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Last modified
4/28/2022 9:49:26 AM
Creation date
12/24/2019 7:33:48 AM
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Contracts
Company Name
SANO, CHIHIRO
Contract #
N-2019-256
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/30/2020
Destruction Year
2025
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Maguire Inwnnce Agency Inc FWI <br />1 Bela Piz Ste 100 <br />Bah Cynvryd, PA 19004-1E01 <br />610.617.7900 <br />Chnim San. <br />4365 Johanna Aye. <br />Ukewood,G90T33- <br />COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <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 CERIFICATION 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 />INSR <br />ADD'L <br />POLICY EFFECTIVE <br />POLICY EAPIMnm <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POUCY NUMBER <br />DATE MWOOYYYY <br />DATE(MWDD/YYVY) <br />mm <br />A <br />X <br />GENERAL LIABILITY <br />PHPX803569-008 <br />1 /09/2019 <br />12/08/2020 <br />EACH OCCUNENGE <br />$1,000,000 <br />PREMISES EA- Hence <br />$iD0,D00 <br />MMERCIAL GENERAL LIABILITY <br />CLAIMS MADE M OCCUR <br />T.PROFESSIONAIL <br />MED EXP(Any one person) <br />$2,SW <br />PERSONAL ADV INJURY <br />$3,000.000 <br />UABBITY <br />GENERALMGREGATE <br />$3,000,000 <br />PRODUCTS-COMP/DPAGG <br />$3.000.000 <br />GEML AGGREGATE UM IT APPLIES PER: <br />K POLICY PROJECT F LOC <br />AUTOMOBILE <br />UABIUTY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />IEAaccident) <br />DOD] LVINJURV <br />ALLOWNEDAUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />BOOILYINJURY <br />HIRED AUTOS <br />NON-0WNEDAUTOS <br />(Peraccident) <br />PROPERTY DAMAGE <br />(Peracedent) <br />GARAGE WNUTY <br />AUMONLY-EAAMOEM <br />OTHENTHAN EAACC <br />ANY AUTO <br />AUTO ONLY: MG <br />EKCPS$ / UMBRELLA LIABILITY <br />EACH OCCURENCE <br />OCCUR 71 CLAIMSMADE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />EMPLOYERS' LIAMUTY IF BY <br />TORY LIMOS FP <br />ANY PROPRIFTOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER XCLDDED <br />E.L EACH AMDENT <br />EL DISEASE -EA AMPLOWE <br />(Mandatory In NH) <br />II yes, descnbe antler <br />SPECIAL PROV610NS below <br />E.L DISEASE-POUCYUMIT <br />OTHER <br />OESCRIPDONOFOPEMTIONS/L nOM/VENICLES/ERCUISIONS ADDEDBYEWOMEMFM/SPECMLPROVISIONS <br />Its understood and agreed chat the following entity b added as an ad b ionel Insured but.nly with respecH,J to the operations of the named insured except that liability resul0ng from the additional insured's sole <br />negligence. Certificate.( InsuralsM Mal provide thirty (30) day prior written notice of cancellation <br />CERTIFICATE HOLDER CANCELLATION <br />City of5anta Ana Risk Management OWnion <br />20 CNic Center Plaza <br />Santa Ana, CA 91701. <br />511dHD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEUEO BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER ai ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br />CERTIFIUTE HOLDER NAMED TO THE IEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTAnVES. <br />AUnfORIZED REPMSENTATIVF <br />REVIEW <br />D &APPROVED <br />RiskNACJEMENT <br />DIVISION <br />���� <br />I tY a <br />9 2019 <br />ACORD 25 (2009/01) MAN A M. LAMBERT ©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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