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MANGOSING, PETER 6B - 2010
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READY TO DESTROY IN 2019
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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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unclry„v,/uu/,rrrl <br />CERTIFICATE OF LIABILITY INSURANCE DnDnD13 <br />PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />MegWre. Insurance Agency, hoe. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Z1101 <br />FUbrte Real Side 200 HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />M771.4 Vlelo, EA szs§l ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(8➢y(., Viejo 59 <br />1919 W Se crest Way <br />Santa Ana, CA 92104 - <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 />AUD'L <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />INSRD <br />I TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/DDIYYYY <br />DATE IMM DD/YYYY <br />LIMITS <br />A <br />X <br />GENERALUABILITY <br />PHPK1086456� <br />10111/2013 <br />19/11/2014 <br />EACH OCCURENCE S1,000,000 <br />nn'som,'(0 ocrarence) .W T$100,000 <br />PREMISES <br />N COMMERCIAL GENERAL LIABILITY <br />000 <br />CLAIMS MADE 7 OCCUR <br />MED EXP (Any ane inner) $2,500 <br />PERSONAL &ADV INJURY $1,000,000 <br />% PROFESSIONAL LIABILITY <br />GENERAL AGGREGATE $3,000,000 <br />PRODUCTS - COMP/OP AGO $3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY 7_1 PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE UNIT <br />ANY AUTO <br />IEA aaltlenU <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per peraonl <br />BODILY INJURY <br />HIRED AUTOS <br />NON OWNED AUTOS <br />(Per exclaim') <br />PROPERTY DAMAGE <br />perarnidenq <br />GARAGE UABILITY <br />AUTO ONLY - EA ACCIDENT <br />OTHERTHAN EA ACC <br />ANYAUTO <br />AUTO ONLY: AGE <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURENCE <br />OCCUR 1:1 CIAIMSMADE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />_17.1111b :a linfallicDnIn.. ANN EMPLOYERS'LIABIUTY Y N <br />TORY LI -,ITS ER <br />ANY PROPRryIETOR/PARTNERJOECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />EL EACH ACCIDENT <br />EL 011-EAAMPLOYEE <br />(Mandatory In NH) <br />IfY.eCIALd¢srdbe, oil <br />EPLPRDVISIONS below <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 fallowing entity is added as an additional Insured but only with reepect(sl to the operations of the named (named except that liability resulting from the additional insured's sole <br />negligence, <br />CERTIFICATE HOLDER CANCELLATION <br />qty of Santa Ana <br />20 CNIP tenter <br />Santa Are, CA92701- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE UnFU BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITSAGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25(2009/01) <br />f }.-`I k <br />T'hP ACORD name and logo ar© 1988-200tered9 CORD ACORD <br />ORPORATION. of vetiUH� y <br />{ 6Y <br />15`i � <br />aa�lS�flni. � � r <br />
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