My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
O.C. BAR FOUNDATION 4
Clerk
>
Contracts / Agreements
>
INACTIVE CONTRACTS (Originals Destroyed)
>
O (INACTIVE)
>
O.C. BAR FOUNDATION 4
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/23/2021 2:35:12 PM
Creation date
8/25/2005 2:27:23 PM
Metadata
Fields
Template:
Contracts
Company Name
O.C. Bar Foundation 4
Contract #
A-2005-078-028
Agency
Community Development
Council Approval Date
4/4/2005
Expiration Date
6/30/2006
Insurance Exp Date
3/15/2006
Destruction Year
2011
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
36
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
A4CoiRa CERTIFICATE OF LIABILITY <br />INSURANCE Od1e'm"�ri <br />Protlucer Mary Jane Ricard <br />4/12/2005 <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 />562-986-4251 <br />www.insurancelink.com <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1 N S U R E R S TMORD-1 R <br />INSURER Maryland Casualty <br />ry y 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 />�( <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br />FOR THE POLICY PERIOD 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 THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />M DD Y <br />POLICY <br />EXPIRATION <br />DATE <br />MM DD <br />LIMITS <br />GENERAL <br />VI <br />LIABILITYEACH <br />—COMMERCIAL GENERAL U B <br />CLAIMS MADE OOCCUR <br />PPS 34632555 <br />3/15/2005 <br />3/15/2006 <br />OCCURRENCE <br />$ <br />FIRE DAMAGE (An 1 Fore) <br />$ <br />MED EXP (An one son) <br />S <br />1; <br />PERSONAL & ADV INJURY <br />S <br />AGG LIMIT APPLIES PEP <br />GENERAL AGGREGATE <br />S <br />PRODUCTS-COMP/OP AGG <br />$ <br />POLICY PROJECTLOC <br />AUTOMOBILE LIABILITY <br />S <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NONOWNEDAUTOS <br />PPS 34632555 <br />PPS 34632555 <br />3/15/2005 <br />3/15/2006 <br />COMBINED SINGLE LIMIT <br />S 1,ODD OD <br />BODILY INJURY <br />(Per Person) <br />S <br />BODILY INJURY <br />(Per aoddenU <br />S <br />PROPERTY DAMAGE <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTIONS <br />APPROVE <br />A l 1` Y E <br />Laura <br />AS 1 <br />ASTO <br />2 <br />OT)T.1 <br />RM <br />(Per acadene <br />AUTO ONLY - EA ACCIDENT <br />$ <br />S <br />AUTOROINAN EA ACCS <br />AGG <br />EACH OCCURRENCE <br />$ <br />$ <br />AGGREGATE <br />S <br />S <br />St Sheedy <br />$ <br />STATurORv uMrt THER <br />s <br />"" <br />WORKERS' COMPENSATION & <br />EMPLOYERS' LIABILITY <br />SS15 an <br />Sty ttorn <br />y <br />EL EACH ACCIDENT <br />S <br />EL DISEASE , EA EMPLOYEE <br />$ <br />EL DISEASE -POLICY LIMIT <br />$ <br />Directors & Officers <br />Liability <br />ND 0121018 <br />5/1/2004 <br />5/1/2005 <br />Per Occ 1,000,000 <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 />gRTIFICATE HOLDER CANCELLATION <br />The City of Santa Ana <br />Santa Ana Community Development <br />A ency <br />Attention: Carla Thompkins <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL 000000 M MAIL <br />_*DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT,XX00f10(XtE XDONQOXX9(XXXDffd qgE <br />x�DN xwc > <br />DtXXX 10 Days for Non -Payment of Premium <br />AUTHORIZED <br />REPRESENTATIVE <br />Jim Mulligan <br />ACORD 25-S (7/97) created at www.eCertSONLINE.com 0 ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.