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ORANGE COUNTY TRANSPORTATION AUTHORITY (OCTA) (OC-87-A) (1ST)
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ORANGE COUNTY TRANSPORTATION AUTHORITY (OCTA) (OC-87-A) (1ST)
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Last modified
11/4/2024 5:14:51 PM
Creation date
12/22/2015 1:33:53 PM
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Contracts
Company Name
ORANGE COUNTY TRANSPORTATION AUTHORITY (OCTA) (OC-87-A) (1ST)
Contract #
A-2015-149
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
8/4/2015
Insurance Exp Date
7/1/2016
Destruction Year
0
Notes
N-1997-038
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CERTIFICATE OF COVERAGE I 08/13/2015 <br />PRODUCER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br />RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, <br />Alliant Insurance Services, Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MEMORANDUM OR POLICY <br />P.O. BOX 6450 BELOW: <br />NEWPORT BEACH, CA 92658 -6450 COMPANIES AFFORDING COVERAGE <br />PH (949) 756 -0271 / FAX (949) 756 -2713 _ _ _ <br />LICENSE NO. OC36861 COMPANY LETTER (A) BIG INDEPENDENT CITIES EXCESS POOL <br />BIG INDEPENDENT CITIES EXCESS POOL MEMBER: <br />CITY OF SANTA ANA <br />ATTN: ED RAYA <br />RISK MANAGER <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 -1988 <br />COMPANY LETTER (B) <br />COMPANY LETTER (C) <br />COMPANY LETTER (D) <br />COMPANY LETTER (E) <br />COMPANY LETTER (F) <br />THIS IS TO CERTIFY THAT THE MEMORANDUM OF COVERAGE OR POUCY(IES) LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br />FOR THE POLICY OR MEMORANDUM PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGES AFFORDED BY THE <br />MEMORANDUM OR POUCY(IES) DESCRIBED HEREIN ARE SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM OR <br />POLICY. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO I TYPES <br />LTR OF <br />COVERAGES <br />EXCESS LIABILITY <br />A OCCURRENCE FORM <br />INCLUDING AUTOMOBILE <br />LIABILITY <br />MEMORANDUM MEMORANDUM MEMORANDUM <br />OR OR POLICY OR POLICY <br />POLICY NUMBER EFFECTIVE I EXPIRES <br />BO -05 I 07101/2015 I 07/01/2016 <br />LIMIT <br />DIFFERENCE BETWEEN <br />BI & PD $10,000,000 POOL LIMIT <br />AND <br />COMBINED <br />$1,000,000 <br />SELF - INSURED RETENTION <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /RESTRICTIONS /SPECIAL ITEMS: <br />AS RESPECTS LICENSE AGREEMENT FILE OC -87 FOR USE OF TRIANGULAR SHAPED PIECE OF LAND LOCATED ADJACENT TO THE <br />CITY OF SANTA ANA'S SANTIAGO PARK WATER RESERVOIR AT MP 173.51 IN THE CITY OF ORANGE, CALIFORNIA, FOR CITY OF SANTA <br />ANA POLICE DEPARTMENT CANINE TRAINING FACILITY AND NOW INCLUDES BY FIRST AMENDMENT OC -87 -A TO LICENSE <br />AGREEMENT LANDSCAPE NURSERY TO REPLENISH NATIVE AND RIPARIAN PLANTING IN THE CITY OF SANTA ANA PARKS., <br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED SOLELY WITH RESPECT TO BODILY INJURY AND PROPERTY DAMAGE <br />ARISING OUT OF OPERATIONS AS DESCRIBED BY OR ON BEHALF OF THE NAMED INSURED PER ATTACHED ENDORSEMENT. <br />THIS CANCELS AND REPLACES CERTIFICATE ISSUED 06130/15 TO INCORPORATE AUGUST 4, 2015 Q - 87JOV' RST AMENDMENT TO <br />LICENSE AGREEMENT DESCRIPTION. O eV�eW <br />SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. R <br />'16 <br />ORANGE COUNTY TRANSPORTATION AUTHORITY <br />ATTN: PROJECT MANAGER <br />RIGHT -OF -WAY <br />P.O. BOX 14184 <br />ORANGE, CA 92863 -1584 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR <br />REPRESENTATIVES. <br />I!4] <br />
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