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ORANGE COUNTY YOUTH COMMISSION (5)
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ORANGE COUNTY YOUTH COMMISSION (5)
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Entry Properties
Last modified
5/6/2020 8:55:25 AM
Creation date
9/15/2011 1:54:14 PM
Metadata
Fields
Template:
Contracts
Company Name
ORANGE COUNTY YOUTH COMMISSION
Contract #
A-2010-120-02
Agency
COMMUNITY DEVELOPMENT
Expiration Date
9/30/2011
Insurance Exp Date
10/20/2011
Notes
A-2010-120; 01
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<br /> <br /> <br />AM. CERTIFICATE OF LIABIL ITY INSURA CE DATE ( IAMfDp1Y1/y1? <br /> <br />PRODUCER (949) 218-0840 05/12/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Global Program Managers & Ina . Srvca. , Ina. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND EX <br /> <br />Post Office Box 7119 TEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIkS BELOW. <br />Capistrano Beach CA 92624-7119 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED IHSURERA: PHILADELPHIA INDEMNITY 18058 <br />Orange County Youth Commission INSURER e: HAR'T'FORD FIRE 19682 <br />Post Office Box 1593 INSURER C: <br /> IN RERO. <br />,Newport Beach CA 92659- <br />AAVCOwAL'e INS RERE: <br />.???? ?? .+? u.0Unnnlc LIJ ICU ou.uw rlAvt: utt:N ISSUtO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />L DD'L <br />TYPEOFINSURANCE <br />POUCYNUMBER OLtCYE FECTIVE <br />DATE (M PWp.C- EXP RATA N <br />DATfi MW <br />LIMITS <br />A GENERAL LIABILITY E <br />A <br />H <br />C <br />OCCURRENCE ! 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY p <br />?? <br />A <br />A <br />PREI(I 5S ;EMED 11 100,000 <br /> CLAIMS MADE 50 OCCUR PBPK 625 235 10/20/2010 10120/2011 MEOEXP one 4 5,000 <br /> 1 <br />000 <br />00 <br /> PERSONAL a AOV INJURY , <br />, <br />0 <br />! <br /> 000 <br />000 <br />2 <br /> GENERAL AGGREGATE , <br />, <br />4 <br /> G£NLAGGREGATE LRIMpIIT? APPLIES PER PRODUCTS - COMPIOP AGO 1 2,000,000 <br /> X POLICY JECT LOC <br />A AU TOMOBILE LIABILITY <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Es moddem) <br />1,000,000 <br /> <br />X ALL OftEDAUTOS <br />SCHEDULEOAUTOS PHPK 625 235 10/20/2010 10/20/2011 BODILY INJURY <br />(PMP-) <br /> <br /> X <br />X HREDAUTOS <br />NON-OMEO AUTOS BODILY INJURY <br />(Per aaldeN <br /> <br /> PROPERTY DAMAGE <br />(Per e0dderd) <br />! <br /> GARAOELIABILITY APpR VED AS TO RM AUTO ONLY •EAACCIDENY ! <br /> ANY AUTO OTHERTHAN A <br /> AUTO ONLY: AGO $ <br /> EXCESSIUMBRELLALIABILITY ElSA E. SvTORCK EACH OCCURRENCE 11 <br /> OCCUR CLAIMS MADE Assistant City Attor ey AGGREGATE ! <br /> <br /> P DEDUCTIBLE <br /> RETENTION $ <br />B WOPLFR COMIPPEE? NAND 72 WKC L88953 10/20/2010 10/20/2011 X T 1 <br /> ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICERNEMBER EXCLUDED? E.LEACH ACCIDENT ! 1,000,000 <br /> <br />11 ya,d*"bewW- E.L. DISEASE - EA EMPLOYE ! 1,000,000 <br /> SPECtAL PROVISIONIS Solon <br />OTHER E.L. DISEASE • POUCY LIMIT ! 1 , 000 , 000 <br />DESCRIPTION OF OPERATIONSAOCATIONSNEHICLESMXCLUSIONS ADOEO BY ENDORSEMENTISPECIAL PROVISIONS <br />RE, ANNUAL rMDINO - BANTA ANA YOUTH COUNCIL - WORKFORCE INVESTMENT ACT <br />CITY OF SANTA ANA AS ADDITIONAL INSURED PER ATTACHED RUDORSUMUT <br />IN THE EVENT Or NON-PAYNzw or PREMIUM, TEN (10) DAYS WRITTEN NOTICE WILL BE GIVEN PRIOR TO CANCELLATION. <br />SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />( ( - EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />CITY OF SANTA ANA FAILURE TO DO SO SHALL IMPOSE NO OBLNIATIGH OR LIANUTY OF ANY KIND UPON THE <br />Santa Ana Youth Council. INSURE ITS AO REP ENTATNES. <br />1000 E. SANTA ANA BLVD., #200 AUTHORIEDRE A <br />SANTA ANA CA 92701- Robert <br />ACORD 28 (2001108) Lle,904y #ACORD CORPORATION 1988 <br />Q?,,; INS028(oimpt ELECTRONICLASFRFnRUC 1I _/o/.n.+n - <br />rage 1 or2
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