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NEUTRAL GROUND - 2017
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NEUTRAL GROUND - 2017
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Last modified
3/25/2020 11:07:17 AM
Creation date
9/12/2017 4:30:17 PM
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Contracts
Company Name
NEUTRAL GROUND
Contract #
A-2017-096
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/18/2017
Expiration Date
6/30/2018
Insurance Exp Date
1/6/2019
Destruction Year
2023
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a� ®® CERTIFICATE OF LIABILITY INSURANCE <br />8/DATE(M / Dom) <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 policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />CONTANAME�CT Tonia Selfridge <br />Lovitt & Touche - Tempe <br />1050 W Washington Street, Suite 233 <br />Tempe AZ 85281 <br />PHONE .6O2-956-2250 FAX -956-22 <br />.6O258 <br />EMAIL <br />. tselfridge@lovitt-touche.com <br />INSURERS AFFORDING COVERAGE <br />NAIC p <br />INSURER A: Philadelphia Indemnity Insurance Co <br />18058 <br />1/6/2018 <br />INSURED NATIHOU-C1 <br />INSURER B: <br />DAMAGE TO RENTED <br />PREMISES Eaoccurrence $100,000 <br />Nati's House <br />Neutral Ground <br />INSURER C: <br />1733 Valencia St <br />INSURER D <br />E <br />Santa Ana CA 92706INSURER <br />NSURER F : <br />COVERAGES CERTIFICATE NUMBER: 892124928 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDM'YY <br />LIMITS <br />A <br />x <br />COMMERCIAL GENERAL LI ABILITY <br />CLAIMS�MADE XI OCCUR <br />PHPKIS93913 <br />1/6/2017 <br />1/6/2018 <br />EACH OCCURRENCE $1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Eaoccurrence $100,000 <br />MED EXP (Any one person) $5,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY E:] PECT RO- [:]LOC <br />J <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMP/OP AGO $2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />PHPK1593913 <br />1/6/2017 <br />1/6/2018 <br />UMcident IMIT $1,000,000 <br />BODILY INJURY (Per person) $ <br />ANYAUTO <br />OWNEAUTOSONLY AUTOS <br />S <br />BODILY INJURY (Per as.ident) $ <br />'X <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />PROPERTYDAMAGE <br />Per accident $ <br />UMBRELLA LIAB <br />H <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />SPERTATUTE OTH- <br />ER <br />E.L.-EACH ACCIDENT $ <br />ANY PROPRIETONPARTNER/EXECUTIVE ❑ <br />OFFICENMEMBER EXCLUDED? <br />"IA <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS below <br />Professional Liability <br />Sexual/Physical Abuse <br />PHPK1593913 <br />1/6/2017 <br />1/6/2018 <br />Aggregate 2,000,000 <br />Aggregate 300,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is req stood) <br />Certificate holder is named Additional Insured to General Liability coverage if required by written contract, subject to all policy terms, <br />conditions, definitions and exclusions. Primary/Non-Contributory applies. <br />11 <br />fro <br />The City of Santa Ana <br />its officers, employees, agents and volunteers <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <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 R/EEPPR�ESENTATIVE <br />©1988.2915 ACORD CORPORATION_ All rinhts <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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