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DELHI CENTER 31 - 2015
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DELHI CENTER 31 - 2015
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Last modified
1/20/2016 5:28:59 PM
Creation date
1/20/2016 5:26:29 PM
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Contracts
Company Name
DELHI CENTER
Contract #
A-2015-217
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
10/6/2015
Expiration Date
3/31/2016
Insurance Exp Date
11/1/2015
Destruction Year
2021
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it& <br />s CERTIFICATE OF LIABILITY INSURANCE <br />TExa <br />( " o ' <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 la 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 />Comprehensive Insurance Services <br />22342 Avenida Empress <br />Suite 250 <br />Rcho Sta Margarita CA 92665 <br />O A <br />N ME: <br />PHONE (949) 709-8800 F�NOIt (449)709 -1368 <br />Xi%kss. inf o@thecomprehensiveinsurance.com <br />INSURERM AFFORDING COVERAGE <br />NAICW <br />INSURERANODRrOfitS Insurance Alliance <br />11545 <br />INSURED <br />Delhi Center <br />505 E, Central Ave. <br />Santa Ana CA 92707 <br />IN URERB:COm W@St Insurance Companx <br />1_2177 <br />INSURER C: <br />EACH OCCURRENCE <br />INSURER O: <br />INSYRE5 6: <br />MEO EXP An one endn <br />INSURER P: <br />$ 1,000,000 <br />COVERAGES CERTIFICATE NUMBER:GL /Auto /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. NOTWTHSTANDING 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 />TR <br />TYPE OF INSURANCE <br />A O <br />POLICY NUMBER <br />-POLICY FF <br />POLICY EXP <br />M I n <br />LIMITS <br />A <br />GENERAL. LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ® OCCUR <br />X <br />I <br />014- 01376 -NPO <br />11/1/2014 <br />11/1/2015 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />$ _ 500,000 <br />$ .,. 20,00 <br />MEO EXP An one endn <br />PERSONAL a ADV INJURY <br />$ 1,000,000 <br />No Deductible <br />GENERAL AGGREGATE <br />$ 3-1000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- X LOC <br />PRODUCTS •COMP /OP AGG <br />$ 3,000 000 <br />$ —_ - -. <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />014- 01376 -NPO <br />].1/1/2014 <br />1/112015 <br />COMBINED Bi SINGLE LIMIT <br />11000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per sccldont} <br />$ <br />PROPERTY DAMAG <br />Peraccide <br />$ <br />X <br />I No Deductible <br />$ <br />UMBRELLA UA9 <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />CEO ft•TENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDE07 <br />tMandatory in NH) <br />II y86 describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />005006169-003 <br />1/1/2014 <br />11/1/2015 <br />0TH - <br />E.L. EACH ACCIDENT <br />$ 1,0001000 <br />E.L. DISEASE - EA EMPLOYE <br />$ 11000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 000 t 000 <br />A <br />A <br />Social Sere Professional <br />Improper Sexual Conduct <br />014 - 01376 -NPG <br />014- 01376 -NPO <br />1/1/2014 <br />1/1/2014 <br />1/1/2015 <br />1/1/201') <br />$3,p00,000AggI1,DDO,ODDOcc $0 Deductible <br />$1,000,OOOAgg/1,00O,OOpOa $0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Addllibnal Remarks Schedule, If morn apace Is required) <br />Additional Insured status applies per attached special endorsement <br />t <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />0106) <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 />
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