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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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CERTIFICATE OF LIABILITY INSURANCE I DATE(MM /00/1 <br />ACd O 1MM /2D13 <br />PRODUCER <br />Maguire l nsurance Agenry, Inc. <br />27101 Puerto Real Suite 29G <br />Mission Viejo, CA 92691 <br />(877) .43- 8,7459 <br />Chlhiro So no <br />106 Yorktown to <br />Costa Mesa, CA 92626- <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 />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 />ADD% <br />INSAD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATEIMM/00/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 />CIAIMS MADE ED OCCUR <br />PROFESSIONAL LIABILITY <br />AGGREGATE LIMIT APPLIES PER <br />POLICY 7 PROJECT LOC <br />PHPK803569 -002 <br />12/00/2013 <br />12/08/2014 <br />EACH OCCURENCE <br />$1,000,000 <br />PREMISES (Ea occurrence <br />$10D000 <br />MED COP (Any one person) <br />$2,500 <br />X <br />GEN'L <br />X <br />PERSONAL &AOV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />PRODUCTS — COMP /OP ADS <br />$3,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUT05 <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(EA accident) <br />BODILY INJURY <br />(Per person) <br />BODILY <br />(Per r accident) <br />PROPERTY DAMAGE <br />(Per accldent) <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY — EA ACCIDENT <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGO <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR F-1 CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYERS' LIABILITY Y N <br />ANY OFFICER /MEMEBERR E %ECUTIVE <br />EXCLUDED? <br />(Mandatory In NH) <br />SPECIAL PROVISIONS below <br />TORY LIMITS ER <br />EL. EACH ACCIDENT <br />E.L. 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 Is understood and agreed that the following entity is added as an additional Insured but only with rnspe¢(s)to the open dons of the named Insured except that liability resulting from the additional Insured's sole <br />negllgenee. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana Parks, Recreatlen and COmirunit, Services Agency Attre SHors, Cuevas <br />26 Civic Center Plaza <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 />eG <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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