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COUNCIL ON AGING-2015
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COUNCIL ON AGING-2015
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Last modified
6/29/2016 1:18:28 PM
Creation date
9/4/2015 1:46:30 PM
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Contracts
Company Name
COUNCIL ON AGING
Contract #
A-2015-068-04
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/21/2015
Expiration Date
6/30/2016
Insurance Exp Date
7/1/2016
Destruction Year
2020
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Producer <br />MANION /BELL INSURANCE ASSOCIATES <br />P.O. BOX 36186 <br />LOS ANGELES, CA. 90036 <br />(213) 387 -8294" FAX (213) 389 -5833 <br />LIC. N 0655274 <br />Council on Aging of Orange County <br />1971 E. 4th Street, Ste. 200 <br />Santa Ana, CA 92705 <br />IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />JLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />KDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />TER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />)MPANIES AFFORDING COVERAGES <br />Company <br />A Nonprofits' Ins. Alliance of Calif.(NIAC) <br />Company Best: A Rated <br />B United States Fire Ins. Co.(USFIC) <br />Company Best: A Rated <br />C <br />Company <br />D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THEIR TERMS, <br />EXCLUSIONS AND CONDITIONS of SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />TYPE OF INSURANCE I POLICY NUMBER IPnrEIMMOO.Yry ICATFIMM,ogYry I LIMITS <br />P' G <br />EN PAL AGGREGATE $2,000,000 <br />A % OCNPRENCE FORM 201509600 NPO 7/1/2015 7/1/2016 PROFESSONALLIABILTV AGE. 52,000.000 <br />PERSONAL & ADV INJURY <br />EACH OCCURRENCE <br />FIRE DAMAGE(Any one fir <br />MED EXP(Any one person <br />DEDUCTIBLE <br />A I JANYAUTO I I I ICOMBINED SINGLE LIMIT 51,000,000 <br />ALL OWNED AUTOS 2015 22727 NPO 7/1/2015 7/1/2016 BODILY INJURY <br />% scIEDULMAUTOS (Per person) <br />% I HIRED AUTOS BODILY INJURY <br />% INCH OWNED AUTOS (Per accident) <br />250. <br />1A X UMBRELLA FORM 2015 22727 UMB 7/1/2015 7/1/2016 EACH OCCURRENCE $2,000,000 <br />OTHER THAN UMBRELLA FORM AGGREGATE 52,000,000 <br />RETENTION 1 $10,000 <br />B X PRIMARY US 192BD 7/1/2015 7/1/2016 ACCIDENT LIMIT $10,000 <br />EXCESS AD &D $5,000 <br />DEDUCTIBLE DEDUCTIBLE $0 <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named <br />additional insured per attached CG 2026 endorsement. Coverage is primary and non - contributory <br />City of Santa Ana, Community Development Agency <br />20 Civic Center Plaza, M -25 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEC <br />BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS <br />30 DAYS NOTICE OF CANCELLATION, <br />EXCEPT 10 DAYS NON- PAYMENT OF PREMIUM <br />AUTHORIZED REPRESENTATIVE <br />Attn: Sylvia Vazquez IQorg kanion <br />213 3878294 <br />
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