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SANO, CHIHIRO 1A - 2013
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SANO, CHIHIRO 1A - 2013
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Last modified
2/1/2018 9:40:57 AM
Creation date
1/23/2013 9:10:27 AM
Metadata
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Template:
Contracts
Company Name
SANO, CHIHIRO
Contract #
N-2012-026-001
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2014
Insurance Exp Date
12/8/2013
Destruction Year
2022
Notes
Amends A-2012-026 Amended by A-2012-026-002, -003
Document Relationships
SANO, CHIHIRO 1 - 2012
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2022
SANO, CHIHIRO 1B - 2014
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2022
SANO, CHIHIRO 1C - 2015
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2022
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A`�F20° CERTIFICATE OF LIABILITY INSURANCE <br />MaNire lnwran<e Agency. IrC- IPR9 cER nFRJ1TION f5 ISSUED AS A MATTER QF INFORMATION <br />zTLO1 Puerta Real was zoo ONtY AND CONFERS NO RfGHTS UPON THE CERTIFICATE <br />M.asbn rep, cA lzc91- AL�TERTRF�IE COYERA6E FORDED tY THE EOLIUE9 �'EI�ND OR <br />lg)T)a][ -Ta59 <br />Chihire Sam <br />lOG Ymrk[own Ln <br />Ctnta Mena, CA 92626- <br />COVERAGES <br />THE IOLICIES OF INSURANCE LISTED dEl NAVE EN ISSUED TO THE D <br />D A60VE FOR TIK POL IER <br />ANY REQUIREMENT, TERM OR CONDfT10N OF ANY CONTRACT OR OTHER DOCIRMENT <br />IIV Tip. NOT'WITNSTANDIN6 <br />WITH RESPECT <br />TO WHICH TItlS CERKICATION MAY OE ISSUED OR <br />MAY PERTAW, TTtE INSURANCE AFFORDED tY THE POLICIES OESC7lIdED FIEREW IS SUR�CT <br />POLICIES. A6GRE6A IIMRTS SHOWN MAY NAVE SE N REDUCED SY PAfD <br />TO ALL THff TERMS, El[CLUSIONS AND CONDITIONS OF SUCK <br />IttsR AIaO•L <br />noucr [FIECIN[ <br />LTw rlslm TTPe of wsuwwru <br />PoucT axfwurlDN <br />PouCY IauMg[R Dwn <br />own urn <br />w % rEAt[wwL LMMtm PNP[SO35g! -DOl 12/tr/2012 <br />12/DE /201] EACH OCCURENCE fL,gED,ODg <br />% COMMERCL4L GEMEwAL LIAgILRY <br />cwaaf MADE Q occuw <br />Ssm,EOD <br />% PwOFESSIONAt LLagILITY <br />MEOW er.e rson fz,sW <br />P[wfONAL L AOV RLW11Y f1 EDO,OW <br />6EMI AGGREfiwTEYMTAPPIIES PER: <br />6EN[ML AGGREGATE f3,ODO,OD[ <br />PRODL2CTf- Cpp/OP AGG S],EOO,000 <br />x Potrcv rROUCT Loc <br />I[12TOMpMLE LIAMITY <br />wNr Auro <br />COMegWED TINGLE LwwIT <br />IFw acckfentl <br />Au arIY1Im wuTGf <br />scNEDUm wuTO3 <br />gOpLY INIIJIty <br />{Per wrwn) <br />MRED AV /OS <br />NON4WNCD AUTOS <br />fI001LY IVIIURY <br />IPK acct�el[t) <br />►NOPERTY OwwYGE <br />{Per aTewe[.el <br />iwRAi[ <br />LtlLEfl1TT <br />AUTO ONLY - EA ACCIDENT <br />AM AUTO <br />OTHER TIMN [A ACC <br />AWTO peLY: �� <br />�iQ19 / klMw[WA tNLM11lY <br />fACN OCCNIOENCE <br />OCC1211 � CWMS MADE <br />AGGREGATE <br />DEOtICTrLE <br />wETENTIOFI <br />HiROY/R! pRJ► 1NEw/E]t y/Ig <br />O�EFKFNfR [RCAALIIDEDI ECII'TNE o <br />- <br />IRgA °EeT >Y b Ie1E <br />! -L fACf1 ACt]DENT <br />_ YmsCLE.LgePRONS10M30ebw <br />[.L EftSEASE- EA AFaPLOYEE <br />SPF <br />E -L DISEASE - IOLKY LIMIT <br />OTNEII <br />DESCRIPTION OF OPFMTM]NS / fdDCILTIONi/ VEMCL[f / EwCW90N1 ArDlO gT ENDORSEMlNT / SP[CIAL PROVlfI01FS <br />w is understood AIW agreed Lhet the felbwing entity K added as an additbnel Insured but on with <br />negllEprlce M raspectls) [e the meera[lo[N of [he named Insured eaapt [Mat liability resetting frpm [M aWEtbNI InsureQa <br />Tole <br />LERTIFK'ATE IJAI ncm _ <br />WOLRD ANY OF THE AEOV[ DLSCRIgED POLICI[S {[ GNC[LLED R[FORg TIaF [II►IRATION DATE <br />City o! Lnta Ana Par4s, Recreation arM CemmunitY Servius Agency wttn: Silvia Cuews TNEIIEOF, TII[ tf9lRMG M6URER WRL lMDEAVOR lO MAIL 10 DAYS WRITTEN NOTNx TO THE <br />26 Civic linter Plata CERTgtICAlg HOLDEN NAM[D TO THE LEFT, WT FNLURf TO DO SO SWILL [MPOSE NO OgU(iATION Dw <br />Santa Ana, CA 92)01- LMENIT GF ANY HIND WON TMi ReftlN[R ITS AGENTS OR RftllElgNTATIV[f. <br />AVTI101DIID wEPw[SEMATtV[ <br />O� <br />p,YBR�V£D A5 TO <br />L \SA �C tY Attorney <br />ACORD 25 (2009/01) ®1988 -2009 ACORO CORPORATION. All righ�SS?�tt1. <br />The ACORD name and logo are registered marks of ACORD <br />
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