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WHITE, MATTIE D. 9B - 2008
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WHITE, MATTIE D. 9B - 2008
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Entry Properties
Last modified
5/26/2016 1:14:08 PM
Creation date
7/3/2008 2:42:05 PM
Metadata
Fields
Template:
Contracts
Company Name
WHITE, MATTIE D.
Contract #
N-2008-071
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2010
Insurance Exp Date
12/28/2011
Destruction Year
2017
Notes
Amends N-2006-059, -01 Amended by N-2008-071-01, -02, -03
Document Relationships
WHITE, MATTIE D. 9 - 2006
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WHITE, MATTIE D. 9A - 2006
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WHITE, MATTIE D. 9C - 2009
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WHITE, MATTIE D. 9D - 2010
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WHITE, MATTIE D. 9E - 2011
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
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V V I <br />15 35 FAX 80060 10905 ACCORD INSURANCL SVCS IV , 000U0 - -7� m <br />ACOR - CERTIFICATE OF LIABILITY INSURANCE /1IY0O <br />2 0R <br />/Il/28 <br />ACCORD INSURANCE SERVICES, INC <br />Sox 4485 OE77960 <br />Thousand Oaks CA 91359-1485 <br />Matti* D White <br />Tiny Tot Preschool <br />3201 S Deegan Drive <br />Santa Ar{a,CA 92704 <br />COVERAGES <br />INSURERS AFFORDING COVERAGE <br />TME POUCIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NDrINITHSTANOING <br />I ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT "ITN RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN THE INSURANCE AFFORDED BY TME POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EMCLVSIONS AND CONWTIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />I I IV <br />FRI TYPE OF INSURANCE POLICY NUMBER <br />YMID <br />LIMITSGENERAL <br />EACH OCCUERews 1 <br />LIABILITY <br />COMLIEAC IAL GENERAL LABILITY' <br />FIRE DAMAGE (Am/av AMI L CjQ 1u�, <br />CUIML MADE OCCUR <br />A XJPref^Aw1nnal CLS1365346 12/28/07 <br />12/28/08 <br />MED ESP (ANY PIN m,lv) E <br />PEASDNALEADvnwar { <br />GGNEMLAGcic WTE f <br />�_� <br />PACOUCTF COMPIOP ADD { <br />GENL AGGREGATE LIMIT APPLIES PER <br />17. POLICY M PRLT 7 [OC I <br />AUTOMGBILE LIABILITY <br />COMBINED SINGLE LIMB <br />AN' ALTO <br />IIEEESNWI + <br />II.E <br />NPN. WLAnI <br />I Al'. MNED AUTOS <br />i 9CXEOU:W 4UTC5 <br />_HIRED <br />BODAYINAIAY 1 <br />IPM PFCiwnIl <br />"TOB <br />AUTOS <br />I�NON-0WNEO <br />PROPERTY DAMAGE II <br />IP. FwISPBIj <br />GARAGE LIABILITY <br />AUTO ONLY. LAACCIDCNT S <br />EA ACC B <br />aTHEP THAN <br />AUTOO ONLY AOG s <br />ANY "TD <br />EXCESS LIABILITY <br />�I <br />OCCUR u CI,VMG MADE <br />�.`i // <br />�[j' �_ mil, { <br />EACH OCCURRENCE Is <br />AGGREGATE 1 <br />i <br />B <br />E <br />GEOUCOBLE <br />{ i <br />RETENTION ! <br />WDRNERS COMPENSATION ANO <br />EMPLOYEM'"MLITY <br />i ♦LEI R <br />E EACH ACCIDENT S <br />E L. DISEASE• EA EMPLDYE 1 <br />It OIBEASE -POLICY LIMIT I T <br />i <br />OTHER <br />DESCRIPTION OF OPERATIONSLOCATIONGNEHICLESISCLUEWNS ADDED BY ENDORSEMIMT,EP{CIAL PAOM{IOM <br />City of Santa Ana is named as Additional Insured per Exhibit 'A' <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />attn: Peggy <br />fax:714.571.4235 <br />ACORD 25-S <br />BNOULD ANY OF TME ABOVE DESCR*EO POVCRE BE CANCELLED NPORI THE IEPIRATIO <br />DATE THEREOF, TME *SUING INSURER WILL jWjwQW GAIL 3Q_ DAYS WRITTCH <br />NOTICE TO TWO CERTIFICATE MOLDER MAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL <br />UNIONS NO OBUSATION OR LMDILITY OF ANY MIND MOM TNSJMSURIA. RB AGENT{ DR <br />
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