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PACIFIC MEDICAL CLINIC 2 -2013
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PACIFIC MEDICAL CLINIC 2 -2013
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Last modified
11/8/2017 11:53:49 AM
Creation date
10/21/2013 11:22:39 AM
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Contracts
Company Name
PACIFIC MEDICAL CLINIC
Contract #
N-2013-142
Agency
PERSONNEL SERVICES
Expiration Date
6/30/2014
Insurance Exp Date
6/6/2018
Destruction Year
2019
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CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE IS 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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polloy(les) must be endorsed. If SUBROGATION IS WAIVED, aubJect 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 />Insurance Solutions PN E .(949)346-7400 <br />License #0746539 , Saraw ins -solutions. com <br />33302 Valle Rd, Suite 200 INSUREMS) AFFORDING COVERS <br />San Juan Capistrano CA 92675 iN R :Amro Insurance Cc <br />INSURED INSURER E <br />DR GARY A LINNEHANN MD INSURE c: <br />1534 E WARNER AVE STE A ,NRtmas n. <br />SANTA ANA CA 92705-5475 1INSURERF: 1 <br />CekVF'RAGFA CFRTIFICATP NIIMR FV <br />RR -14-15 RF41nLt MI HARCR. ^- <br />THIS IS TC 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 />LIFt <br />TYPE OF INSURANCEPOLICY <br />SUOR <br />POIpCY EFF <br />POL CY EXP <br />LIMITS <br />GENERAL LIABIUTY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />$ COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7x OCCUR <br />CP7891875918 <br />6/6/2014 <br />6/6/201$ <br />F 7U ' $ 300,000 <br />MED EXP (Airy onnee a <br />parson $ 5,000 <br />PERSONAL S ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GENL AGGREGATE <br />LIMIT APPLIES PER; <br />PRODUCTS - COMP/OP AGO 8 2,000,000 <br />X POLICY <br />IWIT "0' LOC <br />5 <br />AUTO MOBILE LIABILITY <br />COMBINEDSINGLE LIMIT 1 O O <br />BODILY INJURY (Per "wn) S <br />A <br />ANY ALTO <br />AUTOWNED SCHEDULED <br />P7891875918 <br />/6/2014 <br />6/6/2015 <br />BODILY INJURY (Pu accident) $ <br />NON-OWNEO <br />$ HIRED AUTOS$ AUTOS <br />PROPERTY DAMS $ <br />en <br />$ <br />UMBRELLA LIAB <br />H <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS UAB <br />CLAIMS -MADE <br />RED j j RE E T ON <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICERVEMBER EXCLUDED? <br />tMand-wry In NH) <br />It DYda, dear ON OF0 <br />DESCRIPTION OF OPERATIONS W. <br />NIA <br />I WCSTATU- <br />E.L. EACH ACCIDENT $ <br />E. L. dSEASE-EA EMPL S <br />,�y <br />E.L. DISEASE • POLICY LII s <br />W <br />y <br />In <br />DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES (AUAch ACORO 101, Addltloml Remarks Schedule, N mon epece R ro0elmd)� <br />The City of Santa Ana, its officers, employees, agents and volunteers are named as addi.ibnal 37t88ured per <br />the Commercial General Liability Coverage Form CG 00 01 12 07 attached to the policy, <br />rV <br />MKelley@santa-ana.org <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />25 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Alessandra/PETERS <br />INAa26mmmm nt Th. Af:npn nam. and $Ann ora wAi.t..d ma W¢ TIF &('non <br />All riches resarvad. <br />
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