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WHITE, MATTIE D. 5
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WHITE, MATTIE D. 5
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Entry Properties
Last modified
5/28/2015 9:54:18 AM
Creation date
4/13/2006 8:54:20 AM
Metadata
Fields
Template:
Contracts
Company Name
White, Mattie D.
Contract #
N-2000-180
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2003
Insurance Exp Date
12/28/2002
Destruction Year
2010
Notes
Amended by N-2001-131, N-2002-078
Document Relationships
WHITE, MATTIE D. 5a
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\W-X (INACTIVE)
WHITE, MATTIE D. 5b
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\W-X (INACTIVE)
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Fab 21 03 10:54a PRC'n 57' X11 p.2 <br />FED 19 2003 1:12PM RCC*D IMSURRMCE SERVS 605-4l94-3804 P.1 <br />0 ,. CERTIFICATE OF LIABILITY INSURANCE >I 0"si;03 I <br />A <br />ACCORD INSURANCE SERVICES D J k"M 7M C9lMUTE o NUT AMMW <br />Boa 4485 0666200 ��i AL IR IM CDyE WM WOMM ST TIE PW <br />Thousand Oaks CA 91359 -1485 dWaAFROMwBCOYEWUHE <br />_nn sae oAIA <br />Tiny Tot Preschool Em3201 S Deegan Drive �A� <br />Santa Ana,CA 92704 <br />Covaaaes <br />POLXXB OF NKWAMELOT®BRAWFWAa n aiM TOT HE NK" tDNMMDA WWFOR7MEPOtf:1'FFTaODSPORT®. NDTM"WANOM <br />TM <br />AHW REm MM1Kr. MW an CONDRION OF AW CONTRACT OR OTTER OOCIaBNT WRN RESEOT 70IM H TWO CERTMAM MW W WJED OR <br />.EKMAM AMCCRgflONCOFW" <br />0�OAM MIS„Ia <br />MwVM.A�AOtMIONIN tai MlYi%yT ffiBi BY PAm MBStSEGTTOM1TMIII <br />Msmam. wcanwrAa�Mr .wMAaa+aneun.wR...wwswa <br />7YIlo►HWIIWCM rM. Mama Mm <br />�� 41 000 ooa <br />X MSMaAWL®aGLWSA,YY MWOAVA Sift r** <br />5a o00 <br />*mama* [ OCCUR MEDaPHMAeAAMSrt7 <br />: 5 000 <br />A X Professional CLS0835777 12/28102 12/28103 mmomLaAmmiuY <br />s1.000.0 0 <br />MB�7ALAMWEOAIE <br />$2,000,000 <br />PIIOOIMBS•odFOPAOO <br />Ml 000 000 <br />11 mwr M 19 71 L= <br />AUVQWOMMUArM <br />SWXU UWT <br />S <br />CmM�RM <br />ANY AM <br />A"0wMwAUTOS <br />E LLYYpA� <br />S <br />pasl{EyAA11Ds <br />S.YRYURY <br />M <br />MMAU= <br />NONO MM®AUTM <br />`�•m.MO <br />$ <br />p.rAial�y�M <br />MASAM LVAmff <br />AU CMV- MADCHXW <br />i <br />O rtaN e�ACO <br />H <br />AWAM <br />q <br />f <br />AVNONIr AMO <br />arAS m"My <br />&MCOM OMME <br />! <br />00cm FICLAMWAN <br />AtIPROVED AS <br />W FORM <br />S <br />= <br />O�UGIRLH <br />' <br />aielllON i <br />MewasewRMRAteMAMe <br />a�{,pYSSM{'ASSIiY <br />Y <br />; >Cputy City A[ioriay <br />EL.KMM# TOBR <br />s <br />LL MN&M -aawAM <br />s <br />el.aeaee- raicruMr <br />e <br />orm <br />eMeMMmMa A ®aamR�anweALRORMaw <br />City of Santa Ana is named as Additional Insured per Exhibit 'A' <br />_ _ <br />M110Yl4MNOr YIaAIEMla1S010YAS11L1SM ECAIIC6LSDMSIO1RSl�aO'RIUIMM <br />The City of Santa Ana <br />0�OAM MIS„Ia <br />20 Civic Center Plaza <br />Msmam. wcanwrAa�Mr .wMAaa+aneun.wR...wwswa <br />Santa Ana CA 92701 <br />attn: Robert Carroll <br />era <br />fax: 714.571.42111 IL /Arq$ <br />AOD1® Z" Tries) <br />
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