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O.C. BAR FOUNDATION 3
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O.C. BAR FOUNDATION 3
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Entry Properties
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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A- D05— 0-78 - 0A-7 <br />ACORO <br />CERTIFICATE OF LIABILITY INSURANCE <br />°a1e` """' <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 />3580 Pacific Coast Highway Suite 3 <br />Long Beach CA 90804 <br />562-9864251 <br />www.insurancelink.com <br />0556464 <br />THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS 5,17 FW-1-N-C COVERAGE <br />INSURER Maryland Casualty Company <br />A <br />INSURER United States Liabilty Ins. Company <br />B <br />Insured <br />INSURER <br />Orange County Bar Foundation <br />313 N. Birch Street <br />C <br />INSURER <br />D <br />2nd Floor <br />Santa Ana CA 92701 <br />Owl <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE 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 />M DDDE <br />EXPIRATION <br />M DATE'V <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />COMMERCIAL GENERAL UAB <br />CLAIMS MADE 7OCCUR <br />PPS 34632555 <br />3/15/2005 <br />3/15/2006 <br />FIRE DAMAGE (Any 1 fire) <br />S <br />MED EXP (An one neon) <br />E IUIUU <br />PERSONAL 6 ADV INJURY <br />S <br />GENERAL AGGREGATE <br />S <br />GEN'L AGG LIMIT APPLIES PER <br />PRODUCTS COMP/OP AGG <br />E <br />S <br />POLICY nPROJECTMILOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />3/15/2005 <br />3/15/2006 <br />COMBINED SINGLE LIMIT <br />b 1,00000 <br />BODILY INJURY <br />(Pn person) <br />E <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Pn ...dent) <br />E <br />HIRED AUTOS <br />NON OWNED AUTOS <br />PPS 34632555 <br />PPS 34632555 <br />PROPERTY DAMAGE <br />(Per accident) <br />E <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />S <br />AUTO ONLY OTHER THEA AGGGGACC <br />ANY AUTO <br />APPROVE <br />AS l m O <br />ORM <br />$ <br />E <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />5 <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />E <br />E <br />% a <br />ED RETENTION E <br />RETENTION R <br />Laura <br />Sti Sheedy <br />$ <br />WORKERS' COMPENSATION b <br />Assistan <br />Urty Attornt <br />V <br />ISTATUTORYLIMIT THE <br />EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT <br />S <br />EL DISEASE EA EMPLOYEE <br />is <br />EL DISEASE POLICY LIMIT <br />is <br />Directors & Officers <br />ND 0121018 <br />5/1/2004 <br />5/1/2005 <br />Per OGG 1,000,000 <br />Liability <br />Aggregate 1,000,000 <br />Deductible $1,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 />CrEj2T1FfC" TE HOL➢'EFL ,:,' Fv <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />The City of Santa Ana <br />Santa Ana Community Development <br />A ency <br />Attention: Carla Thompkins� <br />arl <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL POD0 Yaf)M MAIL <br />30*DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, <br />OQEXX 10 Days for Non -Pa meat of Premium <br />AUTHORIZED <br />REPRESENTATIVE <br />Jim Mulligan <br />ACORD 25-S (7/97) created atwww.e,CertsONLINE.com 8 ACORD CORPORATION 1988 <br />
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