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PLATINUM POOL & SPA 3A - 2011
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PLATINUM POOL & SPA 3A - 2011
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Entry Properties
Last modified
7/7/2016 1:28:35 PM
Creation date
8/2/2011 2:11:55 PM
Metadata
Fields
Template:
Contracts
Company Name
PLATINUM POOL & SPA
Contract #
N-2010-076-001
Agency
PUBLIC WORKS
Expiration Date
6/30/2012
Insurance Exp Date
7/1/2012
Destruction Year
2017
Notes
Amends N-2010-076
Document Relationships
PLATINUM POOL & SPA 3 - 2010
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
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.yc:yxy,,, c+tKIIFICATE OF LIABILITY INSURANCE <br />DATE <nnMiDDiYYYY> <br />February 4, 20� 1 <br />PRODUCER <br />AUTO INSURANCE SPECIALISTS, LLC <br />THIS CERTIFICATE IS ISSSUED AS A MATTER OF INFORMATION <br />PO BOX 6507 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ARTESIA, CA 90702 -6507 <br />HOLDER. THIS CERFICIATE DOES NOT AMEND, �EXTEND� OR <br />CA INSURANCE LIC. 0524784 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURED <br />INSURERS AFFORDING COVERAGE NAIC -Yf <br />JASON S. HUNT <br />INSURER A: MERCURY CASUALTY COMPANY <br />DBA: Platinum Pools <br />1 � 9p8 <br />40'1 Hummingbird Dr <br />INSURER B: <br />Brea, CA 9282 _' _ <br />INSURER C: -- <br />INSURER D: <br />COVERAGES <br />INSURER E: <br />THE POLICIES OF INSURANCE LSITED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTATN <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />DING <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY' <br />PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EH REIN IS SUBJECT TO ALL <br />POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED 6Y PAID <br />THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />VSR ADD'L <br />CLIAIMS. <br />_TR INSRD TYPE OF INSURANCE POLICY NUMBER <br />TIVE POLICY EXPIRATION <br />GENERAL LIABILITY <br />DALTEYMM/DD DATE (MM /OD/YY) LIMITS <br />- <br />EACH OCCURENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />- DAMAGES TO RENTED <br />CLAIMS MADE � OCCUR <br />PREMISES Ea occurrence <br />MED EXP (Any one person) <br />' <br />PERSONAL 8 ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />- GENERAL AGGREGATE $ <br />G <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON- OWIJED AUTOS <br />ANY AUTO <br />OCCUR � CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION g <br />IANY PROPRIETOR/PARTERN/EXECIITIVE <br />OFFICER/MEMBER EXCLUDED <br />If yes, tlescribe untler <br />SPECIAL PROVISIONS below <br />CITY OF SANTA ANA/SARTC IS NAMED AS ADDITIONAL INSURED. <br />CITY OF SANTA ANA/SARTC <br />C/O PUBLIC WORKS AGENCY <br />20 CIVIC CENTER PLAZA, M -21 <br />SANTA ANA, CA 9270'1 <br />� 2 COMBINED SINGLE LIMIT 5 <br />(Ee a¢itlent) <br />BODILY INJURY S <br />(Per person) <br />BODILY INJURY S <br />(Per aCOtlent) <br />PROPERTY DAMAGE $ <br />(Per ecrJtlent) <br />AUTO ONLY — EA ACCIDENT 5 <br />OTHER THAN EA ACC 5 <br />AUTO ONLY: AGG � <br />EACH OCCURRENCE $ <br />AGGREGATE $� <br />v, n_ S <br />AS TO FORM E.L EACCH ACCIDENT ER <br />S <br />E.L. DISEASE — EA EMPLOYEE $ <br />_ _ E. L. DIEASE— POLICY LIMIT y <br />City�Attor>&ey <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN NOTICE <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE <br />NO OBLIGATION OR LIABIILTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATNES - <br />AUTHORIZED REPRENTATN�E ���/ � � �( <br />- ' lr � �/ <br />
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