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WHITE, MATTIE D. 9 - 2006
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READY TO DESTROY IN 2017
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WHITE, MATTIE D. 9 - 2006
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Entry Properties
Last modified
7/7/2015 4:26:33 PM
Creation date
7/19/2006 11:14:07 AM
Metadata
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Template:
Contracts
Company Name
White, Mattie D.
Contract #
N-2006-059
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2010
Insurance Exp Date
12/28/2008
Destruction Year
2017
Notes
Amended by N-2006-059-01, N-2008-071, -01, -02, -03
Document Relationships
WHITE, MATTIE D. 9A - 2006
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WHITE, MATTIE D. 9B - 2008
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WHITE, MATTIE D. 9C - 2009
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WHITE, MATTIE D. 9D - 2010
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WHITE, MATTIE D. 9E - 2011
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
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.~,000AO INSNfl ANCE SVGS <br />/13/2006 17'05 TAX 8054943904 <br />A~QBQ~ <br />TE OF LIABILITY IN3U <br />ACCORD INSURANCE SERVICES <br />Box 4485 OE71960 <br />Thousand Oaka CA 91359-1485 <br />Mattis D white N,?~~b-0b9 <br />Tiny TOt Preschool. <br />3201 s Deegan Drive <br />Santa Ana,CA 92704 <br />INSilRERS AFFORDING COVERAGE <br />OR <br />__ _. _ ___ _.._ ..... ..... nn..~nn ~~nv~eTCO Nt1TVJRKCTBNGINC. <br />THE POLICIE9 OF INSURANCE LISTED !FLOW NAVE BEEN I$9UEU ro I nE mavnrr nn~~=~ n.,..•~ • -^ • ^-~ --- ~ - - <br />R CONDITH7N OF ANV CONTRACT OR OTHER DOCUMENT WRH RE6PECT TO WHICH THIS CERTIFICATE MAY 8E ISSU <br />CONDITIONS OF 9UCH <br />N <br />O <br />ANY REQUIREMENT, TER <br />6 DlSCRIBEO HEREIN IS 6UBJECT TO ALL THE TERM6, E%CLU610N$ AND <br />THE INSURANCE AFFOROEQ SY THE POLIOIE <br />MAY PERTAIN <br />, <br />AGCREOA7E LIMITS SHOWN MAY NAVE BEEN REDUCED 0Y PAID CLAIMS. <br />ICIES <br />- <br />POL <br />LGY EYP yNRi <br />ICY FAF P <br />LTR TYPE OF WBUPIWGE <br />POLICY NVNEFR <br />D <br />FACN OCCURRENCE <br />i <br /> GENERAL LNEEITY <br />FME DAIMOE 1APY ma9n7 <br />1 <br /> COMHERCPL GENERAL LIABILITY MED EXP Urtl elp pPfPoD) i <br /> I GIMME hYDE ®OCGUft <br /> 26~OS 12~28~G8 PERSONx AN]V NJURY S <br />A I 9rnFoa •lOnal cLS1105460 12~ EGATE S <br /> GENERAL AGGR <br /> PIOP ApG <br />CO f <br /> M <br />PRODVCTb- <br /> GENL AGGREDATE LIMIT APPLNi PER: <br /> POLICY jEo- LOC <br /> AUTOMDaIE LMBIIIiY COMBINED TINGLE LIMIT <br />IEe aer+den0 i <br /> ANVAUTD <br /> ALL OWNED AUTOS BODILY INJURY <br />IPr wnenl i <br /> ScIEDUIJiD AVP09 <br /> WRED.WTOS BODLY INJURY <br />(M emJJeM) i <br /> ua+-0wNED AUT09 <br /> PROPE0.TY OxwOE i <br /> (PU rddond <br /> <br /> AUTO ONLY-EAACCIDENi i <br /> GAg40E LwEILItt EA ACC <br />OTHER THAN i <br /> 4NY PUTD NJN ONLY: AGG S <br /> -' EACH OCCURRENCE i <br /> WCE99 uAWLRY <br /> -~ AGGREGATE i, <br />I OGGUR ~CLAIM6 MADE <br /> E <br /> i <br /> DEOVCTIBLE <br />9 <br /> RETEMION i <br /> k~ t <br />~ <br />~ '- T YLIMRi <br /> WORKER6 CDNPENBATION ANO r -~ <br />- <br />. <br /> ' EMP1.pYERi' WBlury [.L. EACHACCIOENi B <br /> / <br /> EL DISPASE •FA EMPLOYE B <br />~ EL OISE4EE-POLICY LIMR E <br /> OTHER <br /> DE9cRPT10N OF OPFR-TIONEM1OCATpN9NEMCLE&E%OLVEIONB ADDED eV FNDORBEMENT9PEWL PROVI&ONS <br />i City of Santa Ana is namod as Additional Insured per Exhibit 'A' <br /> ERTIFICATE HOLDER ADDrt1DNAL MSURBO; DIBUOPA LETTER: CANCELLRTION <br /> SHOULD ANY OF THE ABOVE OESCPINED POUCIeE BE CANCELLED BEFORE THE EIIPIMTION <br /> The city Of Santa Ana DATE THEREOF, THE ISSNNG IRNVPER WILL L,3(L,_DAVB WpfITEN <br />L <br /> 20 CiViC CB71tEIZ Plana NOTICE TD THE CERTIFICATl NOLDE NE <br /> Santa Ana CA 92701 <br /> ' <br />' <br /> 1 <br />hcmpkina <br />attn: Carla <br /> <br />fax:714.571.4209 AIITMOR¢EpR N <br /> <br />DATe INnwwYY1 <br />ACORD ISS IT197) _- ! +.nwn .. ....... ........_.. .___ <br />1 <br />~. k. <br />
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