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RUFFIN, DON A. AND ARLENE B. 1
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RUFFIN, DON A. AND ARLENE B. 1
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Entry Properties
Last modified
4/17/2015 12:46:27 PM
Creation date
6/11/2008 3:15:30 PM
Metadata
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Template:
Contracts
Company Name
RUFFIN, DON A. AND ARLENE B.
Contract #
N-2008-063
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2009
Insurance Exp Date
12/31/2012
Destruction Year
2014
Notes
Amended by N-2008-063-01, -02, -03, -04
Document Relationships
RUFFIN, DON A. AND ARLENE B. 1A
(Amended By)
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\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\Q-R (INACTIVE)
RUFFIN, DON A. AND ARLENE B. 1B
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\Q-R (INACTIVE)
RUFFIN, DON A. AND ARLENE B. 1c
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\Q-R (INACTIVE)
RUFFIN, DON A. AND ARLENE B. 1D
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\Q-R (INACTIVE)
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ACORD. CERTIFICATE OF LIABILITY INSURANCE page I of 3 06/02DATE <br />/2008 <br />PRODUCER 877- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. 0. Box 305191 <br />Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED United States Profess. onal Tennis Association, Incj.INSURERA: Philadelphia Indemnity Insurance COmp_a_ny 18058 -001 <br />B TX <br />3535 Houston, TX 77042 ark Drive <br />INSURERS: Fireman's Fund Insurance Co. - 21873 -091 <br />3535 -- - - - - -- - -- - <br />�INSURERC___ —_ -- <br />INSURER D. <br />INSURER E: <br />COVERAGES <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 DO' POLICYEFFECTIVE POLICYEXPIRATIONI <br />LTR NSR TYPE OF INSURANCE POLICYNUMBER DATE MMIDD DATE MNUDDAM LIMITS <br />A <br />x GENERAL LIABILITY <br />PHPK279449 <br />12/31/2007 <br />12/31/2008 EACHOCCURRENCE <br />$ 11000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />PREMISES TO RENTED <br />$ 100, 000 <br />r, <br />JCLAIMS MADE XIOCCUR <br />The City of Santa Ana <br />V `1ZS4 J•1 <br />RED EXP(My cne parson) <br />$ <br />520 W. Walnut St. <br />Santa Ana, CA 92701 <br />PERSONAL S ADV I NJURY <br />$ 1,000,.000 <br />GENERAL AGGREGATE <br />I$ 2,000.000__ <br />G_EN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS= COMPIOPAGG._ <br />$ 11000c 000— <br />X 1 POLICY JECOT LOC <br />i� <br />AUTOMOBILE LIABILITY <br />COMBINEDSINGLELIMIT <br />$ <br />ANYAUTO <br />(Eaaclenp <br />_ <br />A,L OWNED AUTOS <br />I <br />SI,HEDULED AUTOS <br />(Per parson) <br />r_ <br />Ir HIRED AUTOS <br />80DILY INJURY <br />$ <br />NON- OWNEDALTOS <br />(Peramd.M) <br />1 <br />III <br />PROPERTY DAMAGE <br />$ <br />(Paracddent) <br />GARAGEUABIUTY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />r ANVAUTO <br />OTHER THAN EAACC <br />$ <br />j_ <br />AUTO ONLY AGG <br />$ <br />A <br />PHUB100994 12/31/2007 <br />12/31/2008 <br />EACH OCCURRENCE <br />$ 3,000,000 <br />_E%CESSNMBRELLA_LIABILITY <br />�X OCCUR ] CLAIMSMAOE <br />Ii <br />AGGREGATE <br />$ 3 000 000 <br />1 DEDUCTIBLE <br />$ <br />DIN $ <br />$ <br />_ _L <br />WORKERS COMPENSATION AND <br />WOSTAN- OTH- <br />TORY LIMITS ER <br />EMPLOYERS'LIABILITY <br />r <br />E.L. EACH ACCIDENT <br />ANY PROPRIETORIPARTNERJEXECUTIVE <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />Xyes,IAL <br />PRe ISIO <br />SPECIAL OVer below <br />E L DISEASE- POLICY LIMIT <br />IS <br />B OTHER <br />MX00080002660 '12/31/2007 <br />127 31 2008 <br />Bxceee Liability <br />$5,000,000 Lisit <br />DESCRIPTION OF OPERATIONSlLOCATIONSIVEHICLESlE %LLUSIONS ADDED BY ENDORSEMENTIBPECIALP8OVISIONS <br />THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 5/29/2008 WITH ID: 10768554 <br />Arlene Ruffin 54144 <br />USPTA Members are insureds for General Liability for playing, teaching or officiating in tennis or <br />operating a tennis ball machine for practicing or teaching. <br />CFGTICICATF Ml11 TIPP CAMCFI I ATIAN <br />ACORD 25(2001/08) Coll:2372098 Tpl:780116 Cert:IW82886 ©ACORD CORPORATION I9BU <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br />The City of Santa Ana <br />V `1ZS4 J•1 <br />VPRESENTATIVES. <br />520 W. Walnut St. <br />Santa Ana, CA 92701 <br />ACORD 25(2001/08) Coll:2372098 Tpl:780116 Cert:IW82886 ©ACORD CORPORATION I9BU <br />
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