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ORANGE COUNTY ON TRACK (CDBG 2005)
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ORANGE COUNTY ON TRACK (CDBG 2005)
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Entry Properties
Last modified
10/13/2015 3:21:35 PM
Creation date
8/25/2005 2:12:44 PM
Metadata
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Template:
Contracts
Company Name
America On Track
Contract #
A-2005-078-031
Agency
Community Development
Council Approval Date
4/4/2005
Expiration Date
6/30/2006
Insurance Exp Date
9/1/2005
Destruction Year
2010
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i <br />A- ZOOS -0 -79 -0 I <br />AWRQR CERTIFICAI c OF LIABILITY INSURAN�.E <br />os ",/200 ' <br />PRODUCER (949) 709 -8800 FAX (949) 709 -1668 <br />Comprehensive Insurance Services <br />22342 Avenida Em resa <br />p <br />Suite 200 <br />RSM, CA 92688 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED America on Track, Inc. <br />dba: Orange County On Track <br />P.O. Box 4141 <br />Tustin, CA 92781 -4141 <br />INSURERA: NONPROFITS' INSURANCE ALLIANCE OF <br />CA <br />INSURER B: <br />LIMITS <br />INSURER C: <br />INSURER D: <br />2005 - 06180 -NP6 <br />INSURER E: <br />09/01/2006 <br />COVERAGE <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 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 <br />ITII <br />k DD <br />TYPE OF IN <br />POLICY NUMBER <br />POLICYEFFECTNE <br />POUCYE%PIRATNMI <br />LIMITS <br />GENERAL LIABILITY <br />2005 - 06180 -NP6 <br />09/01/2005 <br />09/01/2006 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ 100,000 <br />CLAIMS WOE OCCUR <br />$ 10,0 <br />MED EXP(Any one Person) <br />A <br />PERSONAL &ADVINJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 1,000,000 <br />GENL AGGREGATE LIMIT APPUES PER <br />PRODUCTS - COMPIOP ASS <br />$ 1,000,00 <br />POLICY jEa X LOG <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />2005 - 06180 -NPO <br />09/01/2005 <br />09/01/2006 <br />COMBINED SINGLE LIMN <br />(Eaa¢Iden1) <br />$ <br />1,000,00 <br />X <br />_ <br />BODILY INJURY <br />(Per Person) <br />$ <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per actideM) <br />$ <br />HIREDAUTOS <br />NON-OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per acldent) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY AGO <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />U v L <br />A. 'ro k <br />Oi2Al <br />AGGREGATE <br />$ <br />$ <br />g <br />RETENTION $ <br />EMPLO ERT UAENSATION AND <br />EMPLOYERIETORJPAT <br />ANY PROPRIETOR/ EXCLUDED' <br />Oyee. de (MEMBER E %CLUDED? <br />If <br />- - <br />-' <br />-•v1 8 stio <br />" +»(Aar <br />Z <br />827 e0dy <br />'jj y Atj07geY <br />WC STATU- OTK <br />E.L. EACH ACCIDENT <br />$ <br />EL DISEASE -EA EMPLOYE <br />E <br />E DISEASE - POLICY LIMIT <br />3 <br />SPECIAL PROVISIONS below <br />SPECIAL PROVISIONS <br />OTHER <br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER ATTACHED SPECIAL CITY ENDORSEMENT <br />EXCEPT 10 DAYS FOR NON- PAYMENT <br />CERTIFICATE HOLDER CANCEI I ATION <br />CITY OF SANTA ANA, ITS OFFICERS <br />EMPLOYEES, AGENTS AND VOLUNTEERS <br />ATTN: FRANK HERNANDEZ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL iFN>11X06U)6 MAIL <br />X30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />20 CIVIC CENTER PLAZA M -25 <br />#XIY1 7r�X-0(KXNdi tiEKXkYAXK XX. <br />P.O. BOX 1988 <br />XXXXXXXX. <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA, CA 92702 <br />Richard Eynon,_CIC /JEREMY <br />ACORD 25 (2001108) <br />© ACORD CORPORATION 1988 <br />
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