My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
25H - AGMT - YOUTH PROVIDERS
Clerk
>
Agenda Packets / Staff Reports
>
City Council (2004 - Present)
>
2018
>
06/19/2018
>
25H - AGMT - YOUTH PROVIDERS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/19/2018 10:24:34 AM
Creation date
6/14/2018 7:57:29 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25H
Date
6/19/2018
Destruction Year
2023
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
272
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
EXHIBIT 2 <br />AGENCY CUSTOMER ID: <br />LOC V: <br />A!`'U, ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY <br />NAMEDINSURED <br />Arthur J. Gallagher & Co. <br />Orange County Conservation Corps <br />1853 N. Raymond Ave. <br />POLICY NUMBER <br />Anaheim, CA 82801 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE GATE: <br />c nc,r,nnno <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Policy: Professional Liability <br />Policy #: PAC 5154680 13 <br />Carrier:Great American Alliance Insurance Cc NAIC: 26832 <br />Tenn: 10/01/2017 -10/01/2018 <br />Each Occ : 1,000,000 <br />Aggregate :3,000,000 <br />The City of Santa Ana, its officers, agents, employees and volunteers, and the State of California, Its officers, employees, and volunteers are <br />named additional insured/Funding Source with respect to the operations of the named Insured per the attached CG 2026 endorsement. Such <br />Insurance is Primary and Non-Conlrlbutory. Workers Compensation coverage excluded, evidence only. <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved <br />I he ACORD name and logo are registered marks of ACORD <br />25H-190 <br />
The URL can be used to link to this page
Your browser does not support the video tag.