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PENNINGTON, WENDY - 2013
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PENNINGTON, WENDY - 2013
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Last modified
7/7/2016 1:17:56 PM
Creation date
5/28/2013 1:00:53 PM
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Contracts
Company Name
PENNINGTON, WENDY
Contract #
N-2013-066
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2014
Insurance Exp Date
4/14/2014
Destruction Year
2019
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At C)RH <br />PR 71 <br />CERTIFICATE OF LIABILITY INSURANCE R054 <br />03-26.2013 <br />THIS CERTIFICATES ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONALINSURED, the Ii must be endorsed. If SUBROGATIONIS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s), <br />PRODUCER <br />MOURER- FOSTER INC /PHS <br />151520 P:(866)467-8730 F:(704)921-4658 <br />PO BOX 29611 <br />CONTACT <br />NAME: <br />AIONE xl: (866)467 -8730 IA/c, NOI: (704)921 -4658 <br />EMAIL <br />ODRESS: <br />INSURERISI AFFORDING COVERAGE NAICN <br />CHARLOTTE NC 28229 <br />INSURER Sentinel Ins Co LTD <br />INSURED <br />INSURER B <br />INSURER C : <br />DOG TRAINING WITH WENDY PENNINGTON <br />5735 E HUNTDALE ST <br />INSURER D: <br />INSURER E: <br />LONG BEACH CA 90808 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />D L <br />INSR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM /DO /YYYN <br />POLI EXP <br />IMM/OD /YYYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 1 000 000 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE X OCCUR <br />X General Liab <br />81 SBU NC7220 <br />04/14/2013 <br />04/14/2014 <br />DAMAGE TO RENTED <br />PREMISES E. Feb.rrencel <br />$ 1 000 000 <br />MED EXP IAny ens perspnl <br />$ 10 000 <br />PERSONAL &ADV INJURY <br />$ 1 000 000 <br />GENERAL AGGREGATE <br />$ 2 000 000 <br />E'L AGGREGATE LIMIT A�PPPPIL <br />POLICY L_I PRO x <br />BE PER: <br />LOC <br />PRODUCTS - COMPIOP AGG <br />42 000 000 <br />$ <br />AUTOMOBRE LIABILITY <br />COMBINED SINGLE LIMIT <br />Be accident) <br />$ <br />ANVAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />F1 <br />11 <br />BODILY INJURY (Per personl <br />$ <br />BODILY INJURY (Per accldend <br />$ <br />PROPERTY DAMAGE <br />(Per acciden[1 <br />$ <br />8 <br />UMBRELLA 1IAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEO RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PRO PHI ETORIPARTNERIEXECUTIVE❑ <br />OFFICER /MEMBER EXCLUDED? <br />IMandaror, In NHI <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />❑ <br />TWO STATU- OTH- <br />TORY U 5 ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (Attach ACORD 101, AEr@ronal Remarks Schedule, B more space is mqul ed) <br />Those usual to the Insured's Operations. The City of Santa Ana, its officers, <br />agents and employees are listed as an Additional Insured per the Business <br />Liability Coverage Form SS0008 attached to this policy. Coverage is primary & <br />non - contributory per the Business Liability Coverage Form SS0008, attached to <br />this policy. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />The City of Santa Ana <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />20 CIVIC CENTER PL rL <br />SANTA ANA, CA 92701 <br />7a- <br />® 1988 -2010 ACORD CORPORATIONI II htT j,1 F0, t1Vi <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD PIP ��� <br />LISA F, STORCK <br />Assistant City Attorney <br />
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