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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)
Path:
\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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IT- X00,6- OG 3 <br />ACORD,N CERTIFICATE OF LIABILITY INSURANCE <br />INBR <br />page 1 of 3 12/31/2008 <br />PROWLER 877 - 945 -7378 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PQLICYNUM <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie axe <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 century Blvd. <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 <br />COMMERCIALGENERALUABILITY <br />CLAIMSMADE ®OCCUR <br />Nashville, TN 372305191 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED United States Professional Tennis Association, <br />3535 Briarpark Drive <br />In <br />.INSURERA, Philadelphia Indemnity nsurance C an <br />- ---- <br />18058 -001 <br />21873 -091 <br />Houston, TX 77042 <br />PERSONALSADVINAURY <br />INSURERS: Fireman's Fund Insurance Ca. <br />INSURERC: <br />INSURERD: <br />NSUREft E: <br />$ 2,000,000 <br />rnveonr_oe <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 />INBR <br />R <br />X <br />TYPE OFINSURANCE <br />PQLICYNUM <br />T <br />DETC—EYME FFpCTRE <br />12/31/2008 <br />POLAICYEXPR T N <br />12/31/2009 <br />LIMITS <br />A <br />GENERALLIASILDY <br />X <br />COMMERCIALGENERALUABILITY <br />CLAIMSMADE ®OCCUR <br />PHPK370771 <br />EACHOCCORRENCE <br />$ 000 000 <br />DANIA E OaEONTE0 <br />ros <br />MED E�XSP one person) <br />$ 00 00 <br />$ <br />PERSONALSADVINAURY <br />S 1 000 <br />GENEAALAGGREGATE <br />$ 2,000,000 <br />GEN'L <br />X <br />AGGREGATE LIMIT APPLIES PER <br />POLICY PRO L0C <br />PRODUCTS- COMP/OPAGG <br />$ 1,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALLOWNEO AVTOS <br />A PPR <br />PPROV <br />A <br />A <br />FORM <br />COMBINED SINGLE LIMIT <br />(Eaxgtlenl) <br />$ <br />SCHEOULEDAUTOS <br />9arperw) <br />$ <br />HIREDAUTOS <br />_ <br />NON-0WNEDAUT09 <br />Uf, <br />Sl I )IB0 <br />EDGILY INJURY <br />(Pere denO <br />$ <br />PROPERTYDAMAGE <br />(Per .wenO <br />$ <br />ASSISI$ <br />IL y AItO <br />BY <br />GARAGELNBIUTY <br />AUTO ONLY -FA ACCIDENT <br />§ <br />NJ AUTO <br />OTHER EA AGE <br />AUTO ONLY. <br />AGE <br />$ <br />b <br />A <br />EXCESS/UMBRELLA WISILITY <br />X OCCUR CLAIMS MADE <br />PHUB258269 <br />12/31/2008 <br />12/31/2009 <br />EACHOCCURRENCE <br />$ 31000,000 <br />AGGREGATE <br />$ 3,000,000 <br />$ <br />DEDUCTIBLE <br />a <br />RETENTION 4 <br />$ <br />_ <br />EUPLOYER3'LIABI �TIONANO <br />YT T s OI- <br />E.LEACHACCIDENT <br />§ <br />ANYPROPRIETORIPARTNEWEXECUTIVE <br />OFFICERMIEMBEREXCLUDED7 <br />E.L. DISEASE• EA EMPLOYEE <br />$ <br />8 <br />If <br />SPE61K PROVISIONS below <br />OTHER <br />58X00081693970 <br />12 31 08 <br />12 3 200 <br />E.L. DISEASE - POLICYLIMIT $ <br />Hxceas Liability <br />$5,000,000 Limit <br />DESCRIPTIONOFOPERATION$ OCATIONSNEHICLE3MXCLUVONSADDEDBYENDORSEMENTIWECMLPMMMIONS <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 />City of Santa Ana ( Neal Machander Tennis Center Santa Ana High School) is an Additional Insured <br />as respects General Liability but only as resongto--jo_a"ims arising out of the negligence of the <br />City of Santa Ana ( Neal Machander Tennis <br />Center Santa Ana High School) <br />520 W. Walnut St. <br />Santa Ana, CA 92701 <br />(2001108) <br />2574361 Tpl:87 <br />SHOULD ANY OFTHE 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 FAIWRE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR UABILRY OF ANY NMD UPON THE INSURER, ITS AGENTS OR <br />9194 <br />1988 <br />
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