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FULL PACKET_2012-03-19
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FULL PACKET_2012-03-19
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City Clerk
Agency
Clerk of the Council
Date
3/19/2012
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ATTACHMENT 3 <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE of atizoaiYl <br />PRODUCER 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 f THE POLICIES BELOW <br />INSURERS AFFORDING COVERAGE <br />INISLIRED <br />IN UREk A: <br />: INSLIRFR R _ <br />INSURER :: - -- <br />� INSURER G <br />INSURER E <br />:OVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, N07MTHSTANOING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN THE INSURANCE AF FORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMrTS SHOWN MAY HAVE BFFN RFTIUT:Pr) RY PAlri QLAILAS <br />Santa Ana. CA 92701 <br />NTP06e 6.A rx I tII1 LkNINUlY Ul ANY KIND UPON THE INSLRIER. ITS AGWIS OR <br />TYPE OF INSURANCE POLICYNLIMIEH POLJPtamCTIVE POLICY EI{PIRATHON LENTS <br />REPRIESE101TATIVES. <br />GENERAL LLABIUTY x111111111 0110112001 01101!2002 <br />1 EACH OCCURRLNLE <br />1.000,000 <br />_%L. COMUERCIAL GE14CRAL LIASILI IY <br />____....S <br />FIRE DAMAGE IAnY OIe fl.ai S <br />50,000_ <br />::!AIMS MADE X GCCVI -Y <br />_ <br />NEU t %P P170rp pYacwQ i -- <br />E',ODD <br />_ <br />4_PERSONAL A AOV INJURY i s <br />1,000,ODD <br />GENERAL AG._G_EGATE — _..__ <br />00,ODO <br />2— <br />OF 1EGAElIM1T UESLPDEN:I <br />PHnpUCTS- CGLIPOP AGGS , <br />. <br />2,DOO,ODO <br />PII <br />AUTON091LE tAASIJTY X222222222 Ot10112001 01!0112002 <br />EJUSaVGLF I IMIT <br />A ANY AUTO <br />IE0ar T <br />0{70.000 <br />AL I. 'WINE J AUTOS <br />FS <br />RDDIIV INJURY <br />SCI {SAILED AUIC)5 <br />I <br />!Par arcnn; <br />- HIRE? AUTOS <br />6ODILY INJURY <br />_.I NON{rY.NE7 AUTOS <br />;Per at%xIMI;. a <br />PkC- FRTYOMIAGE S <br />SEE ATTACHED ADDITIONAL <br />Para�d.,; <br />- G'a'�� lMEti1.ITY <br />j AU70 ONLY EA ACCIbENi S___ <br />ANY AUTO INSURED ENDORSEMENT <br />CTRFR TF AN —_- <br />AUTO OMIY <br />_E%CESSL"IUTT <br />EACr OCCURRENCt_` S <br />-- �.uR CLAIA,9NA]E COVERAGES DEPEND ON TYPE <br />-- <br />OF AGREEMENT /CONTRACT <br />- - - <br />-- <br />DEIILICT INL r <br />S <br />RETENTION <br />1 <br />WMIERS COMPaMSAT1oN AND XXX333333333 011012001 01101!2002 <br />WC: TAI IOLH +.__ <br />EMPLOYERS LWIUTY <br />._X ttTO- __.. —,_, <br />- <br />L.L 6MLH ..IOENT :S <br />1,000,000 <br />--1 DGEASL EA EMPLOYEE S _. <br />1.00D,00 D <br />EL PSEASE -POLICY .6611- S <br />1.0,000 <br />OTHER PL444444 01.'0V20D1 01101112002 <br />EachOccHxrenLN <br />LODO,OIX] <br />Profeas..n ial LialAli ly <br />OESCRIPTION OF OPERATIONSILOCA TIONSNENICLESIeXCLVSIONS ADDEO Sty ENDORSRMENTNPEC IAL PROVISIONS <br />Certificate Holder Is additional Insured per attached <br />W AfrVKL/ C:VKPOKATION 1986 <br />Page 11 of 21 <br />19D -13 <br />SHOULD ANY OF TINE ABOVE DEBCNISED POLICIES E CANCELLED SEFORE THE EXPIRATION <br />City of Santa Ana <br />DATE THEREOF, -THE I80UINO INSURER VALL ENDEAVOR TO NAIL 30 DAYS LYRRTEN <br />20 Civic Center Plaza - Ross Annex (M- <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Do IIO MALL <br />Santa Ana. CA 92701 <br />NTP06e 6.A rx I tII1 LkNINUlY Ul ANY KIND UPON THE INSLRIER. ITS AGWIS OR <br />REPRIESE101TATIVES. <br />AUTNORREO REPREBIE NTATIVE <br />W AfrVKL/ C:VKPOKATION 1986 <br />Page 11 of 21 <br />19D -13 <br />
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