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MANGOSING, PETER 7 -2015
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MANGOSING, PETER 7 -2015
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Last modified
3/25/2020 11:28:30 AM
Creation date
1/6/2015 8:29:35 AM
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Contracts
Company Name
MANGOSING, PETER
Contract #
N-2015-002
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2016
Insurance Exp Date
1/6/2015
Destruction Year
2021
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RANI <br />(MM <br />AcCERTIFICATE OF LIABILITY INSURANCE 12/08/2014 <br />PRODUCER <br />Maguire Insurance Agency, Inc. <br />27101 Puerta Real suite 290 <br />Mission Viejo, CA 92691- <br />877439.1459 <br />Peter mangoaing <br />11S W Stevens Ave <br />Santa Ana, CA 92707- <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 E'. <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 />AUDIT <br />POLICY EFFECFIVE <br />POLICY EXPIRATION <br />LIFR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE(MM/OD/YYYYj <br />PATE (MM/Dp/YYVY) <br />LIMITS <br />A <br />% <br />GENERAL LIABILITY <br />PHPK670403-004 <br />01/06/2015 <br />01/06/2016 <br />EACH OCCURENCE <br />$1,000,000 <br />% COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />PREMISES(Ea occurrence) <br />5100,000 <br />MED EXP(Any one person) <br />$2,500 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />% PR OFESSIONALLIABILITY <br />GENERAL AGGREGATE <br />$3,000,000 <br />PRODUCTS —COMPAP AGG <br />$3,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />X POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(EA accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCH FOULED AUTOS <br />(Per Be rion) <br />HIRED AUTOS <br />BODILY INJURY <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY— EA ACCIDENT <br />OTHER TNAN EA ACC <br />ANYAUTO <br />AUTO ONLY: qGG <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />EACH OCCURENCE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />Reviewed <br />by: <br />TI AND <br />EMPLOYERS-LIABILITY YN <br />ANY PROPRIETOR PARTNER(EXECUTIVE <br />OFFICER/MEMBER %CLUDED. <br />�� <br />WC STATU- OH <br />TORYLIMITS ER <br />E.L. EACH ACCIDENT <br />(Mandatory i0 NH) <br />EL DISEASE — EA AMPLOYES <br />S'y de scribe under <br />PEC(ALPROVISIONS below <br />3 <br />E.L. DISEASE —POLICY LIMIT <br />OTHER <br />�RCSA/Admin. <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />It Is understood and agreed that the following runny is added as an addltlonal Insured but only with respect(s) t0 the operations of the named Insured except that liability resulting from the addlulonel Insured's sole <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />Cltyof Santa Ana <br />20 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 SO 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 RIND 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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