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WISE PLACE 1B - 2010
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READY TO DESTROY IN 2017
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WISE PLACE 1B - 2010
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Entry Properties
Last modified
3/25/2024 3:37:13 PM
Creation date
2/2/2011 8:46:17 AM
Metadata
Fields
Template:
Contracts
Company Name
WISE PLACE
Contract #
A-2010-170
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
9/7/2010
Expiration Date
6/30/2012
Insurance Exp Date
1/1/2011
Destruction Year
2017
Notes
Amends A-2009-138, -001 Amended by A-2011-005, A-2011-220
Document Relationships
WISE PLACE 1 - 2009
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WISE PLACE 1A - 2010
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WISE PLACE 1C - 2011
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
WISE PLACE 1D - 2011
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
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CERTHOLDER CV-- <br />SP <br />P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 08-15-2010 <br />CITY OF SANTA ANA COMMUNITY SP <br />DEVELOPMENT AGENCY M-25 <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />GROUP: 000488 <br />POLICY NUMBER: 0000679-2010 <br />CERTIFICATE ID: 2 <br />CERTIFICATE EXPIRES: 08-15-2011 <br />08-15-2010/08-15-2011 <br />This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />California Insurance Commissioner to the employer named below for the policy period indicated. <br />This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br />We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. <br />This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded <br />by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document <br />with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance <br />afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. <br />�tth,r,Representative Interim President and CEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-15-2005 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />EMPLOYER <br />WISEPLACE, A CA CORP SP <br />1411 N BROADWAY <br />SANTA ANA CA 92706 <br />M0408 <br />PRINTED : 07-16-2010 <br />(REV.1-2010) <br />
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