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LAURA'S HOUSE (11) - 2015
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LAURA'S HOUSE (11) - 2015
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Last modified
9/24/2015 8:31:10 AM
Creation date
9/23/2015 9:46:41 AM
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Template:
Contracts
Company Name
LAURA'S HOUSE
Contract #
A-2015-060-07
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/21/2015
Expiration Date
6/30/2016
Insurance Exp Date
10/11/2015
Destruction Year
2021
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LAURA-1 OP ID; SH <br />OATEU ONYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 781 .014 <br />161^- _=O 20'1200 <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 THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the ieollcy(les) must be 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 <br />INSURED <br />& Friedmann Ins Svcs <br />00759373 <br />rly Place Suite 100 <br />,ach, CA 92560 <br />Drive, Suite 225 <br />CA 92694 <br />n0VPRAnFR DFRTIFICATP NIIMRF:R- PrViRinhi MHMRPUPI <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />NOICATEO, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza, 6th FI <br />Santa Ana, CA 92701 <br />LTR ryfle W INSURANCE h.qn WD— POLICY NUMBER <br />I (MMIDONYYYI IMMAMWYYYY) LIMITS <br />COMMERCIAL GENERAL IUASIUT( I <br />I <br />LEAOH 00CURRENCE 19 <br />OCCUR t X <br />PERSONAL &AOV INJURY <br />GENL AOORLOATe LIMIT APPLIES PER: <br />POLICY I PRO- <br />JECT _j LOP <br />PRODUCTS COMPIOPAGG 1 S <br />An LE LIABILITY <br />OMODI <br />COMNNDSETOELLMIT <br />Ea acvltivnt <br />ANY AUTO <br />BODILY INJURY (Par person) <br />ALL OWNED GORED --"- <br />AUTOS I AUTOS <br />BODILY INJURY (Per acddent) <br />I � NON�OVVNED <br />PR5PE—RryTjAx9AUE- <br />MIRED AUTOS 1 1 AUTOS <br />wedgem) S <br />. ....... ..... <br />1 <br />I <br />UMaRFLLA LIAR I OCCUR <br />AXOES$ UAB 1 CIASMS-WPIq <br />AGGREGATE s <br />CEO R�EWrON S <br />1ANO MAPLOYER& UAIRLITY YIN 10758-14 <br />A {ANY PROPRUETOWARTNEWEXECUTIVE <br />T T LS <br />09101120141 00101=15 <br />JO RFICCRIMEMBEREXCLUDED? ❑ j01 <br />L. EACH ACCIDENT 1$ <br />1,000,000 <br />TMIndonSIO, In MIT I <br />F-L. DISEASE, CA CMPLOYEIE_ <br />14 <br />.0000 <br />deaun4a under <br />to A P PTIONOFOPeRArONSbaI,,W i <br />.. <br />El, DISEASE POLICY LIMIT S <br />1,000,000 <br />TE-;I3R-iP;Wc-17TPE7 ATFcZTEaTIaNs t VEHICLES LACGRB 101, Atldttivnal Remerks 9chetlule, may be attached If more 6paaa is required) <br />RE: Emergency Shelter Grant Funds (ESG) <br />CERTIFICATE HOLDER ('.ANr.Fl I ATION <br />CITYS-8 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLLD BEFORE <br />City of Santa Ana Community <br />Development Department M•25 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza, 6th FI <br />Santa Ana, CA 92701 <br />©1966 -2014 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1 `) <br />- At" <br />
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