My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SHARE OUR SELVES - 2008
Clerk
>
Contracts / Agreements
>
_PENDING FOLDER
>
READY TO DESTROY IN 2018
>
SHARE OUR SELVES - 2008
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/9/2017 2:01:31 PM
Creation date
7/3/2008 4:36:40 PM
Metadata
Fields
Template:
Contracts
Company Name
SHARE OUR SELVES
Contract #
A-2008-069-61
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/7/2008
Expiration Date
6/30/2009
Insurance Exp Date
1/26/2009
Destruction Year
2016
Notes
COMPLETION DATE 06-30-2009
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
28
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
AL",.. CERTIFICATE OF LIABILITY INSURANCEDATE(MWDDfYYYY) <br />F�pDDCi 04/10/2008 <br />(714)979-6543 FAX (714) S49-2943 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Wigmore Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2970 Harbor Blvd. #215 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0811959 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Costa Mesa, CA 92626 INSURERS AFFORDING COVERAGE NAIL # <br />INSURED Share Our Selves INSURERA: Travelers Property Casualty of rica <br />1550 Superior Ave. INSURER B: <br />Costa Mesa, CA 92627 A -2008-069-6i INSURER C: <br />INSURER D: <br />INSURER E: <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 />NSR A7D—D'L ITYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION <br />POLICY NUMBERDATE imminwryi DATE (MMID131yy) LIMITS <br />GENERAL LIABILITY 66083OX485008 01/26/2008 01/26/2009 EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100, <br />o00 <br />A CLAIMS MADE M OCCUR MED EXP (Any one person) $ 5 , 000 <br />PERSONAL & ADV INJURY $ 1,00 <br />GENERAL AGGREGATE $ 2,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT <br />JECT LOC <br />PRODUCTS -COMP/OP AGG $ 2,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />BA3466W34408 <br />01/26/2008 <br />01/26/2009 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ 1, 000 <br />BODILY INJURY $ <br />(Per person) <br />A <br />X <br />X <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />X <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY -EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY. AGG $ <br />A <br />EXCESS/UMBRELLA LIABILITY <br />X OCCUR fI CLAIMS MADE <br />XSMCUP3459Y45908 <br />01/26/2008 <br />01/26/2009 <br />EACH OCCURRENCE $ 11000 <br />AGGREGATE $ 1,000, <br />DEDUCTIBLE <br />$ <br />X RETENTION $ lO, OO <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC STATU- OTH- <br />ANY PROPRIETOR/PARTNCUTNE <br />OFFICER/MEMBER EXCLUDED? <br />� <br />/� <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE $ <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />(/ <br />E.L. DISEASE -POLICY LIMIT $ <br />OTHER <br />ERTIFICATEPHOTLDERLIS NAMEDHIASSADDITIONAL INSUREDSASNPEREATTACHEDNENDORSEMENT FORM GN01880196. <br />ANCELLATION NOTICE IS 10 DAYS IN THE EVENT OF NON-PAYMENT OF PREMIUM <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />ATTN: FRANK HERNANDEZ <br />20 CMC CENTER DRIVE <br />SANTA ANA, CA 92701 <br />►CORD 25 (2001108) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Timothy Wiamore/G128 <br />©ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.