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Taller San Jose 1
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Taller San Jose 1
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Last modified
10/20/2015 3:05:30 PM
Creation date
9/15/2003 1:09:27 PM
Metadata
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Template:
Contracts
Company Name
Taller San Jose
Contract #
A-2003-074-45
Agency
Community Development
Council Approval Date
5/5/2003
Expiration Date
6/30/2004
Insurance Exp Date
6/30/2004
Destruction Year
2009
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RightFax <br />9/11/2003 7:34 PAGE 2/3 RightFax <br />ACORDW CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 <br />1 09111/2003 <br />PRODUCER 877 -559 -6769 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie North America, rnc. - Regional Cert Center <br />11201 N. Tatum Blvd. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />UNITS <br />Suite 300 <br />Phoaaix, AL 85028 - <br />INSURERS AFFORDING COVERAGE <br />INSURED Sisters of St. Joseph of Orange <br />INSURERA: Hartford rnaurancs Copany of the Nidwst 37478 -001 <br />INSURERS: <br />480 South Batavia <br />Orange, CA 92868 <br />INSURER C: <br />FIRE DAMAGE M ow1m <br />INSURERD: <br />INSURERE: <br />E <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 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 LIMBS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />TYPEOFMSURANCE <br />POUCYNUMBER <br />POLICY E <br />POU Y TION <br />UNITS <br />No. N25 - P.O. Box 1980 <br />GENERALLMILTTY <br />BBMI.ERCNL GENERAL UAEILTTY <br />CIAMSMADE OOCCUR <br />AUTHORQEDREPRES AT <br />EACHOCCURRENCE <br />S <br />FIRE DAMAGE M ow1m <br />S <br />MEDEXP(Ariyowpaa <br />E <br />PERSONAL a ADV INJURY <br />E <br />GENERALAGGREGATE <br />E <br />GBNLAGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />72 LOC <br />PRODUCTS- COMPOPAGG <br />E <br />AUTOMOSILEUAMUTY <br />ANYAUTO <br />ALOWNEDAUTOS <br />Sq®IMEDAUTOS <br />HUREDAUTOS <br />NONOMTED� <br />APY' O <br />ED AST <br />FORM <br />CONBINEDSINGLEUMIT <br />(EaseOOam) <br />$ <br />BODILY INJURY <br />(PeP —) <br />S <br />BODILY INJURY <br />(PAfACwml) <br />$ <br />P(PosoxisTVAII AMAGE <br />E <br />GARAGELIABILITY <br />ANYAUTO <br />I,a T2 S <br />F)orutv Ci <br />ATTOONLY- EAACCIDENT <br />S <br />dy <br />v Attorney <br />OTHFA THAN EA ACC <br />AITOONLV: AGG <br />S <br />$ <br />IXCesS LIABILITY <br />OCCUR FI CLNMSMADE <br />DEDUCTIBLE <br />RETENTION E <br />EACHOCCURREHCE <br />S <br />AGGREGATE <br />_ <br />E <br />S <br />S <br />S <br />A <br />WORNERSCOMPENSATIONAND <br />EMPLOVERS- LU1aLRY <br />72UNC93300 <br />5/31/2003 <br />, <br />5/31/2004 <br />X I we Tr- <br />EL EACH ACCIDENT <br />S <br />EL DISEASE - EA EMPLOYEE <br />$ 2,500,000 <br />EL DISEASE - POLICY L14T <br />E <br />OTHER <br />DESCRIPTION OF OPERATRONSILOCATXMWE HICLEAMCLIMIONS ADDED BY ENDORS ENE NUBPECIAL PROMMONS <br />Re: SSJO dba Taller San Jose, Slack Grant, 810 N. Poinsetta, Santa Ana, CA 92701 <br />25-3 (7ro77 0011:812180 TP1:184177 Ce x:3414506 0 ACORD CORPORATION 1988 <br />SHOULD AMT OFTHE ABOVE DESCIDBEO POUCIES BE CANCELLED BEFORETHE EXRRATON <br />DATE THEREOF, THE MUM INSURER WILL ENDEAVOR TO MAL 30 DAYS WRITTEN <br />City Of Santa ana, its Officers, agents <br />and FmPloyee Community DswlOpment Agency <br />20 Civic Canter Plaza <br />NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT <br />No. N25 - P.O. Box 1980 <br />Attn: Lucy Flores <br />Santa Ans, CA 92702 <br />AUTHORQEDREPRES AT <br />25-3 (7ro77 0011:812180 TP1:184177 Ce x:3414506 0 ACORD CORPORATION 1988 <br />
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