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Last modified
6/15/2022 3:38:24 PM
Creation date
1/14/2019 12:59:57 PM
Metadata
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Template:
Contracts
Company Name
STAGE PLUS EVENT STAGING SERVICES
Contract #
A-2017-056-02
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
3/21/2017
Expiration Date
12/31/2019
Destruction Year
2024
Notes
A-2017-056-01
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Cl CW A021011 <br />CERTIFICATE OF INSURANCE <br />This certificate is issued for informational purposes only, It certifies that the policies listed In this document have been issued <br />to the Named Insured, It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided <br />by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage <br />is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other <br />contract, such as between the certificate holder and the Named Insured, The limits shown below are the limits provided at <br />the policy inception,. Subsequent paid claims may reduce these limits. <br />Certificate Holder. <br />TILE, TY OF : NTA ANA, RISK <br />MA {AGMENT, "PTS OFFICERS EMPLOYEES, <br />AGENTS, AND REPRESENTATIVES <br />CIVIC CE TITER P=2 <br />SA!'.I'A ANA, PA USA 92"10 4058 <br />Named Insured: <br />STPI"", Z. r.l"1: 1c <br />PC BOX i 1060 <br />S-ANITA ANA C-A <br />32%11-1060 <br />Automobile Liability <br />Insurer Name: Allstate Insurance Company <br />Polic Number: 64883529;' <br />X <br />1 Any Auto <br />2 - Owned Autos Only <br />3 - Owned Priv. Pass. Autos Only <br />4 -- Owned Autos Other Than Priv. <br />Pass. Autos Only <br />5 - Owned Autos Subject to <br />No Fault <br />6 - Owned Autos Subject to a Compulsory UM Law <br />X <br />7 - Specifically Described Autos <br />X <br />8 - Hired Autos Only <br />X <br />9 -- Nonowned Autos Only <br />Policy Effective Date : 1 t -2 9-12.01 B <br />1 Policy Expiration Date; <br />Limits of C 0, 0t•0 <br />Combined Single Limit (each accident) <br />Insurance: BI Per Person <br />I BI Per Accident <br />PD Per Accident <br />Description of Operations/ Locations/Vehicles/ Endorsementsl Special Provisions <br />Interested Part T pe: Adk,.i i t:ienas ['I_-; <br />THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. <br />IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST <br />EITHER BE ENDORSED ORCONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL <br />INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH <br />POLICY LANGUAGE OR ENDORSEMENT. <br />Producer. <br />Authorized Repre ative: - <br />_ Date: 08-02-19 <br />vollc' REVIEWED & APPROVED <br />y /'' By Risk MANAGEMENT DIVISION <br />VML4vi e, <br />.00 A G 02 20% <br />'n4V (([lIS��ncl dies cop igttted material of Insurance Services office. Inc., with its permissr <br />inn au FRA CRE R. VILLAREAL <br />Cl CW A02 10 11 Allstate Insurance Company Page 1 of 1 <br />1A) U91 rb - <br />(04. 0/1 - <br />V - SJA `iI <br />
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