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Last modified
3/25/2024 2:21:46 PM
Creation date
1/7/2004 2:21:04 PM
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Contracts
Company Name
Friends of Santa Ana Parks, Recreation & Community Services Agency (Santa Ana Winds)
Contract #
A-2003-074-54
Agency
Community Development
Council Approval Date
5/5/2003
Insurance Exp Date
1/17/2008
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Client#: 38432 <br />SAANWIN <br />(' <br />AR& CERTIFICP& OF LIABILITY <br />INSUSNCE <br />10/13/0300/vY) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Armstrong/Robitaille Bus&InsSv <br />301 E. Colorado Blvd., #301 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena, CA 91101 <br />j <br />626 795-7575 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER A: Charity First <br />SANTA ANA WINDS YOUTH BAND <br />2210 North Victoria Drive <br />Santa Ana, CA 92706 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER 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 UMFS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LT <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />A <br />GENERAL LIABILITY <br />660575X471403 <br />11/29/03 <br />11/29/04 <br />EACH OCCURRENCE <br />$1000000 <br />FIRE DAMAGE (Any one (Ire <br />$100000 <br />X COMMERCIAL GENERALLIABILITY <br />CLAIMS MADE OCCUR <br />MED EXP(Any one person) <br />$5000 <br />PERSONAL& ADV INJURY <br />$1 00O 000 <br />GENERAL AGGREGATE <br />$1 OOO OOO <br />GENL AGGREGATE LIMIT APPLIESPER: <br />PRODUCTS-COMP/OP AGO <br />$1,000000 <br />POLICY PROjECTLOC <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br />$ <br />BURY <br />(Perer person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />- <br />BODILY INJURY <br />(Peraccitlent) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANYAUTO <br />^� <br />- <br />AUTO ONLY. EA ACCIDENT <br />$ <br />OTHERTHAN EAACC <br />AUTO ONLY: AGO <br />$ <br />$ <br />EXCESS LIABILITY <br />- <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />i <br />$ <br />DEDUCTIBLE <br />Is <br />11 RETENTION $ <br />WORKERS COMPENSATION AND <br />MSTATU- OTH <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br />E.L.DISEASE-EAEMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMI <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Name of Insurer: Travelers <br />Storage of equipment at 845 N. Broadway, #3, Santa Ana, CA. 92701 <br />(See Attached Descriptions) <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />I <br />ACORD 25-S (719711 Of 3 @220073 <br />SHOULD ANYOFTHEABOVE DESCRIBED PODCIES BE CANCELLED BEFOPETFE EXPRATION <br />OATE THEREOF,THE ISSUING INSURER W ILLXXJMXXMM MAID— DAYS WRITTEN <br />NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT, BXjVXX0.p(AppJ XAjK= <br />QW9 <br />19911 <br />AtA• <br />
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