My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ORANGE COUNTY FAIR HOUSING COUNCIL (2) - 2015
Clerk
>
Contracts / Agreements
>
O
>
ORANGE COUNTY FAIR HOUSING COUNCIL (2) - 2015
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/29/2016 5:06:56 PM
Creation date
12/22/2015 10:34:29 AM
Metadata
Fields
Template:
Contracts
Company Name
ORANGE COUNTY FAIR HOUSING COUNCIL
Contract #
A-2015-068-01
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/21/2015
Expiration Date
6/30/2016
Insurance Exp Date
5/16/2016
Destruction Year
2021
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
32
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
-IN <br />i° " °P CERTIFICATE OF LIABILITY INSURANCE <br />F DA6 <br />TYPE OF INSURANCE <br />/19/2015Y) <br />1 nuo UCMi in .AIL la 1031UCU AO A IVIAI ILK UY mrUKIVIA IwN Uw_Y ANU CvNI -ENS NU NIGHTS 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 policy(ies) 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 />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Comprehensive Insurance Services <br />PHONE, Extp (949) 7D9 -BB D �pIC No): (949)709 -1668 <br />26429 Rancho Parkway South <br />ADDRESS:info@ thecomprehensiveinsurance. com <br />Suite 120 <br />_ - -_. INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />Lake Forest CA 92630 <br />INSURERA_State Compensation Insurance Fund <br />35076 <br />INSURED <br />INSURER B: <br />GENERAL AGGREGATE <br />Orange County Fair Housing <br />_INSURERC: <br />,. _.. <br />$ <br />1516 Brookhollow Drive, Suite A <br />INSURER D: <br />$ <br />INSURER E; <br />AUTOMOBILE <br />�_. <br />LIABILITY <br />ANY AUTO _ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS (AUTOS <br />Santa Ana CA 92705 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER WC REVISION NUMBER• <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 />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE <br />iADDL <br />SUBR <br />POLICY NUMBER <br />j POLICY EFF <br />MM /DDNYYV ) <br />POLICY EXP <br />?MMIODNYYYI <br />-- <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE � OCCUR <br />EACH OCCURRENCE <br />DAM RENTED -- <br />PREMISES Ea occurrence <br />MED EXP (Any one person) <br />$ <br />$ <br />$ <br />_ <br />PERSONAL &ADV INJURY <br />- <br />$ <br />GENT <br />AGGREGATE LIMIT APPLIES PER <br />POLICY PRO- LOD <br />OTHER: <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP /OP AGO <br />,. _.. <br />$ <br />$ <br />AUTOMOBILE <br />�_. <br />LIABILITY <br />ANY AUTO _ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS (AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accldentl <br />$ <br />BODILY INJURY (Per person) <br />-'- <br />BODILY INJURY(Peraccidenl) <br />PROPERTY DAMAGE <br />_(Per aconemtl _ <br />$ <br />' -- -' "'- <br />$ <br />- <br />$ <br />4 <br />I— <br />__ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS MADE <br />EACH OCCURRENCE <br />$ <br />$ <br />AGGREGATE <br />DEB RETENTION$ <br />_ _ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIASILITY YIN <br />ANY PROPRIETOR/PAR7NER /EXECUTIVE <br />OFFICER /MEMBER EXCWDE67 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />9099740 -15 <br />5/16/2015 <br />5/16/2016 <br />R PER OTH- <br />STATl1TE ER <br />EL EACH ACCIDENT R <br />-- <br />E.DISEASE -EA EMPLOYEFj$ <br />— - <br />- -_ <br />$ 1,000,000 <br />- - <br />L <br />1,000,000 <br />E.L. DISEASE- POLICY LIMIT <br />$ '000,000 <br />i <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana <br />PO Box 1988, M -25 <br />Santa Ana, CA 92702 <br />ACORD 25 (2094/01) <br />nJR09F romnnn <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Eynon /JEREMY <br />U'IUUd-ZU14 AGUKU UUKPUKA I ION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.