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ORANGE COUNTY CONSERVATION CORPS 1A (2) - 2013
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ORANGE COUNTY CONSERVATION CORPS 1A (2) - 2013
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Entry Properties
Last modified
6/22/2018 1:41:43 PM
Creation date
3/27/2014 10:51:07 AM
Metadata
Fields
Template:
Contracts
Company Name
ORANGE COUNTY CONSERVATION CORPS
Contract #
A-2013-080-01
Agency
COMMUNITY DEVELOPMENT
Expiration Date
6/30/2014
Insurance Exp Date
1/1/2014
Destruction Year
2019
Notes
Amends A-2013-080
Document Relationships
ORANGE COUNTY CONSERVATION CORPS 1 - 2013
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
ORANGE COUNTY CONSERVATION CORPS 1B
(Amended By)
Path:
\Contracts / Agreements\O
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✓7��41 � C <br />x <br />'- DATE IMMNDIYYTTT <br />a�co F� CERTIFICATE OF LIABILITY INSU NCE 12,13/aDla <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 T11E POLICIES <br />BELOW, THIS CERTIFICATE 05 INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERM, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certiflcete holder la an ADDITIONAL INSURED, the polloy(les) must hs endorsed. If SUBROGATION IS 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 />PRODUCER ��av"' PI10NE <br />Arthur S. Gallagher & Co. License 90726293�•:-- <br />Ineurance Brokers of CA11fornda, Ino.. p"a, <br />One Market Plaza, Spear TOWer ADDRE99 — <br />suite 200 - IN3UREPI3I AFFOft01N6 COVEMGE <br />San Branoisoo, CA 94105 INSURERA: Nonprofits- United WorkerO' <br />Susan Blankenburg _—.—— <br />IHSUREO <br />INSURERS: eAyETY HATL CAB CORP <br />Orange County Conservation Corps INSURERC: <br />1853 North Raymond Avenue INSURERD: <br />INSURER Et.___ -- <br />Anallaim, CA 92001 I INSURER FI <br />THIS 18 TO CERTIFY THAT THE POLICIES OF IINour <br />INDICATED. NOTWITHSTANDING ANY REOUIREME <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />CrjU)JS-MADE I J OCCUR <br />PER: <br />AUTOMDBILE HABROTY <br />AUTO <br />ALL OMEO <br />SCHEDULED <br />IANY <br />AUTOS <br />HON OYIN ED <br />HIRED AVTOS <br />AUTOS <br />UMDNELLALIAS f ( OCCUR - <br />exceeSLIAD —I CUUMS IM <br />A <br />NIA <br />IER: JSDy°°=• <br />.ISTED BELOW HAVE BEEN ISSUED. TO THE <br />IRI OR CONDITION OF ANY CONTRACT OR I <br />iURANCE AFFORDED BY THE POLICIES DE <br />SHOWN MAY HAVE BEEN REOUCED BY PAID <br />WOO <br />ABOVE FOR THE POLICY PERIUV <br />I WITH RESPECT TO WHICH THIS <br />IS SUBJECT TO ALL THE TERMS, <br />_ S <br />COlANNEO SINGLE JMIT <br />EaGWB I <br />BODILY INJURY(Por person) $ <br />BODILY INJURY(PU al.e) S <br />PROPCR1Y, IDN.IAGE y <br />S, <br />EACH OCCURRENCE 5 <br />AGGREGATE S <br />S <br />WCBTATU. OTH- <br />01/01/1 01)01(14 Tad x -CH- <br />EL. EACH ACCIDENT S 500,000 <br />E. DISEASE• EA EMP LOYE 1500,000 <br />E t. DISEAS E -POLICY LIMIT $ 500,000 <br />01/01/1 01/01/14 Li t Per Occ. 100,000,0 <br />B.L. Per Goo & Agg 2,000,000 <br />Sin 500,001) <br />DE9LRPTIOH OF ePEMTI0H3/LOCATIONS l VEHICLES IAU<Ch ACORO 101, AJdNJoml Remerke 9chedulp Hmo,o epeceiuequYed) <br />LC F':F; F� <br />o. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana Workforce Znveatmeut Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCEWITH THE POLICY PROVISIONS. <br />Yen Beat <br />i� <br />000 Bflatet Banta Ma Boulevard AUTHORIZED REPRESENTATIVE ,. <br />9200-'�'A.! <br />Banta Ane, CA 92701 <br />USA U l/ <br />01988.2010 ACORD Q TION; All rlfbwr O wVid. 2y <br />ACORD 25 (2010105)The ACORD name and Ingo Bre registered marks of ACORD A'^ ,� S� 'cOtn <br />Oki <br />F� <br />e � <br />1 <br />
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