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COUNCIL ON AGING OF O.C. 3
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COUNCIL ON AGING OF O.C. 3
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Entry Properties
Last modified
7/22/2015 12:36:15 PM
Creation date
9/5/2006 4:22:41 PM
Metadata
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Template:
Contracts
Company Name
Council on Aging-OC
Contract #
A-2006-092-013
Agency
Community Development
Council Approval Date
4/17/2006
Expiration Date
6/30/2007
Insurance Exp Date
7/1/2007
Destruction Year
2012
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`~~Ck~ CERTIFICATE OF LIABILITY INSURANCE <br />:M DATE(MM/DD/YYY1~ <br />07/31 /2006 <br />PRODUCER Schweickert & Co. <br /> <br />15 Peters Canyon Road <br />Irvine CA 92606 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 /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Council on Aging INSURER A: Phlladelphla Insurance <br />1971 E. 4th Street #200 INSURER B: Non Profits United Work Comp Grp <br />Santa Ana CA 92705 INSURER c: Insurance Corp of Hannover <br /> INSURER D: <br /> INSURER E: <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 D' ~ <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br /> X GENERAL LIABILITY PHPK171635 0']/01/2006 U7/U1/2UU7 EACH OCCURRENCE $ 1,000>~~~ <br /> X COMMERCIAL GENERAL LIABILITY 1,000,000 Occ/Agg DAMAGE TO RENTED $ 100,000 <br /> CLAIMS MADE X^ OCCUR 1,000,000 Eacll Cause/ MED EXP An one $ 5,000 <br /> X Sexual Abuse 2,000,000 Aggregate PERSONAL 8 ADV INJURY $ 1,000,000 <br /> X I,1C1UOr Llablhty <br />E <br />B <br />fi <br />/P GENERAL AGGREGATE $ 2,000,000 <br /> mp <br />ene <br />ts <br />rof Liability <br /> GEN'L AGGREGATE LIMIT APPLIES PER: 1 mill ea inC/2 mill agg PRODUCTS -COMP/OP AGG $ 2,000,000 <br /> POLICY PRO LOC <br />A X AU TOMOBILE LIABILITY PHPK171635 <br />07/01/2006 <br />07/01/2007 <br />D SINGLE LIMIT <br />a <br />1 <br />000 <br />000 <br /> ANY AUTO ( <br />accde $ <br />, <br />, <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> X <br /> <br /> <br />X HIRED AUTOS <br />BODILY INJURY <br /> <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: qGG $ <br /> EXCESS/UMBRELLA LUIBILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE <br />$ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND <br />' tdPU-WCt,00-2006 O1/O1/2006 O1/Ol/2007 WC STATU- X OTH- <br /> EMPLOYERS <br />LIABILITY 500 000 <br /> ANY PROPRIETOR/PARTNERJEXECUTIVE - E.L. EACH ACCIDENT $ ~ <br /> OFFICER/MEMBER EXCLUDED? <br />H <br />d <br />b E.L. DISEASE - EA EMPLOYE $ 500,000 <br /> es, <br />escri <br />e under 500 000 <br /> E.L. DISEASE -POLICY LIMIT $ ~ <br /> OTHER <br />C Excess Worker's Comp H35-0402601 01/01/2006 01/01/2007 $25,000,000 X $500,000 <br />DESCRIPTION OF OPERATIONS !LOCATIONS /VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, agent, emplyees, representatives, and volunteers are added as additional insured's as <br />respects operations and activities of, or on behalf of the named insued, performed under contract with the City of Santa Ana. <br />This insurance is primary and non contributing and shall not be canceled, limited in scope or coverage, or non-renewed until <br />after thirty(30) days prior written notice has been given to the City of Santa Ana. <br />City of Santa Ana <br />Attn: Frank Hernandez <br />P.O. Box 1988 <br />Santa Ana <br /> <br />CA 92702-1988 <br />V/YI\ V CLL/i 1 1 V M <br />/.~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFQjt~ THE EXPIRATION <br />/) DATE THEREOF, THE ISSUING INSURER tMLC-ERDEAVOR'TO MAIL jll DAYS WRITTEN <br />"'-----'~~,"""" ^NOTICE TO THE CERTIFK:ATE HOLDER NAMED TO THE LEFT;BDrFAILORFTt1DDS03'FI74iL <br />-IINPCSETN'08CIGATIOFrUR~/R8R77TOF'7~TIORDI7POFfTHEINSURET~ RS7~GEN'I5 OR <br />AUTHORIZED REPRESENTATIVE n~ ., <br />ACORD 25 (2001108) <br />© ACORD CORPORATION 1988 <br />
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