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HERRERA, MELINA 1 - 2011
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HERRERA, MELINA 1 - 2011
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Entry Properties
Last modified
5/3/2016 7:14:43 AM
Creation date
3/16/2011 9:03:31 AM
Metadata
Fields
Template:
Contracts
Company Name
HERRERA, MELINA
Contract #
N-2011-025
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2011
Insurance Exp Date
1/1/2012
Destruction Year
2017
Notes
Amended by N-2011-025-001
Document Relationships
HERRERA, MELINA 1A - 2011
(Amended By)
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\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
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EVANSTONINSURANCECOMPANY <br />CERTIFICATE NO.: 2011.07 <br />CERTIFICATE OF INSURANCE <br />COVERAGE EXCLUDED FOR NOMINEE EVENTS SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />All IantInsurance Services,Inc liconjune[iomwith <br />City of Santa Ana <br />Apex Insurance Services <br />20 Civic Cater Plan <br />P.O. Box 6450 <br />Santa Ana, CA 92701 <br />Newport Beach, CA 92658 <br />License No: OC16861 <br />NAMED INSURED (EVEIJTHOLDER): <br />EV ENT INFORMATION <br />Melina Herrera <br />TYPE: Cm BersAedemyllareachool <br />17Calabria <br />DATE(Sp, 01/02111-1131111 <br />Irvine, CA 92112 <br />LOCATION: Memorial Center <br />"Liquor Liability YnO No® <br />a"LluorLlablll afterl2amendsbefore2am� <br />This is W ccr[CyNak insurance poky listed below has beer Issued to the above Intend named(even[ holder) for the pulley <br />period'mdleated, This cenificueis issued as a matter Of 'lRoll [ion only and confers no rights upon the uedibeteholder This <br />ce6if etc does not affirmatively or negatively union, extend or alturrecoverage afforded by the policy listed and it does no[ <br />constitute a contract between the Insurance carrier, counciu l representative, producer and ctithib e[eholder The insurance <br />described herein is subject to all thetums, exclusions and conditions of such poliey(I¢a), <br />INSURANCE CARRIER: Ever Insurance Company <br />MASTER POLICY NUMBER: ISEPI00000I <br />MASTER POLICY DATES: EFFECTIVE JANUARY 1,2011 EXPIRATION: JANUARY 1, 2012 <br />COMM ERCNLGENERALLIABIL[TY <br />OCCURRENCEIORM <br />DEDUCTIBLE NONE <br />GenemIAnDe00lclamil 62,000,000 <br />Nod oats Compl¢I¢dOperation 1,000,000 <br />Pemnalffi Adver ingInjury 1,000,000 <br />Each OnormLlmit 1,000,000 <br />Fra Damage (Any 0B Fin) 50,,00 <br />Madsal hem (Any OnePmon 7,000 <br />Liquor Llabllity(if purchased) I'm GOO <br />Iht lmllf otlnNranGeapply SEPdl9lPly mfaah WUll ln9Wldh'JIh16B idy ullnseparate poin"flnihas been mad forthol eyes <br />'Who ism rsof sentenced In laapdP, Ban In ilhepPf60n ororgunGannn shownlnlhlSmhodale bat only with respalrn ldrilflly 6lRmg out of Six <br />tannelp,mnN¢nance pNrenFAeprem¢Nus00my NenamPQlnSnRdtEVIn hntd¢II, This insmai apply to Any "muvenee' whichatlBsp 0R <br />aRErthe EVLn hndGCPa9n6mbeaEn9nN hWpRm19ES. <br />OTHER ADDITIONAL INSUREDS <br />Myrna Lopez <br />Nora Sanchez <br />Maria Sarabia <br />ANCELLATION'. Should doBrain duodhd polly be mai tilde (he expir¢don data n f, notieewill Mddiwed in emnanowsh[he polio? <br />rovisioot Emeffort will x made loSam N days width ooleem (he nemilaneholder and a4itt imined(s[lines . <br />AUTHORIZED REPRESENTATIVE lay; <br />DATE ISSUED: December 22, 2010 by BrimMomle <br />Revised 9/12/11 LO include additional insureds. B.M, <br />
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