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TALLER SAN JOSE 15 - 2006
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TALLER SAN JOSE 15 - 2006
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Last modified
1/3/2012 1:57:24 PM
Creation date
8/15/2006 8:59:57 AM
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Contracts
Company Name
TALLER SAN JOSE
Contract #
A-2006-189
Agency
Community Development
Council Approval Date
7/17/2006
Expiration Date
6/30/2007
Insurance Exp Date
6/30/2007
Destruction Year
2012
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<br />, <br /> <br />ACORD", <br /> <br />CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 <br /> <br />PRODUCER <br /> <br />877-945-7378 <br /> <br />DATE <br />07/11/2006 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />Willis North America, Inc. <br />26 Century Blvd. <br />P. O. Box 305191 <br />Nashville, TN 372305191 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />Taller San Jose <br />801 N. Broadway <br />Santa Ana, CA 92704 <br /> <br />INSURER A: American Unit Grou Ltd <br />INSURER B: <br />INSURER C: <br />INSURER 0; <br />INSURER E: <br /> <br />C0929-QOl <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 />INSR N~~~ TYPE OF INSURANCe POUCY NUMBER "8M~':~Kf,E8hlv~ PRk'FeY.~,J;b'tf'JltON LIMITS <br />LTR <br />A X ~NERAL LIABILITY UNI-CGL-06-01-022 6/30/2006 6/30/2007 EACH OCCURRENCE $ 2 000 000 <br /> X OMMERCIAL GENEAAl LIABILITY ~~~~~!?E~~~~nce\ $ <br /> - CLAIMS MADE [i] OCCUR MED EXP (Anvone person) $ <br /> ~ PERSONAL & ADV INJURY $ 2 000 000 <br /> ~ GENERAL AGGREGATE $ 2 000 000 <br /> ~N'LAGG~nEfLlMrT APnSIPER: PRODUCTS - COMP/OP AGG $ <br /> POLICY ~~8i LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> I- ANY AUTO (Eaaccidenl) <br /> I- ALL OWNED AUTOS BOOIL Y INJURY <br /> $ <br /> I- SCHEDULED AUTOS (Per person) <br /> I- HIRED AUTOS BODilY INJURY <br /> $ <br /> I- NON-DWNED AUTOS (Per accident) <br /> I- PROPERTY DAMAGE $ <br /> (Per accident) <br /> RRAGE LIABILITY AUTO ONLY - EAACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> OESS LlABJUTY EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> ~ DEDUCT'BLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I T~~ilfJJ~S I IOJ~- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORIPARTNERlEXECUTlVE E.l. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.l. DISEASE. EA EMPLOYEE $ <br /> ~~~~~~~~~~~NS below E.L. DISEASE. POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATJONSJLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />It is agreed that City of Santa Ana and Santa Ana Empowerment Corp. is included as an Additional <br />Insured as respects to General Liability. <br /> ,\ ["flIt,:) "',' l~U AS ro rOKA-,] <br />CERTIFICATE HOLDER '-/'-P'A' /. CANCELLATION <br /> - ,'~7fL~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> -. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ <br /> . . . .""~"''''')' DAYS WRmEN <br /> ] -L :;v Au,,;' :.~ \, NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> Ci ty of Santa Ana and Santa Ana Empowerment Corp. REPRESENTATIVES. <br /> 20 Civic Center Plaza, M-21, PO Box 1988 ArlQ-EWnSENTATIVE <br /> Santa Ana, CA 92702 <br /> . .j. <br /> <br />ACORD 25 (2001J08) <br /> <br />Coll.1684855 Tpl.520840 Cert.7520116 <br /> <br />@ACORDCORPORATION 1988 <br /> <br />C,Il' <br />
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