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WTLC (WOMEN'S TRANSITIONAL LIVING CENTER) -2011
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WTLC (WOMEN'S TRANSITIONAL LIVING CENTER) -2011
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Last modified
3/13/2017 2:38:41 PM
Creation date
10/6/2011 4:09:25 PM
Metadata
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Contracts
Company Name
WTLC (WOMEN'S TRANSITIONAL LIVING CENTER)
Contract #
A-2011-090
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
3/21/2011
Expiration Date
6/30/2012
Insurance Exp Date
4/4/2012
Destruction Year
2017
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A ORDTM, CERTIFICA* OF LIABILITY INSURAP�E <br />04izizo11 <br />PRODUCER 310.393.9477 FAX 310.393.7186 <br />White Sutton & Company Insurance Services <br />P 0 Box 70 <br />Santa Monica, CA 90406 -0070 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Women's Transitional Living Center <br />PO Box 6103 <br />Orange, CA 92863 <br />INSURERA: Philadelphia Ins Co <br />POLICY EFFECTIVE <br />INSURER B: <br />LIMITS <br />INSURER C: <br />INSURER D: <br />PHPK703647 <br />INSURER E: <br />04/04/2012 <br />rn11=Q A!]FC <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />DATE (MI <br />LIMITS <br />GENERAL LIABILITY <br />PHPK703647 <br />04/04/2011 <br />04/04/2012 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />1P <br />DAMAGE TO RENTED <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 20,000 <br />A <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 1,000,000 <br />POLICY PRO - <br />JECT <br />AUTOMOBILE <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />PHPK703647 <br />04/04/2011 <br />04/04/2012 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />p rsoNn)URY <br />(Per BODILY <br />$ <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />APPROVED j <br />is TO FOE <br />M <br />X <br />X <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />LISA E. <br />STORK <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />Assistant city <br />Attorney <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />$ <br />AUTO ONLY: AGG <br />EXCESS /UMBRELLA LIABILITY <br />PHUB341091 <br />04/04/2011 <br />04/04/2012 <br />EACH OCCURRENCE <br />$ 51000,000 <br />__R1 OCCUR ❑ CLAIMS MADE <br />AGGREGATE <br />$ 5,000,000 <br />A <br />$ <br />$ <br />HDEDUCTIBLE <br />X RETENTION $ 10 , OO <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />W C STATU- OTH- <br />T IIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />OFFICER /MEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT 1 <br />$ <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents, employees, and volunteers are additional insureds as per form <br />G 20 26 07 04 and Primary Insurance as per form CG00 01 1207, both attached to the general liability <br />policy and accompanying this certificate. <br />'Except for 10 days written notice of cancellation for non - payment of premium. <br />City of Santa Ana - CDBG M -25 <br />ESG <br />Attn: Frank Hernandez <br />P.O. Box 1988 M -25 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30'° DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Ellie Liu, CISR /EL1 <br />ACORD 25 (2001/08) FAX: 714.647.6549 ©ACORD CORPORATION 1988 <br />
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