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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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--, CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DD/Y <br />AICf�ll2'O Ll"MI 014 <br />PRODUCER <br />Maguire Insurance Agency, Inc. <br />2710, Puerto Real Suite 200 <br />.Is' [on Vlefo, CA92691- <br />8A.438.]459 <br />peter mangosing <br />118 W Stevens Ave <br />Santa Ana, CA 92]0)- <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 />ADD'L <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />OR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE(MM/DD/YYYY) <br />DATE(MM/DD/YYYY) <br />LIMITS <br />A <br />X <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 El OCCUR <br />PREMISES BEa occurrence <br />$100,000 <br />MED ESP (Any one person) <br />$2,500 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />X PROFESSIONAL LIABILITY <br />GENERALAGGREGATE <br />$3,000,000 <br />PRODUCTS —COMP OP AG6 / <br />$3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />% POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(EA accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE <br />LIABILITY <br />AUTO ONLY — EA ACCIDENT <br />ANYAUTO <br />OTHER THAN EA ACC <br />AUTO ONLY'. <br />AGO <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR CLAIMSMADE <br />EACH OCCURENCE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />R Li S LUIVIFUNbAlI N AND <br />EMPLOYERS' YN <br />ANY PROPRIETOR/PARTNER EXECUTIVE <br />OFFICER/MEMBER E%CLUDED <br />RCSAIAdmin. <br />�'1 <br />LDn - <br />TORV LIMITS ER <br />EL EACH ACCIDCNT <br />(Mandatory in NH) <br />Sf Yes describe under <br />PECIAL PROVISIONS below <br />EL DISEASE— EA AMPLOYEE <br />E.L. DISEASE— POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />is understood and agreed that the following entity Is added as an additional Insured but anly with respect(s) to the operations tithe nomad Insured except that Peblllty resulting from the additional Insured's sole <br />negllgence, <br />CERTIFICATE HOLDER CANCELLATION <br />Salgado Conar lty Center <br />706 N Newhops St <br />Santa Ana, CA 92703-2562 <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 SO SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />n <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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