMPENSATION AND 1750075-04 07/01/2004 07/01/2005 X 1_~gT~T,~~1 [OJ);" <br /> EMPLOYERS' LIABILITY PF OVED AS TO FOR 1 1.000,000 <br /> D ANV PROPRIETOAIPARTNER/EX!;:C~ E.L EACH ACCIDENT $ <br /> OFi"'!CERlMEMBER EXCLL'OEO? 1.?in...L J ,/3 E.L. DISEASE'- EA EMPLOYE $ 1,000,00( <br /> 11 yes, describe under 1 OOO,OOC <br /> SPECIAL PROVISIONS below >- E.L. DISEASE - POUCY LIMIT $ <br /> OTHF.R Laura Stu~eedY <br /> I V <br /> I ssistant Cj.ty Attorncv <br />b~ESCRIPllON OF OPERATIONS I LOCATIONS I VEHICU!81 exCLUSIONS ADDED BY E/IIOOR5EMENT I SPECiAl PROVISIONS <br />~e: Parking lot sweeping services. <br />~he City of Santa Ana, its officers, agents & employees are additional insureds with respect to the Gl <br />per the attached ANF 160 9/2003 form. <br /> e: Notice below: 10 days notice for non-renewal of premium and/or non-reporting of payroll. <br /> <br />The Depot of Santa Ana <br />1000 East Santa Ana, Suite 108 <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF THE AacVI: DI!SCRIBED POUCIES ~E CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER W1LL>>BX.~ MAIL <br />~_ DAYS WRITTEN NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />~K~lOI>>~KXX <br />~~l6lllOOO6(>>J(lIl11l1111~XXKXXXXX <br />AUTHORIZED REPRESENTATIVE <br /> <br />9-?1~ <br /> <br />Jim Waterhouse GINNIE <br /> <br />ACORD 25 (2001108) <br /> <br />@ACORD CORPORATION 1988 <br /> <br />Z'd <br /> <br />1 :le1 L1 <br /> <br />dSZ'EO SO vO qa~ <br />
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