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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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Date (MM /DD/YYYY) <br />AC�RDTM CERTIFICATE OF LIABILITY INSURANCE 7io9 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Leatzow Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2301 W. 22nd Street Suite 208 ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. <br />COMPANIES AFFORDING COVERAGE <br />Oak Brook, IL 60523 COMPANY <br />A New Hampshire Insurance Company <br />INSURED <br />COMPANY <br />Lynn Capp -uya, Inc. <br />B <br />17992 Mitchell South, #110 <br />Irvine, CA 92614 <br />COMPANY <br />C <br />COMPANY <br />D <br />ICOVERAGES <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 OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE NAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CC <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM /DD /YY) <br />POLICY EXPIRATION <br />DATE (MM /DD /YY) <br />LIMITS <br />GENERAL LIABILITY <br />BODILY INJURY OCC <br />$ <br />COMPREHENSIVE FORM <br />BODILY INJURY AGG <br />$ <br />PREMISES /OPERATIONS <br />PROPERTY DAMAGE OCC <br />$ <br />UNDERGROUND <br />EXPLOSION COLLAPSE HAZARD <br />PROPERTY DAMAGE AGG <br />$ <br />BI & PD COMBINED OCC <br />$ <br />PRODUCTS /COPMLETED OPER <br />DOES NOT APPLY <br />BI & PD COMBINED AGG <br />$ <br />CONTRACTUAL <br />PERSONAL INJURY AGG <br />$ <br />INDEPENDENT CONTRACTORS <br />BROAD FORM PROPERTY DAMAGE <br />PERSONAL INJURY <br />AUTOMOBILE LIABILITY <br />C T O FOR <br />`, l <br />ODILY INJURY <br />(Per Person) <br />$ <br />ANY AUTO <br />ALL OWNED AUTOS(Private Pass) <br />ALL OWNED AUTOS <br />(Other than Private Passenger) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />DOES NOT APPLY <br />PPROVED <br />�y;p <br />"' <br />I,' Ic'l <br />,�titil�I Int <br />'� <br />' <br />Itt SheedY <br />ity AttornCy <br />BODILY INJURY <br />(Per Accident) <br />PROPERTY DAMAGE <br />$ <br />$ <br />BODILY INJURY <br />PROPERTY DAMAGE <br />$ <br />GARAGE LIABILITY <br />COMBINED <br />EXCESS LIABILITY <br />EACH OCCURENCE <br />$ <br />AGGREGATE <br />$ <br />UMBRELLA FORM <br />DOES NOT APPLY <br />OTHER THAN UMBRELLA FORM <br />$ <br />WORKFRS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />THE PROPRIETOR/ UTI E <br />PARTNE RS /EX EC V B INCL <br />OFFICERS ARE EXCL <br />DOES NOT APPLY <br />WC STATU- <br />TORY LIMITS <br />OTH- <br />ER <br />Is <br />EL EACH ACCIDENT <br />EL DISEASE - POLICY LIMIT <br />$ <br />EL DISEASE - EA EMPLOYEE <br />$ <br />A <br />OTHER <br />Professional <br />Liability <br />020397958 <br />7/30/2009 <br />7/30/2010 <br />2,000,000 each claim <br />2,000,000 aggregate <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS <br />Re: On -Call Landscape Architectural Services <br />HOLDER <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Public Works Agency M -36 <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Attn: Mindy Ly = h <br />P.O. BOX 1988 <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 OF <br />ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />. <br />C ��� C LEATZOW INSURANCE <br />. -. CORPORATION <br />
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