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ORANGE COUNTY, MENTAL HEALTH ASSOCIATION OF 17 - 2008
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ORANGE COUNTY, MENTAL HEALTH ASSOCIATION OF 17 - 2008
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Last modified
1/3/2012 2:28:21 PM
Creation date
8/12/2008 10:30:28 AM
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Contracts
Company Name
ORANGE COUNTY, MENTAL HEALTH ASSOCIATION OF
Contract #
A-2008-068-09
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/7/2008
Expiration Date
6/30/2008
Insurance Exp Date
7/12/2009
Destruction Year
2013
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<br /> <br />PRODUCER (g~g)709-8800 FAX (9~' 709-1668 vv/ av/ LVVO <br />THIS CERTIFICAT IS ' IED AS A MATTER OF INFORMATION <br />Comprehensive Insurance Services ONLY AND COtiFS -. ~tIGHTS UPON THE CERTIFICATE <br />22342 Avenida Empresa HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 200 <br />RSM, CA 92688 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A:. NONPROFITS' INSURANCE ALLIANCE 0 CA <br />Mental Health Association of Orange County INSURER B: <br /> <br />822 Town & Country Rd. INSURER C: <br /> <br />Orange, CA 92668 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 />INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMIT9 <br /> GENERAL LIABILITY 2008-08472-NPO 07/12/2008 07/12/2009 EACH OCCURRENCE s 1 000 00 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED j ZOO OO <br /> CLAIMS MADE a OCCUR MED EXP <br /> (Any one person) S 10 ~~ <br />A PERSONAL 3 ADV INJURY S 1 000 00 <br /> <br /> GENERAL AGGREGATE S 2 000 ~~ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO- PRODUCTS -COMP/OP AGG S 2 r 000 00 <br /> POLICY <br />JECT X LOC <br /> AUTOMOBILE LIABILITY 2008-08472-NPO 07~12~2008 07~12~2009 <br /> <br />X ANY AUTO COMBINED SINGLE LIMIT <br />E <br />id <br />S <br /> a acc <br />ent) <br />( 1 000 00 <br /> ALL OWNED AUTOS <br /> BODILY INJURY S <br />A SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY S <br /> NON-O W N ED AUTOS (Per accident) <br /> <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO <br />OTHER THAN EA ACC <br />S <br /> AUTO ONLY: AGG S <br /> EXCESS/uMBRELLA LIABILITY 2008-08472-UMB-NPO 07/12/2008 07/12/2009 EACH OCCURRENCE s 2 000 000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE S 2 OOO 000 <br />A <br /> S <br /> DEDUCTIBLE S <br /> X RETENTION S 10,00 <br /> S <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> EMPLOYERS' LV161LITY <br /> <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? <br /> <br />II yes <br />describe under E.L. DISEASE - EA EMPLOYE S <br /> , <br />SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT S <br /> OTHER <br />DESCRIPTION OF OPERATK)NS /LOCATIONS !VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL PER ATTACHED AGREEMENT <br />EXCEPT 10 DAYS FOR NON-PAYMENT - " <br />( `~ <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND <br />EMPLOYEES <br />ATTN: FRANK HERNANDEZ <br />20 CIVIC CENTER PLAZA, M-25 <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 1GX~X1108Xr.'16 MAIL <br />* 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />lfiCKdfdfd~7~(iXl)L)ti~dd~10(d(lI1G~ClWtK~IX~EX1(1fdCtlf~1(XX <br />AUTHORIZED REPRESENTATNE <br />rd <br />EREMY ~Z~ <br />Hwrcu ~a ~zuuT/uts) ©ACORD CORPORATION 1988 <br />
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