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DAYLE MCINTOSH CENTER 3
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DAYLE MCINTOSH CENTER 3
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Entry Properties
Last modified
12/3/2015 2:47:13 PM
Creation date
8/25/2005 2:42:14 PM
Metadata
Fields
Template:
Contracts
Company Name
Dayle Mcintosh Center for the Disabled
Contract #
A-2005-078-012
Agency
Community Development
Council Approval Date
4/4/2005
Expiration Date
6/30/2006
Insurance Exp Date
5/25/2006
Destruction Year
2011
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2c1,14 05 03:11p F k Family Ins If ;7722912 p,l <br />ACOB-D,N <br />CERTIFICATE OF LIABILITY <br />INSURANCE <br />ATE <br />06/13/2005 ° <br />�wcec <br />Park Balmily <br />Inabranbe, Inc. <br />THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORNWTION <br />ONLY COWERS NO RIGHTS UPON THE <br />"OLDERNTf" CERTIFICATE DONOT AMEND, CERTIFICATE <br />EXT'END OR <br />801 Riverside Ave #100 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. <br />POLICY IXp��1TR�AAT ON <br />Roeaville - <br />cA 95678 <br />"�— <br />WSURERB AFFORMO COVERAGE NAICA <br />NAl1R® <br />Nt9JRERA'.p1111ade1D & IneuYance Co <br />Dayle Mc Instomh <br />Center Sar The Disabled <br />_ <br />13272 Gard o <br />Grove Blvd A-aooq-009-1(v <br />INSURER G. .. <br />_ <br />INSUR urx•.... —-- -- <br />05/25/2006 <br />Garden Grove <br />CA 92843 <br />INSURERS, <br />COVERAIlms <br />THE POLICIES OF INSURANCE LISTED BEUDW HAVE SEEN ISSUED TOTHE INSURED NANIED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIAITHSTANDMIO ANY <br />REOXAREEENT, TERN OR COIAXTON OF ANY f7C11TTRACT OR OTHER DOCUMENT WITH RESPECT TO WITCH THIS CERTW-I ATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES OESORIBED HEREIN W SUBJECT TO ALL THE TERNS. EXCLUSICNS AND CONDITIONS OF SUCH POLIO7f9. <br />AGGREGA_ TE UAYTS SNOYNI MAY HAVE BEEN REDUCEfeY PNDCWMS. ... _.....!_. <br />wm <br />m' <br />1pL)CY ■YECTP%E <br />POLICY IXp��1TR�AAT ON <br />LTR <br />NM <br />TYPl bF R/SURANOE <br />POLXfYNUM RR <br />DATE <br />tMTE MW[YT <br />LRNTS <br />A <br />X <br />GENERAL LMaIITT <br />DBYX3222S7 <br />05/25/2005 <br />05/25/2006 <br />EACHOCCAIRRENCE <br />f 1000000 <br />X COMMERCIALGENERALUADILIW <br />_ <br />f 100000 <br />E TO RENTED <br />p p"p,N a <br />T'''''�� <br />E-1 <br />It RA1G MAOF. I x I Ow,,N <br />NIEO E)tP(yw,T ane <br />v 10000 <br />PER+GONN,d ADVINAMY <br />X Frcfeeloflal Llab <br />E .~1000000 <br />GENERAL ApORECAI'E <br />f 3000000 <br />Y dmY al N13CODdDct <br />GEN'L AGGREGATEpPUR0r,]11T APPLIES PER. <br />1 3000000 <br />..�- <br />PROWOTS CO AGO. <br />X mucy JUW LOC <br />-- <br />A <br />AU <br />Diu LuBAJIv <br />FAM122237 <br />05/25/2065 <br />05/25/2006 <br />CERN7NW SINGLE UNOr <br />AUTO <br />(Ee ucCkllf/) <br />f 1000000 <br />WNED RUTOS <br />ROGLYINJURY <br />__._. <br />EDULED AUTOS <br />tGN cam) <br />S <br />XAUTOS <br />AIMILYINJURY <br />-OWNED NJ T[%SraxWarlqLIABILITYAUTO <br />UNLY-Fw ACCAJkNiAUTO <br />YHAN to ACC <br />S <br />AUTO <br />AUTOONLYAMNRELLAUARLITTEACH <br />OIl;l.T92T310E <br />g 1000000 <br />R u CLAN SMApE1000000 <br />APPROVED <br />AS 'F0 <br />F <br />RMcna.E <br />nON 10,900 <br />- <br />_ <br />IYDIR(ERS COMPPNUTION AND <br />Tu. <br />EMPLOYERr LABILTI <br />tNYPROPRIF.TORAARTNEHIEXEcUrIVE <br />Laura <br />1N J6tiedg <br />L.tnaf hce�Dxr <br />s_ <br />OTFICHLTAL'MBER ETUCLUDEDT <br />e.w.ylLr <br />AsBls [City <br />AL[OTneV <br />EL pSFARE-EA <br />Ryes u,rdn <br />SVCK;ALPROVIMONSbeknr <br />tMPLOV�f <br />CL. DISEh9E. POl1CYL, <br />5 <br />A <br />OTHER Business property <br />Special Ebxm <br />25,000 <br />El®ctxomic Xquyp"nt <br />eparDiRl "re 8laeket <br />196,500 <br />DESCRIPTION CF AOM BY DWORMMENTrwciAL RRDVLLUNE <br />gee attached LaDQ9atTe for AdditiOaal IDeUXed LatlQTlagb... <br />f`FQTCMeTc un, ..cn <br />SHOULD ANY OF THE AB W! O"ORIBED POIJOWS BE DANCRLED WORE THE <br />EXPIkATION DATE THMt , TME I JNO MMURER WILL MMAR <br />30 DAYS WRITTEN NOTICE TO THE CERTINGTE HOLDER NAe� TO THE L13Ta IIS/ <br />City b£ Santa Ana <br />CPTIR9.TDity DE+velopweut <br />ESD Bax LBBB AUTNOR121Ep FEPREAENTA <br />Santa Ana CA 92702 <br />ACORD M�(0pT x O ACORD CORPORATION IEEE ��• <br />'AIMS FI UCTRONIC LAEM WHMS. INC. <br />- (9DW737-0Tg5 P.J. 1 d1 <br />
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