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CAPOUYA, LYNN-2009
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CAPOUYA, LYNN-2009
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Last modified
11/10/2015 4:55:08 PM
Creation date
8/11/2009 3:01:17 PM
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Contracts
Company Name
CAPOUYA, LYNN
Contract #
A-2009-024
Agency
Public Works
Council Approval Date
3/2/2009
Insurance Exp Date
7/10/2016
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M <br />Date (MM /DD/YYYY) <br />FPRODUCER <br />03/03!09 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Insurance <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2301 W. 22nd Street Suite 208 <br />ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. <br />Oak Brook, IL 60523 <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A New Hampshire Insurance Company <br />INSURED <br />COMPANY <br />Lynn Capouya, Inc. <br />B <br />17992 Mitchell South, #110 <br />COMPANY <br />Irvine, CA 92614 <br />C <br />COMPANY <br />D <br />11COVERAGES <br />THIS IS TO CERTIFY THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION <br />CERTIFICATE NAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />BY THE <br />POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE <br />BEEN REDUCED BY PAID CLAIMS. <br />CO <br />TYPE OF INSURANCE POLICY NUMBER <br />LTR <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MM /DDNY) DATE (MM /DD/YY) LIMITS <br />GENERAL <br />LIABILITY <br />COMPREHENSIVE FORM <br />BODILY INJURY OCC <br />$ <br />PREMISES /OPERATIONS <br />BODILY INJURY AGG <br />$ <br />UNDERGROUND <br />PROPERTY DAMAGE OCC <br />$ <br />EXPLOSION COLLAPSE HAZARD <br />PROPERTY DAMAGE AGG <br />$ <br />PRODUCTS /COPMLETEDOPER <br />DOES NOT APPLY <br />BI & PD COMBINED OCC <br />$ <br />CONTRACTUAL <br />BI & PD COMBINED AGG <br />$ <br />INDEPENDENT CONTRACTORS <br />PERSONAL INJURY AGG <br />BROAD FORM PROPERTY DAMAGE <br />$ <br />PERSONAL INJURY <br />nyp <br />c TO �'iO <br />J 1 <br />AUTOMOBILE <br />LIABILITY <br />BODILY INJURY <br />ANY AUTO <br />(Per Person) <br />$ <br />ALL OWNED AUTOS(Private Pass) <br />Sh edy <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />(Other than Private Passenger) <br />DOES NOT APPLY <br />/ a Id S <br />tt <br />Attorney, <br />(Per Accident) <br />PROPERTY DAMAGE <br />HIRED AUTOS <br />A.SSistant <br />itY <br />NON -OWNED AUTOS <br />BODILY INJURY <br />GARAGE LIABILITY <br />PROPERTY DAMAGE <br />$ <br />COMBINED <br />EXCESS <br />LIABILITY <br />UMBRELLA FORM <br />DOES NOT APPLY <br />EACH OCCURENCE <br />$ <br />AGGREGATE <br />$ <br />OTHER THAN UMBRELLA FORM <br />WORKERS COMPENSATION <br />t <br />AND EMPLOYERS' LIABILITY <br />'v'�iC 3TATU- <br />TORY LIMITS ER <br />THE PROPRIETOR/ <br />EL EACH ACCIDENT $ <br />PARTNERS /EXECUTIVE <br />OFFICERS ARE: EXCL <br />EL DISEASE - POLICY LIMIT $ <br />OTHER <br />EL DISEASE - EA EMPLOYEE $ <br />A Professional 006936854 <br />7/30/2008 7/30/2009 1,000,000 each claim <br />Liability <br />1,000,000 aggregate <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS <br />Re: On -Call Landscape Architectural Services <br />City of Santa Ana <br />Public Works Agency M -36 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Attn: Mindy Ly <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />P.O. Box 1988 <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF <br />Santa Ana, CA 92702 <br />ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AOITHORIZED REPRESENT?�TIVE <br />LEATZOW INSURANCE <br />. -. <br />ORD AC CORPORATION <br />
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