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LE, CHOC (2) - 2013
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LE, CHOC (2) - 2013
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Last modified
6/8/2017 2:58:06 PM
Creation date
9/30/2013 10:35:02 AM
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Contracts
Company Name
LE, CHOC
Contract #
A-2013-093
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
6/17/2013
Expiration Date
6/30/2015
Insurance Exp Date
12/17/2015
Destruction Year
2020
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THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />DATE [MM1DDjYYYYj <br />CERTIFICATE OF LIABILITY INSURANCE <br />11/18/2014 <br />I <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 />21101 Puerta Real Suite 200 <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />877.438 459 CA 92691- <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />877.438.7459 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSI.IiRED"Indemnity <br />Circe V Le —Rc) III <br />Insurance Cori IE058 <br />INSURER B: <br />4 Fabria no <br />INSURER C: <br />lrvine, CA 92620-2576 <br />INSURER D: <br />INSURER E: <br />EACH OCCURENCE$1,000,000 <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 />ADDT <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />INSIRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (MMI/DD/YYYY) <br />DATE IMM/DD/YYYY) <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />PHPIKOR19W.004 <br />12/17/2014 <br />12117/2015 <br />EACH OCCURENCE$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />P RWEMMAI iSSF(E taNcTutr'bre n c a $100,000 <br />C', IMS MADE 55100,000 <br />MEL) EXP (Anyone personl $2,500 <br />PERSONAL & ACV INJURY $1,000,000 <br />X PROFESSIONAL <br />ONAL LIABILITY <br />GE NERAL AGGREGATE 53,000,000 <br />PRODUCTS—COMP/OP AGG $3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />—X ------ <br />I POLICY F I PROJECT F1 LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(FA accident) <br />................. .. .. — <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) <br />BODILY INJURY <br />HIRED AUTOS <br />NON OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY — EA ACCIDENT <br />. .. . .. . — <br />OTHER............ THAN EA ACC <br />ANYAUTO <br />AUTO ONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />EACH CCCVRENCE <br />OCCUR El CLAIMS MADE <br />Reviewed <br />by, <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />�— 4, <br />" <br />WUR", UUMP, MAILD" �'NU <br />EMPLONERS'LIABILITY Y/N <br />ANY PROPRIETCR/PARTNER <br />OFPICER/MEMBER EXCL UDEU�EXECUTIVE El <br />— <br />Silvia Cuevas <br />- - - - - - - <br />I <br />) <br />WC STATU-OTH- <br />_LMR—YN6 <br />:L: EACH ACCIDENT <br />.E <br />E.L. DISEASE — CA AMPLOYEE <br />(Mandatory in Ni <br />scribe under <br />MOC'I'AdL6PROVISIONS be low <br />S <br />PRCSA/Admin. <br />I <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 insureds. sole <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />City ofSanta Ana, its officers, employees, agents, represeri volunteers <br />20 Civic Center Plaza M-25 <br />Santa Ana, CA 92701 - <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 LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />etr��(D <br />ACORD 25 (2009/01) (D 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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