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MERCY HOUSE - REGINA 1
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MERCY HOUSE - REGINA 1
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Last modified
8/23/2021 1:00:25 PM
Creation date
8/15/2003 3:23:27 PM
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Contracts
Company Name
Mercy House - Joseph & Regina
Contract #
A-2003-057
Agency
Community Development
Council Approval Date
4/7/2003
Expiration Date
6/30/2004
Insurance Exp Date
5/2/2004
Destruction Year
2009
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A00RD_ CERTIFICATE OF LIABILITY INSURANCE CSR DH I DATE(MM00YY) <br />RCY-1 06/04/03 <br />PRODUCER THIS CERTIFICATE SUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Huntington Pacific Ins. Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />18672 Florida St. Ste. 302D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Huntington Beach CA 92648 Phone:714-841-6283 INSURERS AFFORDING COVERAGE <br />Mercy House Transitional <br />Livin3 Center ETAL <br />P.O. Box 1905 <br />Santa Ana CA 92702 <br />1.UVr_KAUtb <br />INSURERA: Great American <br />INSURER B: <br />INSURER D: <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 CERTIFICATE 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 />ILTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/D <br />DATE MM/DD/Y1' <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIALGENERAL LIABILITY <br />CLAIMS MADE �X OCCUR <br />PAC6536218 <br />05/02/03 <br />05/02/04 <br />EACH OCCURRENCE <br />f l 000 000 <br />FIRE DAMAGE (My we11re) <br />E200 000 <br />MED EXP(Any one Person) <br />510,000 <br />PERSONAL B ADV INJURY <br />S1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- <br />JECT <br />GENdRALAGGREG: .. <br />S %, "L, 1, V V <br />PRODUCTS-COMP/OPAGG <br />$1,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALLOWNEDAUTOS <br />SCHEOULEDAUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />- <br />PAC6536218 <br />05/02/03 <br />05/02/04 <br />(Ea aciddEentSINGLE LIMIT <br />$1,000,000 <br />BODILY INJURY <br />(Per person) <br />S <br />X <br />BODILY INJURY <br />(Peraaident) <br />$ <br />X <br />PROPERTYDAMAGE <br />(Per accident) <br />S <br />GARAGE LIABILITY <br />ANY AUTO <br />APPROVED <br />AS Tv ry <br />._.. <br />AUTO ONLY. EA ACCIDENT <br />S <br />OTHEA ACC <br />AUUTOON'LYY:" AGO <br />$ <br />f <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION S <br />Lau a Shc4dy <br />Peputy City At <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />f <br />Ofh y <br />f <br />f <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />i <br />TORYLIMITSI ID <br />ER <br />E.L. EACH ACCIDENT <br />S <br />EL. OISCASE•G L,_,_:':_CI. <br />E.L. DISEASE -POLICY LIMIT S <br />i <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />With respects to the additional insureds, this insurance shall not be <br />cancelled or materially reduced in coverage or limits except after (30) days <br />written notice has been given to the City of Santa Ana. <br />UC,( I IrIUA I C nULUCK IT I ADDITIONAL INSURED; INSURER LETTER:_ QANGELLATION <br />SANTANA I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana, Community DATE THEREOF, THE ISSUING INSURER WILL Kojf.yWe'fB'MAIL 30_DAYSWRITTEN <br />Development Agency M-25 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Att: John Maloney <br />P.O. Box 1988 [WFjCi91!(1Jtl}L�N�BFF T IgRu'v�4{akfAIjEs} <br />Santa.Ana CA 92702-1988 <br />
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