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LE, CHOC 3C - 2012
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READY TO DESTROY IN 2018
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LE, CHOC 3C - 2012
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Entry Properties
Last modified
6/8/2017 2:58:54 PM
Creation date
9/26/2012 2:00:43 PM
Metadata
Fields
Template:
Contracts
Company Name
LE, CHOC
Contract #
A-2012-153
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
7/2/2012
Expiration Date
6/30/2013
Insurance Exp Date
12/17/2013
Destruction Year
2018
Notes
Amends N-2009-071; 01; A-2011-118
Document Relationships
LE, CHOC 3 - 2009
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
LE, CHOC 3A - 2010
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
LE, CHOC 3B - 2011
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
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DATE (MM/DD/YYYY] <br />m CERTIFICATE OF LIABILITY INSURANCE 10/31/2011 <br />PRODUCER <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Maguire Insurance Agency, Inc. - <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />27101 Puerta Real Suite 200 <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />Misaian454 CA 92691- <br />{877)438-7-745 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />PHPK66190b001 <br />INSURED <br />INSURER A: Philadelphia indemnity Insurance Company 18058 <br />Choc V Le <br />INSURER 8: <br />4 Fabriano <br />Irvine, CA 92620.2576 <br />\(�r' <br />INSURER C: <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 CERIFICATION 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 <br />AD DT <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DD/YYYY) <br />POLICY EXPI TION <br />0 {MMjDD <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />MERCIAL GENERAL LIANUTY <br />MADE F--1OCCUR <br />TX1R.1M311ONAL LIABILITY <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY El PROJECT 7LOC <br />PHPK66190b001 <br />12/17/201] <br />12/17/2012 <br />EACH OCCLIRENCE $1,000,000 <br />MTE <br />PREMISES Ea occurrence 5100,000LAIMS <br />MED EXP {Any one person) $2,500 <br />PERSONAL & ADV INJURY $1,000,000 <br />GENERAL AGGREGATE S3,000,000 <br />PRODUCTS—COMP/OP AGG $3,000,000 <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALLOWNEDAUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNEOAUTOS <br />COMBINED SINGLE LIMIT <br />(EA accHentl <br />BODILYINJURY <br />(Per person) <br />BODILY INJURY <br />(Per accidentl <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE LIABILITY <br />ANYAU70 <br />AUTO ONLY — EA ACCIDENT <br />OTHERTHAN EA ACC <br />AUTOONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR El CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYERS' LIABILITY Y N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEM8E11 EXCLUDED? <br />(Mandatory In NH] <br />If yes, describe under <br />5PECIAL PROVISIONS helow <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE — EA AMPLOYE E <br />E.L. DISEASE— POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />It is understood and agreed that the following entity is added as an additional insured but only with respect{s} to the operations of the named insured except that liability resulting from the additional insured's sole <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />gQ-4'A— r � <br />I <br />S <br />LI Ok <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPO ION. A1Sji�J4A eserved. Q <br />The ACORD name and logo are registered marks of ACORD �P "rf <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />City of Santa Ana, <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />20 Civic Center Plaza M-25 <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO OO SO SHALL IMPOSE Na OBLIGATION OR <br />Santa Ana , CA 92701- <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />TO <br />nil <br />gQ-4'A— r � <br />I <br />S <br />LI Ok <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPO ION. A1Sji�J4A eserved. Q <br />The ACORD name and logo are registered marks of ACORD �P "rf <br />
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