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THE JOYFUL CHILD FOUNDATION-IN MEMORY OF SAMANTHA REUNNION - 2017
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THE JOYFUL CHILD FOUNDATION-IN MEMORY OF SAMANTHA REUNNION - 2017
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Last modified
2/14/2018 3:01:08 PM
Creation date
9/28/2017 3:43:03 PM
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Contracts
Company Name
THE JOYFUL CHILD FOUNDATION-IN MEMORY OF SAMANTHA REUNNION
Contract #
N-2017-196
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
9/19/2017
Insurance Exp Date
10/18/2018
Destruction Year
2022
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Client#: 11965 <br />JOYCH <br />ACORDTM CERTIFICATE OF LIABILITY <br />INSURANCE <br />DATE <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSIR <br />LTR <br />0911812017vvv) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Ashbrook-Clevidence, Inc. <br />3000 W. MacArthur Blvd., #320 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />License #0188788 <br />A <br />Santa Ana, CA 92704 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />The Joyful Child Foundation <br />In Memory of Samantha Runnion <br />P.O. Box 12680 <br />Westminster, CA 92685-2680 <br />INSURERA: Philadelphia Insurance Company <br />INSURER B <br />INSURER C <br />INSURER D'. <br />INSURER E. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSIR <br />LTR <br />NOD' <br />HER <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDDIYY <br />POLICY EXPIRATION <br />DATE MMIDDIYV <br />LIMITS <br />A <br />GENERAL LIABILITY <br />PHPK1569332 <br />10/18/17 <br />10118118 <br />EACH OCCURRENCE $11000-10-0-0 <br />X COMMERCIAL GENERAL LIABILITY <br />PREMIETORENTEO <br />e ce $100,000 <br />CLAIMS MADE 51OCCUR <br />MED EXP (Any one person) $5,000 <br />PERSONAL B ADV INJURY $1,000,000 <br />GENERAL AGGREGATE s2,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGO $2000000 <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />BODILY INJURY $ <br />(Per person) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY accident) $ <br />(Per awldent) q <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHERTHAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY'. AGG $ <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR FICLAIMS MADE <br />$ <br />DEDUCTIBLE <br />w, nd� <br />( J.' <br />$ <br />$ <br />RETENTION $ <br />Vw <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITV <br />ANY PROPR' LIABILITY <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe antler <br />ej <br />/� <br />�y <br />e�,,\` <br />`, <br />WC STARL OTH- <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE -EA EMPLOYEE $ <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT is <br />OTHER <br />r <br />Pn✓i V <br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents, and employees are named as additional insured Per endorsement <br />PIGLDHS10111. <br />City of Santa Ana Attn: <br />Purchasing Department <br />20 CIVIC CENTER PLAZA <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL '30 DAYSWRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />� REPRESENTATIVE <br />Pte+ %/'% <br />ADORE 25 (2001108) 1 of 2 #5309181M30917 LXM 0 ACORD CORPORATION 1988 <br />
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