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MARIPOSA WOMEN'S CENTER 1
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MARIPOSA WOMEN'S CENTER 1
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Entry Properties
Last modified
8/23/2021 12:55:56 PM
Creation date
8/15/2003 4:11:04 PM
Metadata
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Template:
Contracts
Company Name
Mariposa Women's Center
Contract #
A-2003-074-26
Agency
Community Development
Council Approval Date
5/5/2003
Expiration Date
6/30/2004
Insurance Exp Date
2/1/2004
Destruction Year
2009
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A -,2x3-o-74-- a to <br />'ACOt_D CERTIFICATE OF LIABILITY <br />INSURANCCp�Z <br />°Aozioa 03 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Everest Insurance Services Inc <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. 0. Box 10788 <br />HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTEND OR <br />1651 E Fourth St., Suite 150 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana CA 92701 <br />Phone: 714-569-0800 Fax:714-569-0807 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER Philadelphia Indemnity <br />INSURER B <br />INSURER C J <br />Mariposa 14 1 n l s Center <br />812 Town and Country Road <br />Orange CA 92666 <br />msuRERD <br />INSURER P <br />COVERAGES <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />INSRTYPE OF INSURANCE POLICY NUMBER POLICY EFFECNVE ;POLICY EXPIRATION' LIMITS <br />LTR DATE (MMIDDMI :DATE AIMIDOM') <br />I GENERAL LIABILITY <br />1 E-:H JCCURPENCE <br />5 1 , 000 , 000 <br />A X COMMERCV,LGENERALUASILITY <br />PHPK041864 <br />02/01/03� 02/01/04 <br />100,000 <br />QAIMS MADEDfl <br />-D EYP Fry gne'r'n j <br />i 5 , 000 <br />$1,000,000 <br />IP_4SCNAL&ADVINJURl <br />:crvERAL AG,rrEcnrE <br />�,P=-n <br />$ 2 , 000 , 000 <br />Ij2,000,000 <br />DENY AGGREGATE LIMIT APPLIES PER <br />POLICY � IJEAT LOC <br />-TS-y JMPpJF a;} <br />I <br />AUTOMOBILE <br />A <br />LIABILITY <br />ANY AUTO <br />PHPK041864 <br />02/01/03 <br />02/01/04 <br />GJM6vaED 5w3LE LIMIT <br />IE'accident) <br />$1, 000, 000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED ALrt�iS <br />EODILY d.rD <br />(Er accldeni) <br />S <br />X <br />X <br />HIPE)AUTOS <br />NON -OWNED <br />NCNNED PNTOS <br />PROPERTY DAMAGE <br />IPer ecadem) <br />$ <br />GARAGE LIABILITY <br />ALSO ONLY -EA ACCIDENT <br />$ <br />�ANYAUTO <br />//:: tt <br />A I:ZOVYD AS <br />{- } <br />\� f-t�y�jl•� <br />GTHERT"I B. HCC <br />$ <br />i <br />- <br />: TO ONLY AGe <br />EXCESS LIABILITY <br />CLAIMS MADE <br />JIJR C <br />._ L�ECU.T6LE <br />Lau ShLLd} <br />l <br />vULJNIV City Attpl <br />I <br />E-CH O:CURPENCE <br />RELATE <br />$ <br />$ <br />$ <br />I kETENTON <br />WORKERS COMPENSATION ANDUH- <br />EMPLOYERS' LL101LITV <br />LIMITS ER <br />E_ EACHACCIDENT <br />$ <br />E_ DISEASECAEMPLIi YEEI <br />; <br />E_ OiSEE- POLICY LIMIT <br />nS <br />_ <br />$ <br />1 <br />OTHER <br />A (EMPLOYEE DIS. <br />PHPK041864 <br />02/01/03: 02/01/04j $25,000 LMT$500DED <br />A .'PROF. LIABILITY <br />PHPK041864 <br />02/01/03 02/01/04 1,000,000 LIMIT <br />DESCRIPTION OF OPERATONSILOCANONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />*10 DAYS NOTICE OF CANCELLATION WILL BE GIVEN FOR NON-PAYMENT OF PREMIUM. <br />CERTIFICATE HOLDER IS NAMES AS AN ADDITIONAL INSURED AS PER FOR #CG20261185 <br />ON FILE WITH THE INSURANCE CARRIER. <br />CERTIFICATE HOLDER I Y AOUDUONAL INSURED, INSURER LETTER: CANCELLATION <br />SANTA A <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL 4!VtNItfN MAIL * 30 DAYS WRITTEN <br />CITY OF SANTA ANA-CDBG M-25 <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />COMMUNITY DEVELOPMENT AGENCY <br />P.O. BOX 1988 M-25 <br />SANTA ANA CA 92705 <br />I <br />ACORD 25-S(7/97) 61 A — (CACORD CORPORATION 19SE <br />
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