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Vietnamese Community O.C. 3
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Vietnamese Community O.C. 3
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Last modified
3/25/2024 2:48:31 PM
Creation date
8/25/2005 1:58:08 PM
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Contracts
Company Name
Vietnamese Community of O.C. Inc
Contract #
A-2005-078-045
Agency
Community Development
Council Approval Date
4/4/2005
Expiration Date
6/30/2006
Insurance Exp Date
10/4/2005
Destruction Year
2011
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ACORD VIECERTIFICATE OF LIABILITY INSURANCE OPTN-2 ID 04/20/05 DATE (MM0/OS <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Chapman 6 Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena CA 91111-0455 <br />Phone: 626-405-8031 Fax: 626-405-0585 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A Alen North America Ins Co <br />INSURER B <br />Vietnamese Community of Orange INSURER C. <br />Count]j� <br />1618 W. First Street INSURER O. <br />Santa Ana CA 92703 <br />INSURER E. <br />THE POLICIES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MWDDM <br />DATE (MMIDD <br />LIMITS <br />GENERAL LIABILTTY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MODE OCCUR <br />EACH OCCURRENCE <br />$ <br />PREMISES (Ea occurance) <br />$ <br />MED ENE (My one persm) <br />$ <br />PERSONAL B ADV INJURY <br />$ <br />GENERA. AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER -. <br />POLICY PRO- <br />JECT LOU <br />PRODUCTS - COMP/OP AGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />My AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />AUTOS <br />NON -OWNED AUTOS <br />Sim <br />4.S�kka <br />/` <br />'a '1v } <br />lSjG\V <br />COMBINED SINGLE LIMIT <br />(Ee eccidI <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY MJURY <br />$HIRED <br />PROPERTY DAMAGE <br />(Per seeiden) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />MTOONLY-EAACCIDENT <br />$ <br />OTHER TWN EA ACC <br />AUTO ONLY AGG <br />$ <br />$ <br />EXCESSNMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />- <br />$ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />MY PROPRIETOR/PAIZ NEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />WC1003376 <br />04/01/05 <br />04/01/06 <br />TORY LIMITS ER <br />E.L. EACHACCIDEW <br />$1000000 <br />EL. DISEASE-EP. EMPLOYEE <br />$ SOOOOOO <br />EL. DISEASE -POLICY LIMIT <br />$1000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />rweraoeww)y:T•una: •e�zlwevwu•Tz <br />EVIDE-1 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER ITS AGENTS OR <br />Evidence of Coverage <br />REPRESENTATIVES. <br />AUTH D REPRE <br />ACORD 25 (2001108) O ACORD CORPORATION 1988 <br />
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