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SHARE OUR SELVES 4 - 2002
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SHARE OUR SELVES 4 - 2002
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Last modified
1/3/2012 2:07:26 PM
Creation date
5/11/2006 9:21:59 AM
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Contracts
Company Name
Share Our Selves
Contract #
A-2002-105-46
Agency
Community Development
Council Approval Date
4/15/2002
Expiration Date
6/30/2003
Insurance Exp Date
1/26/2003
Destruction Year
2011
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<br /> A-2-ooZ - /0")- ~L. <br />ACORD CERTIFICA..,;E OF LIABILITY INSUQNCE DATE (MMIDDfYY) <br />m H/20/2002 <br />PRODUCER (714)979-6543 FAX (714) 549-2943 ",en..AII: ,w,~"c"U" '''UN <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Wigmore Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />license #0811959 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />2970 Harbor Blvd. #215 INSURERS AFFORDING COVERAGE <br />Costa. Mesa. CA 92&26 <br />INSURED Share Our Sel yes INSURER A: Travelers Property Casualty <br />1550 Superior Ave. INSURER B: <br />Costa Mesa, CA 92627 INSURER c: <br /> INSURER D: <br />, INSURER E: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFiCATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ICt: TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDfYY) t'~~!ftl (~'AAi~~~ LIMITS <br /> GENERAL LIABILITY 30X4850 01/26/2002 01/26/2003 EACH OCCURRENCE $ 1,000,000 <br /> - <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100,000 <br /> I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) , 5,000 <br />A PERSONAL & ADV INJURY $ 1,000,000 <br /> GCNCRA~^GGREGATE , 2,000,000 <br /> GEN'L AGG~nE~L1MIT APnSLPER: PRODUCTS - COM PlOP AGG $ 2,000,000 <br /> I PRO- <br /> POLICY JECT LOC <br /> AlJTOMOBILE LIABILITY 466W344 01/26/2002 01/26/2003 COMBINED SINGLE LIMIT <br /> --' (Eaaccident) S <br /> ANY AUTO 1,000.000 <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - (Per person} $ <br /> ~ SCHEDULED AUTOS <br />A <br /> ~ HIRED AUTOS BODILY INJURY <br /> (Per accident) S <br /> ~ NON.()WNED AUTOS <br /> - PROPERTY DAMAGE S <br /> (Peraccidenl) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY AGG $ <br /> EXCESS LIABILITY APPRUVElJ ~ >v .. EACH OCCURRENCE $ <br /> tJ OCCUR o CLAIMS MADE ..jJ:.utW AGGREGATE s <br /> $ <br /> R DEDUCTIBLE Laura Sheedy $ <br /> RETENTION $ N ..._. ,.v $ <br /> WORKERS COMPENSATION AND ... 1,'o,,{'LIMITS I ICER- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> E.L. DISEASE - EA EMPLOYEE $ <br /> E.L. DISEASE. POLICY LIMIT $ <br /> OTHER 30X4850 01/26/2002 01/26/2003 $1,200,000 <br /> UILOING SPECIAL FORM <br />A ONTENTS SPECIAL FORM $300,000 <br />DESCRIPTION OF OPERATlONSlLOCATIONSfVEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />ITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, ANO VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS <br />ESPECTS THEIR INTEREST IN CONECTION WITH THE NAMEO INSURED. <br />o OAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. <br />CERTIFICATE HOLDER 1 I ADDlTIONAL INSURED; INSURER LETTER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL K~~ MAIL <br /> OF SANTA ANA -1..0...- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> CITY M\1(1)(Ij(\Jl.~~N~Ill(_~M~:lI~~~Il__lIXX <br /> ATT: JOHN MALONEY <br /> P.O. BOX 1988 ~~~MX~ll/l(')(nll~~IlIl:"-'ll'1!WIl~~XXXXXXX <br /> SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE ~~ <br /> Timothv W;amorejOl14 <br /> ..0. , mJBB <br /> - <br /> <br />FAX. (949)642 7885 <br />
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