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CENTENNIAL HERITAGE MUSUEM 2B
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CENTENNIAL HERITAGE MUSUEM 2B
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Entry Properties
Last modified
7/13/2015 10:25:53 AM
Creation date
9/6/2006 5:15:55 PM
Metadata
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Template:
Contracts
Company Name
Centennial Heritage Museum
Contract #
A-2004-087-13-2
Agency
Community Development
Council Approval Date
4/17/2006
Expiration Date
6/30/2007
Insurance Exp Date
3/15/2007
Destruction Year
2011
Notes
Amends A-2004-087-13, -01
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<br />ACORD.. <br /> <br />CERTIFICATE"F LIABILITY INSURANCr' <br /> <br />OP ID D9 DATE (MMlDDIYYYY) <br />CENTE-3 07 ;~7 06 <br />THIS CERTIFICATE IS ISSUE 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 />,PRODUCER <br />Andreini & Company-South Coast <br />License 0208825 <br />One MacArthur Place, Suite 100 <br />South Coast Metro CA 92707 <br />Phone: 714-327-1400 Fax:714-327-1499 <br />INSURED <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />'!'be Rart:!Q~ ZnauraDce Ccaapauy <br /> <br />NAIC# <br />22357 <br /> <br />Centennial Heritage Museum <br />Colleen Mensel <br />3101 W. Harvard Street <br />Santa Ana CA 92704 A-J(X)J.I-Of/'7-0/J- <br />COVERAGES <br /> <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER 0: <br />ERE: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REClUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWlTH 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 CONDmONS OF SUCH <br />POLICIES, AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR ~SR[ TYPE OF INSURANCE POLICY NUMBER ~';!~ lMMIDliiVVI DATE MMltiDiYVi' UWTS <br /> ~NERAL UABIUTY EACH OCCURRENCE 51,000,000 <br />A X ~ COMMERCIAL GENERAL UABILllY 57SBAAV8856 03/15/06 03/15/07 ~~~~S lea DCQJrencel 5300,000 <br /> - ~ CLAIMS MADE [!] OCCUR MED EXP (Anyone perscn) 510,000 <br /> PERSONAL & ArN INJURY 51,000,000 <br /> GENERAL AGGREGATE 52,000,000 <br /> GEN'L AGGREGATE L1WT APPLIES PER: PRODUCTS - COMPIOP AGG 52,000,000 <br />i h POLICY h- ~~g: n we <br /> ~OMOBILE LIABILITY COMBINED SINGLE LIMIT 51,000,000 <br />A ANY AUTO 57SBAAV8856 03/15/06 03/15/07 (Ea accident) <br /> I-- <br /> - ALL OWNED AUTOS BODILY INJURY <br /> S <br /> SCHEDULED AUTOS (Pet person) <br /> '-- <br /> ~ HIRED AUTOS BODILY INJURY <br /> 5 <br /> ~ NON-DWNED AUTOS (Per accidelll) <br /> I-- PROPERTY DAMAGE S <br /> (Per accident) <br /> ~RAGE~IUTY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC 5 <br /> AUTO ONLY: AGG 5 <br /> ~ESSIUM8RELLA UABlUTY EACH OCCURRENCE 51,000,000 <br />A OCCUR 0 ClAIMS MADE 57SBAAV8856 03/15/06 03/15/07 AGGREGATE 52,000,000 <br /> 5 <br /> =iDEDUCTlBLE S <br /> RETENTION S S <br /> WORKERS COMPENSAT1ON AND ITORY L1NITS I IU~~. <br /> EMPLOYERS' ~IUlY E.L EACH ACCIDENT S <br /> ANY PROPRlETORIPARTM:RIEXECUTlVE <br /> OFFICERlNEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE S <br /> . ~es. describe under E,L. DISEASE. POLICY L1NIT 5 <br /> S ECIAL PROVISIONS below <br /> OTHER <br />A Property 57SBAAV8856 03/15/06 03/15/07 BPP 1,055,000 <br /> SDecial Form BI/EE ALS <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />City of Santa Ana is named as Additional Insured but only as their interest <br />may appear as respects Operations of the Named Insured. <br />See Attached SS 00 08 04 01 <br />*10 day notice of cancellation for non payment of premium <br /> <br />CERTIFICATE HOLDER <br /> <br />CITYSAA <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEUED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THI! LEFT, BUT FAILURE TO DO so SHALL <br />IMPOSE NO OBLIGATION OR UABtUTY OF ANY KIND UPON THE INSURER, rrs AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />. k1ertr1 Peterson <br /> <br />City of Santa Ana <br />Community Development <br />M-25 <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br /> <br />Agency <br /> <br />'L... .~ <br /> <br />ACORD 25 (2001/08) <br /> <br />J~~'.d:!/t!i~L._._..,.,. ,_ <br /> <br />@ ACORD CORPORATION 1988 <br /> <br /> <br />c, e. <br /> <br />J'::::; <br />
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