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Last modified
10/21/2013 11:35:28 AM
Creation date
6/12/2007 4:13:31 PM
Metadata
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Template:
Contracts
Company Name
CCN CA, LLC
Contract #
A-2006-306
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
11/20/2006
Expiration Date
11/20/2009
Insurance Exp Date
5/25/2009
Destruction Year
2013
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<br />OP ID G9 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE ~~S_1 DATE(MM/DDlYYYY) <br />l0 07 oa <br />PROOUCt:R <br />Dealer Protection Ina . Svcs . <br />License #OC77432 <br />28202 Cabot Raad, Ste 500 THIS CERTIF[CATE 1S ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERT{FICATE DOES NOT AMENb, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICEES BELOW. <br />Laguna Niguel CA 92677-1251 <br />Phone:949-365-5152 Faa:949-276-1025 <br />INSURERS AFFORDING COVERAGE <br />NAIG# <br />INSURED INSURERA wldon saglo xnauranae corp. 10836 <br /> INSURER B: <br />(,'Q}' tJ~j <br />T <br />•T.C. INSURER C: <br />y <br />p <br />sCA 92614irc1e, #1OO <br />IB <br />vQ <br />n 1NSURERD: <br />z <br />x <br />e INSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIDO INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHK:H THIS CERTIFICATE MAY 8E ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIE6 DESCRIBED HEREEN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIDNS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OFIN5URANCE POLICY NUMBER DATE MMIDD DATE M1UD LIMA <br /> GENERAL LIABILITY EACH OCCURRENCE 51. OOO OOO <br />A X X CDMMERCIALGENERALLIABILITY CBP8153216 05/25/08 05/25/09 PREMISES(~oa~urence) 5100,000 <br /> CLAIMS MADE ~ OCCUR MED EXP {Any ane person) 5 5 000 <br /> PERSONAL ttADV INJURY S 1, 000, OOO <br /> GENERALAGGREGATE S 2 OOO OOO <br /> GEN'LAGGREGATELIMITAPPLIESPEft PRODUCTS-COMPfOPAGG 52,000 OOO <br /> X POLICY jE~ LOC <br /> AUT 011OBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANY AlfTO <br />- <br />(Ea accident} . S <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEOULEDAUTOS (Perperson} S <br /> HIRED AUTOS <br />BODILY INJURY <br />S <br /> NON-0WNED AllfOS _ (Per accident) <br /> PROPER'1YOAMAGE <br /> _ <br />(Per accident) S <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC 5 <br /> AUTO ONLY: AGG S <br /> DCCESSIUMSRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR ~ CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE S <br /> ~ <br /> RETENTION S i S <br /> WORKERS COJAPENSATION AND <br />' '~- Ee ~~, / TORY LIMITS ER <br /> EMPLOYERS <br />WIBILITY <br />ANYPROPRIETOR/PARTNERlEXECUTIVE - <br />~-~/ <br />EL EACH ACCIDENT <br />5 <br /> OFFICERIMEMBER EXCLUDE67 EL DISEASE - EA EMPLOYEE S <br /> dyes, describe under <br />SPECIAL PROVISIONS 6elaw Y <br />E.L DISEASE -POLICY LIMIT <br />5 <br /> OTHER <br />DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES! DICLUSlONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />The City of Santa Ana, its Officers, Tmployees, agents, and representatives <br />are named as addional inenred per form GECG 602 attached. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />88B W. Santa Ana HLVD <br />Santa Ana 92701 <br />25 (2001108) <br />SHOULD ANY OF THE ABOVE DESCRIBED POlJC1E5 8E CANCELLED HEFORETHE EXPIRATION <br />DgTE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR lJAB1l.ITY OF ANY KIND UPON THE INSURER, ITSAGENTS OR <br />REPRESENTATNES. <br />AUTHORED REPRESIi#JTATNE <br />Jason Winzen <br /> <br />7988 <br />
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