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ORANGE COUNTY AUTO PARTS - 2011
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ORANGE COUNTY AUTO PARTS - 2011
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Last modified
6/6/2012 2:27:05 PM
Creation date
6/5/2012 6:00:35 PM
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Contracts
Company Name
ORANGE COUNTY AUTO PARTS
Contract #
A-2011-269
Agency
FINANCE & MANAGEMENT SERVICES
Council Approval Date
12/19/2011
Destruction Year
0
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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE DATE/ <br />,. 012 <br />01 /223/23/2 <br />12 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />RAY WEISSINGER, AGENT LIC. #00333229 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />STATE FARM INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />5922 WARNER AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />HUNTINGTON BEACH, CA 92649 <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />ORANGE COUNTY AUTO PART INSURER A: State Farm General Insurance Company 25151 25151 <br />S, INC. <br />515 E <br />1ST STREET INSURER B: <br />. <br />SANTA ANA, CA 92701-5318 INSURER C: <br /> <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <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 />LTR DD' <br />NSRE <br />TYPE SURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />ATE MM D POLICY EXPIRATION <br />T (MMIDDIYYI <br />LIMITS <br /> ? GENERAL LIABILITY EACH OCCURRENCE $ <br /> X <br />COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurence $ <br /> CLAIMS MADE <br />::] OCCUR <br /> _ MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> <br /> GENERALAGGREGATE $ <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMP/OP AGG $ <br /> <br /> <br />RO- LOC <br />X POLICY P <br />JECT <br /> X AUT OMOBILE LIABILITY 363-1366-A06-75 01/06/2012 01/06/2013 COMBINED SINGLE LIMIT <br /> ANY AUTO 363-1364-A06-75 01/06/2012 01!06/2013 (Ea accident) <br />$ 1,000,000.00 <br /> X ALL OWNED AUTOS 125-5338-D01-75 04/01/2011 04/01/2012 <br /> <br />X <br />SCHEDULEDAUTOS <br />125-5333-D01-75 <br />04/01/2011 <br />04/01/2012 BODILY INJURY <br />(Per person) <br />$ <br /> HIRED AUTOS 125-5331-D01-75 04/01/2011 04/01/2012 <br /> <br /> <br />X <br />NON-OWNED AUTOS <br />125-5330-D01-75 <br />04/01/2011 <br />04/01/2012 BODILY INJURY RY <br />(Per accde <br />$ <br /> 12 <br /> 5 5321-D01-75 04101/2011 04/01/2012 <br /> 125 5320-D01-75 04/01/2011 04/01/2012 P <br />ROPERTY <br />DAMAGE <br />$ <br /> (Per accide <br />n <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br />i iW r <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY • . EACH OCCURRENCE $ <br /> OCCUR ' <br />CLAIMS MADE <br /> u AGGREGATE $ <br /> f $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> EMPLOYERS' LIABILITY <br /> <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701;its officers, employees,agents, volunteers and <br />representatives are named as additional insureds with regard to liability and defense of suits arising from the <br />operations and uses performed by or on behalf of the named insured. Primary and non contributory with any other <br />insurance carried by or for the benefit of the additional insureds. <br />IC?TICII+A Tr ???? e??e? <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />A l ^n At Innn? inn? <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />__ _ , 9 ACORD CORPORATION 1988
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