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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,a CERTIFICATE OF LIABILITY INSURANCE page 1 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 />Willis 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. O. Box 305191 <br />Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED United states Professional Tennis Association, Inc.INSURERA Philadelphia Indemnity Insurance Company 18058 -001 <br />3535 Briarpark Drive <br />Houston, TX 77042 INSURERS Fireman's Fund Insurance Co. 21873 -091 <br />INSURER <br />INSURERO <br />COVFRAGFR <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 <br />THIS CERTIFICATE MAY <br />BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS <br />OF SUCH <br />POLICIES, AGGREGATE LIMITS SHO WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1 <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />INSR ADO' r POLICYEFFECTNE POLICYEXPIRATION <br />LTR INSR TYPE OFINSURANCE POLICYNUMBER DATE (MMIDDIYY DATE IMMIDDMI <br />LIMITS <br />The City of Santa Ana <br />A X <br />GENERAL LIABILITY '', PHPK279449 12/31/2007 <br />12/31/2008 <br />EACHOCCURRENCE—is <br />Santa Ana, CA 92701 <br />1,.000,.000. <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREM ISES(Eaoccu ante) <br />IS <br />100 000 <br />CLAIMS MADE OCCUR <br />�X ',, <br />'_MED EXP Anyone Person) <br />$ <br />$ <br />1 000,000 <br />',. <br />PERSONAL B ADV INJURY <br />$ <br />2 000 000 <br />GENERAL AGGREGATE <br />_ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />'_PRODUCTS- COMPIOP AGG <br />$ <br />1, 000., OOO <br />PRO- <br />POLICY JECT LOG <br />POLICY <br />- <br />A TO LIABILITY <br />-_I <br />COMBINEDSINGLE LIMIT <br />S <br />ANVAOTO <br />�(Ea accident) <br />ALLOWNEDAUTOS <br />BODILY INJURY <br />S <br />SI.HEDULFD AUTOS <br />(Per Person) <br />L .I. HIRED AUTOS <br />BODILY INJURY <br />$ <br />NON -OWNED AUTOS <br />(Per act den0 <br />PROPERTYDAMAGE <br />L $ <br />(Per.Jrr ) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT -' <br />$ <br />EAACC <br />OTHERTHAN — - <br />$ <br />- -- <br />- -- - - - - -- <br />ANYAUTO <br />- -� <br />II ' <br />AUTOONLY: AGG'$ <br />A <br />j EXCESSIDMBRELLA LL161LITY <br />' <br />PHUB100994 12 31 2007 <br />/ / <br />12/31/2008 <br />EACHOCCURRENCE___$__ <br />3_,000 000 <br />�X OCCUR ! CLAIMS MADE <br />I <br />AGGREGATE _. -_$_ <br />3 000-000 <br />DEDUCTIBLE, <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />WC STATU- OTH - <br />TORY LIMITS ER <br />. <br />EMPLOYERS 'LIABILITY <br />- - - -- — '- <br />r <br />- - ----- - -__ -- <br />ANY PROPRIETORIPARTNEREXECUTIVE <br />E L EACH ACCIDENT_ <br />_$ <br />_ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />'SPECIAL PROVISIONS below <br />EL DISEASE - POLICY LIMIT <br />$ <br />B ',OTHER <br />SHX00080002660 12/31/2007 <br />12731/2008 <br />IExcess Liability <br />$5,000,000 Limit <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIE %CLUSIONS ADDED BY ENOOftSEMENTISPECIAL PROVISIONS <br />THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 5/29/2008 <br />WITH ID: 10768554 <br />Arlene Ruffin 54144 <br />USPTA Members are insureds for General Liability for playing, teaching <br />or officiating <br />in <br />tennis or <br />operating a tennis ball machine for practicing or teaching. <br />.. <br />CFRTIFICATF HOt DFR CANCELLATION <br />ACORD 25 (2001108) Coll:2372098 Tp1:780116 Cert:16182886 ©ACORD CORPORATION 1988 <br />), 'ro I ' <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />1 <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />The City of Santa Ana <br />Ir%FT� If� i - <br />PRE$ENTATIME$. <br />AU RI2 RE T <br />520 W. Walnut St. '' <br />Santa Ana, CA 92701 <br />ACORD 25 (2001108) Coll:2372098 Tp1:780116 Cert:16182886 ©ACORD CORPORATION 1988 <br />
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