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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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/V' — 20 0 �S — 06 3 - 0 2 <br />�� CERTIFICATE OF LIABILITY INSURANCE page 1 ot: 3 �o1 %oe /�ao 0 <br />PROOUeER 677- 945 -7378 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS LPON THE CERTIFICATE <br />willies Znauraae• Barvicss o! Georgia, Znc_ <br />ss century Hloa. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />TYPE OPIMSURANGE <br />D. O. Hos 305191 <br />Nashville, TN 3723 0 -5191 <br />INSURERS AFFORDINf3 COVERAGE <br />NAICRI <br />WSVRED Dnited StaCaa proiYaional TeTmia Aaaeeiation, Zn <br />.INSURERA�RhLladel his IaauranOe C See <br />1S0S8 -900 <br />INSV Bs•.BLre>.an• a D'uafl Znauraane CO. <br />2 18 7 3 -091 <br />3s3s Hrierpar)c Dsivs <br />Neuaeon, TX 770a2 <br />INSURER C: <br />S _� QOO, 000 <br />COMMER ... GENERAL LIABILITY <br />COVE : , =a.i::::,..� -. -.. <br />THE POLICIES OF INSURANCE USTED 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 ISSUEO OR <br />MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION8 AND CONDITIONS OF SUCH <br />POLICIES. AG�3REGATE LIMITS SHOWN MAY HAVE SEEN REDUCED OY PAID CLAIMS. <br />R <br />TYPE OPIMSURANGE <br />PODGY NUMBER <br />�� <br />SY/31/2009 <br />I <br />12/31/2 D10 <br />LIMrt3 <br />A <br />X <br />oENERAUMBP.In <br />PHp)C510031 <br />EACNOCCURRENCE ___ <br />S _� QOO, 000 <br />COMMER ... GENERAL LIABILITY <br />Q• NTEO <br />, <br />S 100 O <br />CLAIMS MADE ®OCCUR <br />MEO EXP M aM <br />_ <br />S <br />PERSONAL BADV INJURY <br />f <br />OFiVERAL A00RE0ATE <br />S <br />GEN'L <br />AOGREOAiE <br />LIMIT APPLIES PER= <br />PROOUCTB- COMP /OP AGO <br />f O <br />POLICY <br />LOC <br />AVTOYOHILE <br />LIABILITY <br />ANYAVTO <br />Item ha <br />be <br />COMBINE091NOLE LIMIT <br />(Ee eorJeerLL) <br />s <br />ALL OWNEOAUTOS <br />SCNEOULeDAVTOS <br />Reviewed- <br />BODILY INJIXiY <br />� °`P°"°"I —_ <br />S <br />HODRy1NJVRy <br />(P.I aaTJAant) <br />i <br />_ <br />NIREDAUTOS <br />NON -0WNED AUTOS <br />Approved- <br />2� / <br />__ <br />PROPHRTY DAMAGE <br />(PEr gctlelt) <br />-- <br />1 <br />DSte: <br />---------- <br />OARATiE <br />LfABILITV <br />AVTOONLY -EA ACCIDEM_ <br />S <br />OTHER THAN EA ACC <br />AUTOONLY� AGG <br />i <br />ANY AUTO <br />i <br />A <br />EXGE881YMBRELLA LUBILnY <br />pIiUH293364 <br />12/31/2009 <br />I2 /31/2010 <br />EACH CCURRENCe <br />S 00 <br />OCCUR � CWM9 MADE <br />AOORHOATE <br />S O <br />S <br />s <br />DeoucnaLE <br />s <br />ReTeNrwN s <br />WORI[PJi8 <br />ANDENPLOYER9•LV161Lm1 <br />/ WYPROPRIETCR�F <br />WFICE�M�MBER <br />�(NN�MaI�Wr(( <br />ODMPEMSATION <br />"LN <br />'P.RTN�JRIEXECLIT ^.F'` <br />EXCLVDE09 L_J <br />NNNRII <br />j <br />{ <br />f <br />E.L. EACH M:CfI:ENT <br />� ___ _ _ <br />E_L OIHEA3E- FA EMPLOYEE <br />_i _ _ <br />S_ <br />E.1_ DISEASE - POLICY LIMfr <br />-- _ -____ <br />S <br />1( <br />MNab VIWN <br />Y <br />8 <br />OTHER <br />eHX <br />1 <br />12 2 010 <br />BxeePa Liability <br />53,000,000 Limit <br />DHSCRE'TION OF OPERATIONS I LOGTgNH /VEHICLES / EXCLVeV]NS ADDED BY HNDORSBNENT / 9PHCUILPROVISKINS <br />Arlene RuElin 54144 <br />UBPTA NemberB era SnBnredB Cor General Liability Cor playiag� teaching or oCEiciating in tennis oz <br />operating a tonnie ball alaehine Cor practicing or teaching. <br />City of Santa Ana (Neal Machander Tenaie Center Santa Ana High School) is an Additional Insured as <br />r <br />SHOULD ANY OP THE ABOVE OESCRNIHO POLICE'S BE CANCELLED BEFORE THL GIPIMTNNI <br />GATE TNBREOP, THE ISSUWO WSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE GCRTIFN:ATe MOLDER NAMED TO THE LEFT, BUT PAILVRe TO DO SO SHALL <br />oR08H If0 OBUOATNJN OR LUBILITY OF ANT HIND UPpI THE INSURER, n3 AGENTS OR <br />Ci Cy oL Santa Ana (Heal Naehsnflor Tonaia <br />Center Banta Ana Nigh School) REPREeENTATVEB. <br />Sao w. walaue St. AVTNORI>CZD REPRESENTATVE <br />Santa Ana, CA 92701 <br />ACORD 25 (2006!01) Co 11:2903568 Tp1: 1040196 Cart:13. 765 ®1 BB -2006 ACORD CORPORATION. All rights reserved. <br />The ACORO name and logo are registered marks of ACORD <br />
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