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ORANGE COUNTY MENTAL HEALTH ASSOCIATION
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ORANGE COUNTY MENTAL HEALTH ASSOCIATION
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Entry Properties
Last modified
8/23/2021 2:49:09 PM
Creation date
12/2/2009 11:38:32 AM
Metadata
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Template:
Contracts
Company Name
ORANGE COUNTY MENTAL HEALTH ASSOCIATION
Contract #
A-2009-041-008
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/20/2009
Expiration Date
6/30/2010
Insurance Exp Date
7/12/2010
Destruction Year
2015
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ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MNIDVIYYYY) <br />07/15/2009 <br />PRODUCER '(.949)700-8800 FAX (949)709-1668 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Comprehensive Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />22342 Avenida Em resa HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 255 <br />RSM, CA 92688 INSURERS AFFORDING COVERAGE NAIC4 <br />INSURED UISURERA: NONPROFITS' INSURANCE ALLIANCE DIP CA <br />Mental Health Association of Orange County INSURER B: <br />822 Towne•& Country Rd. INSURER C: <br />Orange, CA 92668 INBURERD: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />INBR <br />0. <br />DD <br />NBR <br />TYPE OF INSURANCE <br />POLICYNUMBfiR <br />POLICY EPPEOMS <br />POLICY EXPIRATION <br />LIMITS <br />OENERALLUBIUTY. <br />2009-68472-NPO <br />07J7.2/2009 <br />07/12/2010 <br />EACH OCCURRENCE <br />s 1 000 OOO <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE �X OCCUR <br />DAMA £T RE TEO <br />PREMIS• Ea occurrence <br />E SOO 00O <br />MEO EXP(My one poison) <br />a 20 000 <br />PERSONAL SADV INJURY <br />$ 1,000,000 <br />A <br />GENERAL AGGREGATE <br />3 2,000.00 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS• COMP/OP ADD <br />F 2 ODO ODO <br />POUCY PRp X LOC <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />2009-08472-NPO <br />07/IZ/2009 <br />07/12/2010 <br />COMBINED SINGLE LIMIT <br />(En aced I <br />$ 1,000,000 <br />BODILY INJURY <br />ALL OWNED AUTOS <br />A <br />SCH EDULED AUTOS <br />(Perpenon) <br />BODILY INJURY <br />(Per acoldenl) <br />HIRED AUTOS <br />NON-0WNED AUTOS - <br />S <br />PROPERTYDAMAOE <br />(Peraccldenq <br />S <br />OARAOB LIABILITY <br />AUTO ONLY -EA ACC;Cc:: <br />$ <br />ANYAUTO <br />OTHER THAN EAACC <br />S <br />AUTO ONLY: AGO <br />EXCE881UMBRELULMBMIW <br />2009-08472-UMB-NPO <br />07/12/2009 <br />07/12/2010 <br />EACH OCCURRENCE <br />s 2 000 000 <br />X OCCUR CLAIMS MADE <br />AGGREGATE <br />S 2,000,000 <br />$ <br />A <br />S <br />DEDUCTIBLE <br />S <br />X RETENTION F 10,000 <br />WORKERS COMPEHBATION <br />AND B IPLOYERW LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? <br />&_ <br />TORwo ST T - OTH• <br />EL EACHACCIDENT <br />$ <br />EL DISEASE - EA EMPLOYEE <br />S <br />(Mandarory In NH) <br />fflyas, de,aIbe under <br />SPECIAL PROVISIONSbelew <br />EL DISEASE -POLICY LIMIT <br />S <br />OTHER <br />Assi <br />is Attcrney <br />DESCRIPTION OF OPERATIONS /LOCATW NS /VEHICLES / BXCLUSIONS ADDED BY EHOOR8B11ENT/ aPECIAL PROW elONB <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL PER ATTACHED AGREEMENT <br />EXCEPT 10 DAYS FOR NON-PAYMENT <br />SLaJ4F1. <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND <br />EMPLOYEES <br />ATTN: FRANK HERNANDEZ <br />20 CIVIC CENTER PLAZA, M-25 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL*XXXOHS)FII MAIL *30 DAYSWRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER HAMAD TO THE LEFT, X&VAXx"7I6&a*MX& <br />K#KikWb`N§Yi6Xi[dLXd�LYe4%DF761IXK9(ifii(d(IYd614JtXdCWKJ6ItKXiCcKYT1Kik5'6X ', <br />AUTHORIZED REPRESENTATIVE <br />Richard Evnon. CIC/IEREMY -B•�Z! <br />reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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