My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
REACH
Clerk
>
Contracts / Agreements
>
R
>
REACH
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/23/2021 4:27:54 PM
Creation date
2/5/2018 1:23:49 PM
Metadata
Fields
Template:
Contracts
Company Name
REACH
Contract #
A-2017-241
Agency
PERSONNEL SERVICES
Council Approval Date
9/5/2017
Expiration Date
12/31/2020
Insurance Exp Date
2/17/2021
Destruction Year
2025
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
15
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
CERTHOLDER COPY <br />SP <br />P.O. BOX 8192, PLEASANTON, CA 94588 <br />CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />ISSUE DATE: 03-27-2020 <br />CITY OF SANTA ANA SP <br />BENEFITS DEPARTMENT <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4058 <br />GROUP <br />POLICY NUMBER: 1555105-2020 <br />CERTIFICATE ID: 32 <br />CERTIFICATE EXPIRES: 03-01-20211/ <br />03-01-2020/03-01-2021 <br />This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br />California Insurance Commissioner to the employer named below for the policy period indicated. <br />This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br />We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration <br />This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded <br />by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document <br />with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance <br />afforded <br />dbby the <br />pololliiicccyyy ddees(cr/libbeeedd] herein is subject to all the terms, exclusions, and conditions, of such policy. <br />Authorized Representative President and CEO <br />EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br />ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-01-2000 IS <br />ATTACHED TO AND FORMS A PART OF THIS POLICY. <br />— ENDORSEMENT #1651 - LETICIA A. DAYHOFF SEC,TRES - EXCLUDED. <br />ENDORSEMENT N1851 - MARCUS D. DAYHOFF PRESIDENT - EXCLUDED. <br />REVIEWED & APPROVED <br />By Risk MANAGEMFNT DIVISION <br />EMPLOYER Jl" 4 2020 <br />ANgiE ACEVEdo <br />REACH EMPLOYEE ASSISTANCE INC SP <br />650 N ROSE DR <br />PLACENTIA CA 92870 <br />[JCJ,CNI <br />(Rev.7-2014) PRINTED : 03-27-2020 <br />
The URL can be used to link to this page
Your browser does not support the video tag.