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PLATINUM POOL & SPA 3 - 2010
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PLATINUM POOL & SPA 3 - 2010
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Entry Properties
Last modified
7/7/2016 1:28:09 PM
Creation date
8/23/2010 4:47:19 PM
Metadata
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Template:
Contracts
Company Name
PLATINUM POOL & SPA
Contract #
N-2010-076
Agency
PUBLIC WORKS
Expiration Date
6/30/2011
Insurance Exp Date
7/1/2011
Destruction Year
2017
Notes
Amended by N-2010-076
Document Relationships
PLATINUM POOL & SPA 3A - 2011
(Amended By)
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\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
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AOOi20s CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />INSR <br />LTR <br />ADD•L <br />IN8RD <br />June 7, 2010 <br />PRODUCER <br />POLY EFFECTNE <br />DATE Y <br />THIS CERTIFICATE IS ISSSUED AS A MATTER OF INFORMATION <br />AUTO tNSURANCF SPEC1ALiSTS, tLC <br />NO OBLICATgM OR LUIBNLTY OF ANY KND UPON THE INSURER, ITS AGENTS OR <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PO BOX E507 <br />LJABILnY <br />COMMERCIAL GENERAL LIABILITY <br />CLAMS MADE � OCCUR <br />HOLDER. THIS CERFICIATE DOES NOT AMEND, EXTEND OR <br />ARTESIA, CA 90702 -6507 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />CA INSURANCE LIC. 0524784 <br />DAMAGES TO RENTED <br />PREMISES Eo om+rarww <br />a <br />NIEp EJCP (/yy pM �pn) <br />s <br />INSURERS AFFORDING COVERAGE <br />NAIC >• <br />INSURED <br />Jason Hunt <br />�7�� -.�_ M� <br />o`CiLJ v <br />INSURER A: Mercu Ceaua Com n <br />11908 <br />INSURER B: <br />GEN'L <br />DBA: Platinum Pools /� � <br />Brea, CAm92B23 DnVe /" <br />` //. /\ �j <br />� ��/ V � �' / � <br />INSURER C: <br />INSURER D: <br />q <br />' <br />AUTOMOBILE <br />INSURER E: <br />THE POLICIES OF INSURANCE LSITED BELOW HAVE BEEN ISSVED TO THE INSURED NAMED ABOVE FOR THE POLY PERIOD INDICATED. NOTWITHSTATNDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WffH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN_ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EHREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMffS SHOWN MAY HAVE BEEN REDUCED BY PAID CLIAIMS. <br />INSR <br />LTR <br />ADD•L <br />IN8RD <br />TYPE OF WSURANCE <br />POLICY NUMBER <br />POLY EFFECTNE <br />DATE Y <br />POLICY EXPIRATION <br />DATE MM/D <br />L�RB <br />NO OBLICATgM OR LUIBNLTY OF ANY KND UPON THE INSURER, ITS AGENTS OR <br />GENERAL <br />LJABILnY <br />COMMERCIAL GENERAL LIABILITY <br />CLAMS MADE � OCCUR <br />AUTNOWZED REPRENTATNE <br />EACH OGGURENCE <br />DAMAGES TO RENTED <br />PREMISES Eo om+rarww <br />a <br />NIEp EJCP (/yy pM �pn) <br />s <br />PERSONAL 8 ADV INJVRY <br />s <br />GENERAL AGGREGATE <br />s <br />GEN'L <br />AGGREGATE LBNIT APPLIES PER: <br />PRo- <br />POLK:Y JECT LOC <br />PRODV TS - COMP/OP AGG <br />y <br />q <br />' <br />AUTOMOBILE <br />LIABBJTY <br />CCA0005954 <br />01/17/2010 <br />YROV EU � <br />01/17/2011 <br />1 J ���Jj <br />1 � <br />COMBINED SINGLE LIMB <br />(Ea suaOwrt) <br />f <br />X <br />ANY AUTO <br />ALL OVN�ED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTQS <br />NON -0WNED AUT03 <br />BODILY INJURY <br />iPer Pelson) <br />i 1 OO,000 <br />BODILY IWVRY <br />(P���) <br />S 300,000 <br />(� E�DAMAGE <br />S SO,000 <br />GARAGE <br />LIABLLITY <br />ANYAUro <br />`aU *� �L: <br />t yh'rz neY. <br />1.to <br />AUTO ONLY - EA ACCIDENT <br />i <br />urA ooNTMiAY~ Acc c <br />s <br />s <br />EXCESS/UYBRELLA LVUNLITY <br />OCCUR � CLAIMS MADE <br />DEDUCTIBLE <br />RETENTgN S <br />/�Salalil� <br />E 3CaHR GA E�ENCE <br />t <br />s <br />WORK MPENSATION AND <br />EMPLOYERS' LUIBRRY <br />ANY PROPRIETOR/PARTERN/EXECVTNE <br />OFFICERMEMBER EXCLUDED? <br />e yes, Aseoiba IrMSr <br />SPECIAL PROVISIONS bNOw <br />WC STATU- <br />TORY LIMfrS <br />0TH- <br />ER <br />S <br />E.L EACH ACCIDENT <br />s <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />E.L DIE E - POLICY LIMfT <br />s <br />OTHER <br />OESCRIPTK)N OF OPERATONS /LOCATONSIVEHICLEB/EXCLUSIONS ADDED BY ENDORBEYENTSPECIAL PROVISIONS <br />City of Santa Ana is named as additional insured. <br />a.crtllrla.rllc rtv�ucrt C:gN(]CLLAIIVN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION <br />City of Santa Ana <br />cJO Public Works Agency /SARTC <br />PATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'IO DAYS WRITTEN NOTICE <br />20 Civic Center Plaza, M -21 <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE <br />Santa Ana, CA. 92701 <br />NO OBLICATgM OR LUIBNLTY OF ANY KND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATNES <br />AUTNOWZED REPRENTATNE <br />ACORD 25 2001108) ®ACORD CORPORATION 1988 <br />
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