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TALLER SAN JOSE 9 - 2005
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TALLER SAN JOSE 9 - 2005
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Last modified
7/8/2020 11:13:44 AM
Creation date
9/23/2005 3:08:46 PM
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Template:
Contracts
Company Name
Taller San Jose
Contract #
N-2005-108
Agency
Community Development
Insurance Exp Date
6/30/2006
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<br />t" KU\~I ~ I HLLI::K oHN II::LH <br />08/15/2005 1.6:24 FAX 714 347 7588 <br /> <br />rHX NU. : (14~b~~~41 <br />!l.T"!l RISK lIANACIlllll'lT <br /> <br />Sep. 0g 2005 09:40AM P3 <br />~004 <br /> <br />AC08D.. CERTIFICATE OF LIABILITY INSUIV\NCE Pall8 1 ot 2 I OATS <br />OS/2713005 <br />I'RDllUClll 177-'U-7378 THIS CERTlFICAT~ ISSUED AS A MATTER ~F INFORMATION <br /> ONI.V ANI) ':ON S NO RIGHTS UPON T ~ CERTIFICAT~ <br /> WUlh Nazoth ....rt.ca. h.l:I. - Jl4tgiOtlal Cezot O_t.... HOLDER. THIS CERTIFICATE D0E8 NOT AMEND, EXTEND OR <br /> ~e: ~.ll.t:ury ~vd. AI. TI!.l"fHE <:oveRAGE AFFORDED !IV THe PQ~ICI1!:6 BEI.OW. <br /> P. o. Boz 3051'1 <br /> N_lIhviU.. TN naJo.nn IN8UREIUI AFf'JRDlNO COVERAGE NAIC. <br /> ~ -- ., .~ <br />INIlJAliD Ii. tar. bf I~. Jo.~h at Orange !N'URERA: ..r~ftrrd. In.'Ilrao.ee o' the Xi.d.weat: 3"711.001 <br /> taO doutb '.t:avla I~I.>.--- <br /> OZ'anq.. CA 121158 ~,"_'~,_r' .- ~-,,_.-. <br /> .........C .. .....-....- .----. --.-......' ...~ . - ." . .. .-."...... <br /> INIUFlER D: ..... <br /> 1_.', <br /> <br /> <br />'!liE POUC1E8 OF INSURANCE ~ BEl.OWHAIIE BEEN IBallED TO THE INSuReD NAMED 1\lIOII. PO. '!liE POLICY PSRIOO IND~TEO. NOTWITHSTANDING <br />/\NY ~UIREMENT, TERM OR CONDITION Of /\NY CONTRA':T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFlC^TE M^Y Be ISSUI'll OR <br />MAY pt;RTAIN. THe INSUfWlCE AFFOROED RV THE POLlclEll DE8CRIRED "'eREIN IS SUBJEOT Tel All. THE TERMS. EXCl.USIONS AND CONDITIONS OF SUC~I <br />I'OlICIES.AQ..R6QA'" "MITS SHOWN MAY flAVE BEEN REDlJI:EO RV FAIO CLAIMS. <br />TYflIOfl"''''...ecao: YMU ,. - Y ON. . ."".__.._~~~-"_...... <br />HNIlULUAfMUTY , <br />COMM!RCVlL GlENJ!fW.LlHHUTY $ <br />. CLAlf4,'MADl 0 QCCUA M.F..C.~"/AnvOI'l"PlIfIIil~ , <br />pr;:RSONo4LAACVI~URY ~t._.....,. <br />G~ALAGGREOATE <br />PFlOOUCl!..OOMP/OPAGG S <br /> <br /> <br /> <br />S TO fO <br /> <br />",-r-) <br /> <br />~rarNEDSINQLE L/JrollT . <br />E.~t19(lI) <br />~-_...__. .... - . ..~---.._~. <br />BooIL, v lNJUftY . <br />(Pll'lIi!'f'1otll <br /> .-..........-.. <br />800l1..'(tNJURY . <br />(Poraookl&rltl <br />PAOPERTY~CE . <br />(PilfllDCldll"" <br />~ro 0Nl.". EAACOrOENT . <br />OT'!.1" THAN EAACC . <br />AU ONLY: - S <br />~o~ CUAN:;NCE . <br />^GGRE.G^~ <br /> <br /> <br />DARAQI: IJAIlII.ITY <br />N4VAUTO <br /> <br />UC"'.UMllLITY <br />OCCUR D CI.AfN8 MlllOEi <br /> <br />A <br /> <br />DEDUCTlIILE <br />RETENTION <br />WOAKIIIB CQMI'IMIATt0t4 ANO <br />RMPL.O't.RII'Ll"""/TY <br />Mb~~=~~=""U"'" <br />IlJrQj':'~l.01d.. <br />DTH.' <br /> <br />72WMCJ3300 <br /> <br />5/31/2005 <br /> <br />5/31/2006 <br /> <br />E.~EACI<ACOIDENT _LL.~~ <br />E.~ OIIOME. :.~~}l.tO)'EE. J._J.J_o.o..Q...O.O_O_ <br />e,L DJ8EME. POlJCY <br /> <br />DI!IOJIIPTIDN 0' ~Tla'UI'LQCATlatelNWil.a.I-.a.u.IONIAODIIDI't' INDC"'MI!NTI8'~L PltOVlIIGN8 <br />.e. SBJO cJba Tal1..t' SaD Jo... Blook Grant, 810 1f. poin.att.&, .ianta All., CA 92701 <br /> <br />D <br /> <br />C <br />8HOULD UfY MTMfI.-.owOnCRl.IiP flOLICUI,11 CANCI!lLED IEPOAt! TtlE EXf'!JU.TION <br />DAT' T""IM. TNt! laWING tt8U11111't wtll. _ BUlIL...!Q.... DAYS WRITTEN <br />NeTIC! TDTH. CPTlI'ICAT' HGL.D1IfI NAMIP TO THII L.lln- -"~-. -- L <br /> <br />City of 1_" ana, il.. alfilo.r., &g".a~. <br />lIDel ~lo:r.. CoamIA!ty D...1opMlnt Agal1Cl" <br />2Q Civic C.nt.r .1*_. . <br />Ko. M~5 ~ P,O. Daz 1_80 <br />z..t.tnl ~ay Flo~.. <br />..Sloe. .I.Zl4., CA J27Q~ <br /> <br />ACOItO 2S (J001101) <br /> <br />CoU.13DBI&7 'l'pl.,37.00. C <br /> <br /> <br />ClACORDCORPORA ION 1981 <br />
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