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SANO, CHIHIRO 1B - 2014
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SANO, CHIHIRO 1B - 2014
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Entry Properties
Last modified
2/1/2018 9:41:04 AM
Creation date
1/10/2014 9:51:57 AM
Metadata
Fields
Template:
Contracts
Company Name
CHIHIRO SANO
Contract #
N-2012-026-002
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2014
Insurance Exp Date
12/8/2014
Destruction Year
2022
Notes
Amends A-2012-026, -001 Amended by A-2012-026-003
Document Relationships
SANO, CHIHIRO 1 - 2012
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2022
SANO, CHIHIRO 1A - 2013
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2021
SANO, CHIHIRO 1C - 2015
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2022
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DATE IMM /DD/` <br />qc CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER <br />Maguire Insurance Agency, Inc. <br />27101 Puarta Real Suite 200 <br />Mission Viejo, CA 92691- <br />(87]).43- 8.)459 <br />Chihlro Sano <br />106 Yorktown Ln <br />Costa Meet, CA92626- <br />COVERAGES <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURER <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 />LTR <br />ACIDIC <br />INSIPID <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE(MM /DO /YYYY) <br />POLICY EXPIRATION <br />DATE MM /DD /YYYY) <br />LIMITS <br />A <br />X <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE �% OCCUR <br />PROFESSIONAL LIABILITY <br />LIMIT APPLIES PER <br />POLICY 7 PROJECT LOC <br />PHPK803569 -002 <br />12/08/2013 <br />12/08/2014 <br />EACH OCCURENCE <br />$1,000,000 <br />PREMISES Ea occurrence <br />$100,000 <br />MED E%P(Any one person) <br />$2,500 <br />X <br />GEN'LAGGREGATE <br />X <br />PERSONAL &ADV INIURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />PRODUCTS— COMP /OP AGG <br />$3,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(EA accident) <br />BODILY INJURY <br />(Per person) <br />00r INJURY <br />(Per ac co cident) <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE LIABILITY <br />ANYAUTO <br />AUTO ONLY— EA ACCIDENT <br />OTHERTHAN EA ACC <br />AUTO ONLY AGE <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR CIAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYEPS'LIABILITY VN <br />ANY PRO PRI OFFICER /MEMEBERREXCL E %ECUTIVE <br />EXCLUDED? <br />(Mandatory In NH) <br />SPECIAL PROVISIONSrbelow <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />E DISEASE — EA AMPLOYEE <br />E,L, DISEASE— POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />It I, understood end agreed that the fallowing entity is added as an additional Insured but only with respect(el to the operations of the named insured except that He blety resulting from the addltlo na llnsur.d's sole <br />negligence, <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana, its officers, employees, agents, representatives &volunteers <br />20 Civic Center PI, <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 50 SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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