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WHITE, MATTIE D. 9C - 2009
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READY TO DESTROY IN 2017
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WHITE, MATTIE D. 9C - 2009
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Entry Properties
Last modified
5/26/2016 1:14:33 PM
Creation date
6/10/2009 9:49:33 AM
Metadata
Fields
Template:
Contracts
Company Name
WHITE, MATTIE D.
Contract #
N-2008-071-01
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, N-2008-071 Amended by N-2008-071-02, -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. 9B - 2008
(Amends)
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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WJ VV I/WvI <br />ACORD.. CER 11FICATE OF LIABILITY INSURANCE I 1ATEIAUNDDIYYI <br />>.z/so/2Doe <br />090DUCER THIS CQRTIFICATE IS ISSUED AS A MATTER OF INFORMATION t <br />ONLY AND CONFERS NO RIGIBTS UPON THE CERTIFICATE <br />0 ACCORD INSUpmCE SERVIC&S, INC HOLDER, THIS CERTIVICATE DOES ROT AMEND. EXTEND OR <br />Box 4985 OEC77960 ALTER THE COVERAGS AFFORDED DY THE POLICIES BELOW. <br />ThovsRnd Oaks CA 91359-1485 INSURERS AFFORDING COVERAGE <br />0A 373 9414 <br />INcvEED Hattie D White wEUREar <br />Tiny Tat Preschool <br />3201 S Deegan Drava DFSURERC• <br />Santa Ana,CA 92704 wsuReaD, <br />DVERAGES <br />THE POLICIES OF INSURANCE LISTED SELOW RAVE BEEN ISSUED TO THE INSURED NAMEDASOVE FOR THE POLICY PER 1001NDICATIO.NOTWrMSTANOING <br />ASY REOUI45UFIJT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENIT VMTH RESPECT 10 WHICH T'HtS CERTIFICATE MAY BE ISSLIED OR <br />I EPOLICIES15 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />Y PAC HEREIN <br />LI DUCEJDESCRIBED <br />MGD by THE <br />POLICIESMAY TAGA, THE INS L M TS INSURANCE AFFORDED <br />LT <br />TYPE OF INSUTr <br />MKCI <br />POLKY NUMEER <br />IfAUT3 <br />GlNEML UAEIUTY <br />EACH OCCURRENCE r I 000,00Q <br />FIRE DAMAGE to yP.W NO) j30,000 <br />I <br />C6hWL11C1AL GENERAL LIAMLITY <br />a 90(,wPlA►w►Pwwn) 1 P 000 <br />l <br />CLAAALALWE [I OCCUR <br />1220'604 &ADV INJURY <br />fA <br />$rofemmiona�_ <br />CLS1570776 <br />12/28/08 <br />12/20/09 <br />12,000,000 <br />GE.Y'L AGGRIOATA L,M,T APPLIES PEA <br />PRODUCTS • COId W AGG i <br />fGCNIRALAGGREGATE <br />1 <br />PDAICY fBO LOC <br />AUTOMOMLL LIABILITY <br />AI:Y AUTO <br />CG11apsNFD SiN6LE LEAIT <br />IEP MU <br />aw�k i <br />BODLY INAIRY S <br />(OSI Nnp) <br />� <br />, L O WNE D AUTOS <br />scr,eDULflO Au*os <br />UODN Y INJURY <br />IPM �6nQPM1 r <br />I <br />4tgED AUTOS <br />NON -OWNED AUTOS I <br />I <br />'To <br />�IRGPERTY DAMAGE r <br />(PM Am.amt <br />OA AGEIJANLITY <br />ANY AUTO <br />1�1 <br />400 ONLY. FAACGDENT A <br />OTHER THAN EAACC S <br />AUTO ONLYr A00 S <br />' <br />EXCESS LIAEILiTY - 5� y Ei]C <br />occuR CLAItdSMACE C'"�►�ti, <br />DE0vcr•6LE <br />EACH OCCURRENCE 1 <br />AGGREGATE A <br />S <br />RETQNTIJN S <br />wOAKEAO CCM]"MATK)NAND <br />rlAPLDYEAS LIABILITY <br />I <br />I yve"MIZA <br />19 EACNACCNIENT B <br />`y <br />EL DISEASK-64EMPLOVIG i <br />11 DISEASE. POLICY LUT S <br />rTI11K <br />I IJI <br />DESCRIPTION Of OPEAJ.TID;;afLOCATIOTISNENICLEUIEYCLV=NS ADDED fY ETdODRSiMCIGTISPLCsAy f ROYIElON9 <br />City of Sank& )►na is named an Additional Insured per Exhibit IA, <br />i <br />CERTIFICATE: HOLDER IX I ADDITIONAL M3UREE): L43UAEA LETTER: CANCELLATION <br />ERDULD ANY OF THE ADOYEDESCRISED POGCIFa 89CArMLLED BEFORE THE EYPUTATAyN <br />The City of Santa Arta DATE TMEREOi, THE ISOLrNO MUMCR V tL ItMEMMO MAIL _10__ DAY3 $VMTTEN <br />21) Civic Center Plaza NOrC1 TO TW& CERTIFIOATZ HOLDER NAMED TO THE LZIPT, OUT FAILURE To- 00 303XALL <br />R Santa ,4.E CA 92701. [( ISO{t NO Qft%q^TION OR LtAll A rKs W5vw, IT! AGENTS OIL <br />I attn, Feggy f REPRESENTATIVES. <br />lax :719.5 71.4 2 3 5 AUTHORIZED REPREVIII <br />ACORD 25•3 (W07) 4 ACORD CORPORATION 1981 <br />
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