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COUNCIL ON AGING ORANGE COUNTY - 2007
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COUNCIL ON AGING ORANGE COUNTY - 2007
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Last modified
12/29/2016 7:41:17 AM
Creation date
10/18/2007 7:57:37 AM
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Contracts
Company Name
COUNCIL ON AGING ORANGE COUNTY
Contract #
A-2007-105-014
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/16/2007
Expiration Date
6/30/2008
Insurance Exp Date
7/1/2008
Destruction Year
2016
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<br />... <br />ACOR.D CERTIFICATE OF LIABILITY INSURANCE T DATE (MMlDDIYYYY) <br /> TM OS/24/2007 <br />PRODUC>:R Schweickert & Co. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 15 Peters Canyon Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Irvine CA 92606 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Council on Aging INSURER A: Philadelphia Insurance <br /> 1971 E. 4th Street #200 INSURER B: <br /> Santa Ana CA 92705 INSURER C: <br /> .9 d COG -octd--O(J INSURER D: <br /> INSURER E: <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 />I~~ ~~~'! POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />IA X ~NERAL LIABILITY PHPK234989 07/01/2007 07/01/2008 EACH OCCURRENCE $ 1,000,000 <br /> ~ jMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 <br /> 1,000,000 Occl Agg $ <br /> -=- CLAIMS MADE [K] OCCUR 1,000,000 Each Causel MED EXP rAnv one eerson) $ 5,000 <br /> X Sexual Abuse 2.000,000 Aggregate PERSONAL & ADV INJURY $ 1,000,000 <br /> X Liquor Liability Emp Benefits/Prof Liability GENERAL AGGREGATE s 2,000,000 <br /> ~'L AGG~EnE LIMIT APM PER: I mill ea inc/2 mill agg PRODUCTS. COMP/OP AGG $ 2,000,000 <br /> POLICY ~tl.P.; LOC <br />A X ~OMOBILE LIABILITY PHPK234989 07/01/2007 07/01/2008 <br /> COMBINED SINGLE LIMIT 1,000,000 <br /> (Ea accident) $ <br /> f--- ANY AUTO <br /> '--- ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS <br /> X BOOIL Y INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> '--- PROPERTY DAMAGE S <br /> (Per accident) <br /> RARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGG .t <br />~ X ~ESSJUMBRELLA LIABILITY PHUB0855IO 07/01/2007 07/01/2008 EACH OCCURRENCE S 2,..,. .v,vvv <br /> X OCCUR 0 CLAIMS MADE AGGREGATE S 2,000,000 <br /> $ <br /> ~ DEDUCTIBLE 7/ It~ s <br /> X RETENTION S 10,000 " - - ., /}" <br /> A~ $ <br /> WORKERS COMPENSATION AND .\1) PJif7 - I T~~~:~!.\I--" I IOJ~- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORlPARTNERlEXECUTIVE EL EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? ~. .-.-.- E.L. DISEASE - EA EMPLOYEE $ <br /> ~~,~~Saibe under ,.. EL DISEASE - POLICY LIMIT t <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT r 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 /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLA 1l0N <br /> <br />Santa Ana <br /> <br />CA <br /> <br />92702-1988 <br /> <br />SHOULD ANY OF TllE ABOVE DESCRIBED POUCIES BE CANCELLED BEF~ TllE EXPIRATION <br />DATE TllEREOF. TllE ISSUING INSURER W1LCCI<IllE)!;VOR"TO MAlL _ DAYS WRITTEN <br />NOTICE TO TllE CERTIFICATE HOLDER NAMED TO THE LEFT;llOTT.<m.DRE'TtTDO"SO-sFlA1.L <br />-INIPOSE'NtTUBtJGATlON"UR"'D.<mIIJlTCF'lImTRII'lD UPOR'"TflE1NSIJRER; m;")tGENTS OR <br />-REPRESEI'I'nmves: <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />City of Santa Ana <br />Attn: Frank Hernandez <br />P.O. Box 1988 <br /> <br />ACORD 25 (2001108) <br /> <br />
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