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MANGOSING, PETER 6B - 2010
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MANGOSING, PETER 6B - 2010
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Entry Properties
Last modified
4/1/2016 2:22:20 PM
Creation date
1/7/2013 4:28:01 PM
Metadata
Fields
Template:
Contracts
Company Name
MANGOSING, PETER
Contract #
N-2010-084-002
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2014
Insurance Exp Date
1/6/2014
Destruction Year
2019
Notes
Amends N-2010-084, -001
Document Relationships
MANGOSING, PETER 6 - 2010
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
MANGOSING, PETER 6A - 2010
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
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,v`carzao� <br />Maguire Insurance AgencV, Inc. <br />27101 Puerta Reel Suite 200 <br />Mission Vielo, CA 92691 <br />(8)7).43'8.7455 <br />Santiago Bautista <br />1523 W6th St <br />Santa Ana, CA 91703 <br />CERTIFICATE OF LIABILITY INSURANCE <br />VVIO/2013 <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. <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 />ADO'L <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE LMM/DD/YYYY) <br />DATE(MM/DD/YYYY) <br />LIMITS <br />A <br />X <br />GENERAL LIABRJTY <br />PHPXIDe6454� <br />YO/11/2013 <br />1.0/11/2014 <br />EACH OCCURENCE $110001000 <br />DAMAGyX <br />PREMISES Ea occurrpncp $100,000 <br />ED <br />COMMERCIgL GENERAL LIABILITY <br />MADE f7l OCCUR <br />000 <br />MED EXP (Any one person) $2,500 <br />PERSONAL &ADV INJURY <br />X PROFESSIONAL LIABILITY <br />GENERALAGGREGATE $3,000,008 <br />PRODUCTS-COMP/OP AGG. $3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />% PULICV PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />IEA accident) <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per"mad) <br />BODILY INJURY <br />HIRED AUTOS <br />NON OWNED MOOS <br />(Per seddentl <br />PROPERTY DAMAGE <br />(Pan accidents <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />OTHERTHAN EA ACC <br />ANYAUTO <br />AUTO ONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURENCE <br />OCCUR 1-1 CLAMS MADE <br />AGGRCONE <br />DEDUCTIBLE <br />RETENTION <br />EMPLOYERS' LIABILITY YN <br />ANY PROPRIETOMLARTNER(EXECUTI/t <br />OFHCOVN EMBER EXCLUDED. <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />�.... <br />E.L. DISEASE -EA AMPLOYEE <br />(Mandatary In NHI <br />IfySPEesCIAL desPflOcribe uadef <br />VISION$ below <br />E.L. DISEASE -POLICY LIMIT �... <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />itis understood and agreed that the following entity is added as an addId dal insured but only with (eepect(s) to the upbraided, of the named insured except that liability resulting from the addlNonal ins„redIn sole <br />negligence. <br />APPROVED A5 TO rOIR1JI <br />CERTIFICATE HOLDER <br />CANCELLATION �.x—A..�--- <br />I"'A t. tit)^CK <br />city0f5anta Ana <br />20 Civic Center <br />Santa Ana, CA 92901 <br />SHOULD ANY OF THE ABOVE DESCRIBED POU((��ES�.B,P�,G,GTf/A1 fjftlYtD'II¢¢F♦gORftVlfBt %glPr�TION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAQPEST'iO'Yf1A t 10 tlAYS WRITTEN NO (CC TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEM BUT FAILURE TO BO 50 SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, <br />AU'THORIXED REPRESENTATIVE <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />/3 <br />
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