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O.C. BAR FOUNDATION 3
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O.C. BAR FOUNDATION 3
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Last modified
8/23/2021 2:34:53 PM
Creation date
8/25/2005 2:24:43 PM
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Contracts
Company Name
O.C. Bar Foundation 3
Contract #
A-2005-078-027
Agency
Community Development
Council Approval Date
4/4/2005
Expiration Date
6/30/2006
Insurance Exp Date
3/15/2006
Destruction Year
2011
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,acoRa CERTIFICATE OF LIABILITY <br />INSURANCE Da`e(mMdd'n) <br />4/12/2005 <br />Producer Mary Jane Ricard <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />C & P Insurance Services <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />3580 Pacific Coast Highway Suite 3 <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />VERAGE <br />Long Beach CA 90804 <br />562-9864251 <br />www.insurancelink.com <br />INSURER Maryland Casualty Company <br />0556464 <br />A <br />INSURER United States Liabilty Ins. Company <br />B <br />Insured <br />Orange County Bar Foundation <br />INSURER <br />313 N. Birch Street <br />C <br />2nd Floor <br />Santa Ana CA 92701 <br />INSURER <br />D <br />M <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER IOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT O WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY <br />POLICY <br />NSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE <br />DATE <br />EXPIRATION <br />DATE <br />LIMITS <br />MM/Dr)V <br />M DD/VV <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIAB <br />PPS 34632555 <br />3/15/2005 <br />3/15/2006 <br />EACH OCCURRENCE <br />E <br />FIRE DAMAGE (An 1 Rre) <br />E <br />CLAIMS MADE [21OCCUR <br />MED EXP ((An one erson) <br />E <br />PERSONAL & ADV INJURY <br />E <br />GEN'L <br />AGG LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />E <br />PRODUCTS COMP/OP A <br />E <br />POLICY FJPROJECTMLOC <br />E <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />3/15/2005 <br />3/15/2006 <br />COMBINED SINGLE LIMIT <br />E 1 000,D0 <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per Perm) <br />E <br />HIRED AUTOS <br />PPS 34632555 <br />BODILY INJURY <br />NON -OWNED AUTOS <br />PPS 34632555 <br />(Per ecadent) <br />E <br />PROPERTY DAMAGE <br />(Per xcidem) <br />E <br />GARAGE LIABILITY <br />AUTO ONLY EA ACCIDENT <br />E <br />ANY AUTO <br />O'f E <br />APPROVE <br />!]C L 1` Y P. <br />.E C mO <br />AS 1 <br />On 1L A <br />RM <br />OTHER THAN EA ACC <br />E <br />E <br />EXCESS LIABILITY <br />AGG <br />OCCUR CLAIMS MADE <br />EACH OCCURRENCE <br />E <br />AGGREGATE <br />E <br />I Z <br />E <br />DEDUCTIBLE <br />RETENTION E <br />LallI <br />S[1 SIlOCdy <br />E <br />STATUTORY uMIT THE <br />E <br />WORKERS' COMPENSATION b <br />EMPLOYERS LIABILITY <br />Assistan <br />1CV ICOLIl <br />V <br />El EACH ACCIDENT <br />E <br />EL DISEASE EA EMPLOYEE <br />E <br />EL DISEASE - POLICY LIMIT Is <br />Directors & Officers <br />ND 0121018 <br />5/1/2004 <br />5/1/2005 <br />Per Occ 1,000,000 <br />Liability <br />Aggregate 1,000,000 <br />Deductible $1,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Certificate Holder is an additional insured per attached endorsement CG 20 26 11 85. <br />The insurance provided by this endorsement is primary insurance and is not additional to or <br />contributing with any other insurance carried by or for the benefit of the additional insureds. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />The City Of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL 0000009)M MAIL <br />Santa Ana Community Development <br />30*DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />A ency <br />Attention: <br />LEFT, �NXXPBCR1JkEXXDON[DOXX9lXXKMd(gNQ <br />Carla Thompkins <br />x�noexroaa <br />P.O. Box 1988 <br />X@N0 0(tfXX 10 Days for Non -Pa ment of Premium <br />Santa Ana CA 92702 <br />AUTHORIZED <br />REPRESENTATIVE <br />Jim Mulligan <br />ACORD 25-S (7197) created at www.e CertSONLINE.com 0ACORD CORPORATION 1988 <br />
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