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HOANG, VIET 1
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HOANG, VIET 1
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Entry Properties
Last modified
4/17/2015 9:40:34 AM
Creation date
9/7/2005 11:35:43 AM
Metadata
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Template:
Contracts
Company Name
Viet Hoang
Contract #
N-2005-096
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2006
Insurance Exp Date
1/1/2006
Destruction Year
2011
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EVANSTON 1NSURANCE COMPANY <br />CERTIFICATE NO.: <br />CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT LIABILITY PROGRAM <br />ER: <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />City of Santa Ana <br />liant Insurance Services <br />20 Civic Center Plaza, M -28 <br />28323 <br />Santa Ana, Ca 92701 <br />a, CA 92799 -8323 <br />-8163 <br />[NAMED <br />o: OC 36861 <br />INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />ng <br />TYPE: Career Plannine <br />DATE(S): 6/1/05 - 12/31/05 <br />LOCATION: Lawnbowlne Center <br />This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period <br />indicated. Notwithstanding any requirements, terms or conditions 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 terms, <br />exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: 04SEPIOOOOOI <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2005 EXPIRATION: JANUARY 1, 2006 <br />COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit $ 2,000,000 <br />Products & Completed Operations 1,000,000 <br />Personal & Advertising Injury 1,000,000 <br />Each Occurrence Limit 1,000,000 <br />Fire Damage (Any One Fire) 50,000 <br />Medical Payments (Any One Person) 5,000 <br />The limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event. <br />"Who is insured" is amended to include, as an insured, the person or organization shown in this schedule, but only with respect to liability arising out of the <br />ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes place <br />after the event holder ceases to be a tenant in that premises. <br />OTHER ADDITIONAL INSUREDS <br />CANCELLATION: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the <br />certificate holder and additional insureds listed. <br />AUTHORIZED REPRESENTATIVE: — /�`_ J" <br />DATE ISSUED: July 19, 2005 y ; <br />
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