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TORRES, MARTIN 9 - 2015
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TORRES, MARTIN 9 - 2015
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Last modified
3/25/2020 12:55:06 PM
Creation date
6/15/2015 10:40:37 AM
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Contracts
Company Name
TORRES, MARTIN
Contract #
N-2015-099
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2017
Insurance Exp Date
12/31/2017
Destruction Year
2022
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�co ct CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER <br />Magslire lnwranae Agency, to, <br />27101 Peerta Rem smte 200 <br />Mission Viejo, CA 92691- <br />821.4381459 <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 />INSURERS AFFDRDING L4VERAGE <br />NAICB <br />INSURED <br />Martin Tnrtaa <br />12692 RanOleto W aY <br />Garden Grow, CA 02843 <br />INSURER A: Philadelphia Indemnity Insurance Cum any <br />19058 <br />INSURER 9: <br />INSURER C+ <br />INSURER 0: <br />INSURER 9: <br />fPl\/WRAf.CS <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 />LTB <br />ADD 'L <br />INSBO <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POUCY EFFECTIVE <br />DATE(MMPoD/YYYYJ <br />POLICY EXPIRATION <br />DATE (MM/DDIYYYVI <br />LIMITS <br />A <br />% <br />GENERAL <br />% <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 7 OCCUR <br />PROFESSIONAL LIABILITY <br />AGGREGATE LIMIT APPLIES MEN <br />POUCY PROJECT LOC <br />PHP077541002 <br />02(106/2015 <br />02/05/2016 <br />EACH OCCURENCE <br />54Mq,01A <br />PREMISES Ea occurrent <br />$LOgOW <br />MED Far (Any One retain) <br />p-Scig <br />% <br />GFMI. <br />X <br />PERSONAL &ADV INJURY <br />Sl,DWydets <br />GENERAL AGGREGATE <br />PRODUCTS-CONIPJOPAGG <br />AUTOMOBILE <br />LIABILITY <br />ANY AU FO <br />ALLOWNEDAL)"NOS <br />SCHEDULEDAUTOS <br />Hn1EGAUFOS <br />NON OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(EA accident) <br />BODILY INJURY <br />(Per Parson) <br />BODILY INJURY <br />(Pat acrld¢ntl <br />PROPERTY DAMAGE <br />IPw pmldpn) <br />GARAGEUABILITY <br />ANYAUTO <br />AUTO ONLY -EA ACCIDENT <br />OTHERTHAN FA ACC <br />AUTO ONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR CLAIMSMADE <br />RETENTION <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETOR /PDEARTNER/EXECUTIVE IL...�JI <br />OFFICER/MEMBER E%CLUD4 <br />Pl ardaMty He NHL <br />if ymi desedbe Undar <br />PROVISIONS Uelow <br />IDRYL MITS ER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA AMPLOYEE <br />7SPEO(AL DISEASE -POLICY LIMIT <br />OTHER <br />OESCRIPTIDN OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT( SP6GRL PROVISIONS <br />it is and rstood and agreed that the Relieving amity is added as an aJditUnal insured but only ynth,eayed(A to the 4reratians of ode named insured except that liability resulting from the addhiolW aeaseaN XXV <br />npgERence. <br />L.OR L IPR[A i c TTVLUOIS a r.ars1— <br />Ce,.FSanta Ana <br />1325 west Civet Center Drive <br />Santa Ana, CA 92703. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPRW DRAW <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL LO DAYS WRITTEN HONCE W 11% <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHA0.IMPOSE NO MUWTION US <br />ACORD 25 (2009/01) C) 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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