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WHITE, MATTIE D. 9A - 2006
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READY TO DESTROY IN 2017
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WHITE, MATTIE D. 9A - 2006
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Entry Properties
Last modified
7/7/2015 4:26:23 PM
Creation date
7/20/2007 9:41:30 AM
Metadata
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Template:
Contracts
Company Name
MATTIE D. WHITE
Contract #
N-2006-059-01
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2010
Insurance Exp Date
12/28/2008
Destruction Year
2017
Notes
Amends N-2006-059 Amended by N-2008-071, -01, -02, -03
Document Relationships
WHITE, MATTIE D. 9 - 2006
(Amends)
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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U2/il/2U08 15 55 FAX 8UU5UlU9U5 <br />ACCDRD INSURANCE SVGS <br />~/ ~~~ - ~~(~] V V I J U V I <br />I ~~Qr~ CERTIFICATE OF LIABILITY INSURANCE I DATEIMMIDDIYYI <br />2/11/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ACCORD INSURANCE SERVICES, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i <br />HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTEND OR ~ <br />SOX 4985 OE77960 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I <br />Thousand Oaks CA 91359-1485 INSURERS AFFORDING COVERAGE i <br />I <br />INSURED MattiQ D White INSUaEaA. <br />Tiny Tot Preschool INSUaeas <br />3201 3 Deegan Drive IN9URERC: <br />Santa Ana,CA 92704 wsuRERO <br />INSURER E' <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 DR CONDITION OF ANY CONTRACT OR O?HER DOCUMENT WITH RESPECT TD WHICH THIS CERTIF{CATE MAY BE ISSUED OR <br />MAY PERTA+N THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIQ$. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />~ TYPE OF INSURANCE POLICY NUMBER PO sfECTIVF Y I <br />0/VY MMIDD LIMITb <br />GENERAL LWGIIITY EACH OCCURRENCE <br />COMMERCIAL GENERAL UABIUry ~' FIRE DAMAGE (Any on^ NreJ S <br />~-t--' CUIMS MADE ~ OCCUR ~ MED EXP (Any on^ D^fion) S <br />ALXJFZ~s]feee±oD;al CLS1365346 12/28/07 12/28/08 PeasoNALAADVINluar s+ nnn n, <br />' <br />I GENEaALAGGREWTE S <br />'. GENE AGGREGATE LIMIT APPLIES PER <br />PRO f~ PRODUCTS- CUMPIOP AGG b <br />i POLICY <br />JEC7 LOC j , <br />1 <br />,AUTOMOBILE LIA8IUTY ~ j <br />f ~ ' <br />ANY AUTD i ,COMBINED SINGLE LIMIT <br />JEa eale^nl) = <br />I <br />AL: DWNEC AUTOS <br />I' 9CHE CULED 4'JTCS I <br />I fPO rDIL~YriIN11URY S <br />--{ <br />~ I <br />I MIRED AUTpg I1 <br /> ' I <br />A1RV <br />I <br />N <br />OD <br />I <br />I NON•GWNED AUT05 <br />I (--' I I U <br />^ <br />. <br />Ce <br />cP S <br /> ,, <br />PROPERTY DAMAGE ; <br /> <br />IP^r awldenll + <br />GARAC! LIABILITY <br />~ <br />' <br />AUTO ONLY • EA ACCIDENT <br />b <br /> ANY AUTO EA ACC <br />DTMERTHAN i <br /> ' i AUTO ONLr AOG i <br /> EXCESS UANLITY <br />;'~ ~~ _ <br />} <br />EACH OCCURRENCE <br />) <br /> OCCUR ~ CLAIMS MADE ~ <br />`-j- ~~' <br />+ I-; <br />,:• <br />~ <br />- <br />A <br /> _ <br />~.~ GGREGATE ~ <br /> <br /> a <br /> GEOUC71aLE <br /> s <br /> RETENTION 3 <br /> <br />WORKERb GOMPENSATiON AND -,,. <br />EMPLOYERi' LIABRITY <br /> <br />T V LIMITS ER <br />f <br /> i I E.L EACH ACCIDENT i i <br />~. I I ~ E L. DISEASE • EA EMPLOYE t <br /> ~_•,__ I Ei DIBEA9E • POLICY LIMIT s <br />DESCRIPT10,4 OF OPERA TION7/LOCATIONSNEHKaE3fE1(C WbfON9 ADOEO \Y £NDOR9EM[NTiSPECIAI PROVIb10N9 <br />City of Santa Ana is named as Additional Insured per Exhibit 'A' <br />TE HOLDER i ][ I ADDITIONAL INSURED, INSURER LETTER: <br />The City of Santa Aria <br />2D Civic Center Plaza <br />Santa Ana CA 92701 <br />attn: Peggy <br />fax:714.571.4235 <br />ACORD 25-5 ~T/97) ~~ ~ ~"Q a. <br />bPOULD ANY OF THE A6OVE DE9GRIYED POLICIES BE CANCELLED BlFORE THL EKPIRATIC <br />GATE THEREOF, THE 156UIN6 INSURER WILL O MAIL ~_ DAYb WRITTEN <br />NOTICE 70 THE CERTIFICATE MOLDER NAMED TO THE LEFT, BuT FAILURE TO DO 30 6HALL <br />1M-OBE NO OBLWATK)N OR LIAEILITY OF AHYS(IND~ TISfiI1NSURER, ITS AGENTS OR <br />AurHORIZED <br />e ACORD CORPORATION 1988 <br />
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