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Last modified
3/26/2024 2:30:02 PM
Creation date
9/26/2019 12:21:50 PM
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Contracts
Company Name
SANTA ANA XTREME SOFTBALL
Contract #
A-2019-133
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
8/20/2019
Destruction Year
2025
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CERTIFICATE OF LIABILITY INSURANCE �-- 1{1I� DATE IMMIDONyyyI <br />THIS CER IFICATE IS ISSUED AS A MATTER CERTIFICATE DOES NOT AFFIRMATIVELY OR OF INFgRMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4HOLDER .ITHIS <br />NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13ETWEEN THE ISSUING INSURCR(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the oertiftaata holder isan AppITIONALiNSUREQ, the poticy(ies) must have AppiTIONAL INSURED previsions orlre endorsed, <br />if SUBROGATION IS WAIVED, sub)eck to kha terms and caodltfon8 of the Policy' 00"0ln po0oles may require an Endorsomant: A statement on <br />this aertifiOatE does not Oonfor rights ka Rhe certlflCata holder In Ileu of such Endarsemant(s <br />'RoOUCER T <br />Gaollaudl Insurance Services, Inc 'NONE <br />. <br />VC::SA_esta ?O6-4i4-S100 FA% 406 4 <br />1315 Walnat SL Suite 1761 .MAif_ _ .S,N.a1;,.,,___.• 14-8199 <br />INSURED <br />AmericanFasi pitch Association` <br />Banta Ana)(trame . <br />2926 Calls I mmera <br />eA <br />CLAIMS -MADE Fxi� OCCUR <br />A Y GSL201®080001 <br />GEN'LAGGREGATE LIMIT APPLIES PE <br />X POLICY E0. DLOC <br />ANY AUTO <br />OWNED SCHED <br />A ULED <br />AUTOSONLY � ASUTo9 GSL2019060001 <br />\/ HIpFO <br />OCCUR <br />A SXOE99 LIA-, —1 9ADe Y GSX2019060001 <br />NI <br />A <br />Accident Median I I I - 0 <br />GAH08007 <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORO IDi, Adrlitlobsl Ramark3Schr <br />City of Santa Ana, officers, agents, employees, and. volunteers are named as <br />Memorandum of ❑nderstanding- Such insurance as f ,,�kvvIs policy,. <br />nonoontn'autory. Cartifioste of Insurance shall prove % �50Y GLrrfdr u4 <br />INJURY IF., <br />9 1 01/01/2020 <br />01/01=19 01101/20201 AD&O ( $10,000 <br />Deductlbie $100 <br />xtfaehad it Mora a,A,a la raquiratl) <br />V Insured on this policy. pursuant to written contract,. agreement, or <br />nary, and any insurance darted by City shall be Excess and <br />lcellation. All policy terms and conditions apply;. <br />V I ' - v V VIJU ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana- Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 CIVIC Center Plaza <br />AUTHO En REP SENTATIVE <br />Santa Ana CIA 92701 ' 4F ACORQ 25 (2016103) The ACORD name and logo are registered marks of ACOROOR OR TION,.AII rights reserve, <br />
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