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NAKOMA GROUP 1C - 2004
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NAKOMA GROUP 1C - 2004
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Entry Properties
Last modified
1/3/2012 2:40:11 PM
Creation date
1/25/2005 9:09:16 AM
Metadata
Fields
Template:
Contracts
Company Name
Nakoma Group
Contract #
A-2004-255
Agency
Finance & Management Services
Council Approval Date
11/15/2004
Insurance Exp Date
5/1/2007
Notes
Amends A-2001-254
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<br />J6n-04~04 01 :39'm <br /> <br />From-ISO INTERNATIONAL <br /> <br />"6.ea-.Þ! t'VT.JI A-.)r;o"--.),L' <br />T-819 POI/02 H86 .. c;;>. <br /> <br /> Ur'IU .t"~1 06/04/04 <br />.. NA!<OM-l <br />PROOUClEft THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />I$G Int.~national, Ino. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTENP OR <br />2?4 Ceda~ Street. P.O. ¡¡OX 7J.6 AL Te:ft THE COVERAGE AFFORDe:O BY THE POLICIES BELOW. <br />c~~~~idge MP 216J.3 <br />Y~~~.,410-228-6'64 rax,410-228-7645 INSURERS AFFORDING COVERAGE NAIC# <br />(~_._- 4- ;)..[.JDI - J.t¡;'¡ " <br /> ~URAeR A: St. Paul Techno10aV' <br /> ~ - .;1l\?..< -;)./1 ~~Re' Gz;:eat ;.merica~.. Ins. i:~ ...-.., <br />Nakoma Group. loloC A ~Da3 -,;¡~;¿ <br />DaY8 B~rt).es - - INSuRER c: <br /> -- <br />16795 on Karman Sta. 240 INSL.lA!R c; <br />Irvine CA 92606 <br /> INstJReR é; <br /> <br />\ <br /> <br />ACORD <br /> <br />4102210085 <br />CIERTIFICATE OF LIABILITY INSURAN(;t. <br /> <br />COVERAGES <br /> <br />TH¡ POLICIES OF INsURANCE, LIST!O BEI.OW tiAVe. DlõEN ISSU'D TO THE INSIJRED NAMED ABOVE FOR THE POL.ICY peRIOD INCICAttO. NOTWITHSTANDING <br />ANY REQUIR=~..H.NT, reRM Ol~ cONDITION Or ANY CONTRACT OR OntER DOCUMENT wrTl1 RESPSCT TO WHICH 111IS CeRTIFICATE MAY ør; ISSUt:D OR <br />MAY PiRTAIN, TH5 INSURANGE AFFORCED BY THE POL.ICIES DêSCRtßI!D tiERIiIN IS Su6J6CT TO ALL THE TERMS. exCLusIoNS AND CONDITION$ OF SUCH <br />PO!-\CIt:S. AGGRæGA.TE LIMITS SHOWN MAY HAV¡ BEEN REDuceD ey PAID CLAIMS, <br /> <br />n:~;: \\;.Js~";:; TYPE OF I..¡SURANC& <br />r ,. "'~~RAL.LIA~m.ITf <br />I ' ~ <br />¡ A ! X i X I COMMERCIAL Gr::NERAL I.IAi!ILITY <br />H' J CI.AIMS "lADe ~ OCCUR <br /> <br />f..--.,-.. <br /> <br />~'L AG;G;REGATf L.IMIT APPL\ES PlIl't <br />X POLICY ~~8r I.OC <br />AUTQMOBI~E: UAEIUTY <br />ANY AUTO <br />ALI,.OWNeOÞIJTQS <br />SCHEDUl-aJ ;\uTOS <br />X HIRED AuTO¡ <br />X I NONoOWNEO A,uTOS <br /> <br /> <br />POI-ICY NUM8'R <br /> <br />'1'10080J.9:l9 <br /> <br />05/0J./04 <br /> <br />EACH OCOuRRENC¡: <br />ûETO~D <br />PREMISES e O~uren~ <br />MeD eXpo (1¥1'i one pel"&On) <br />PERSONAL & ADv INJU~Y <br />GENERAl- AGGREGA,TIõ <br />PRODUCTS. COMP,OP AGG <br /> <br />COM~IN!D SINGl.Eõ I-IMIT <br />(eail~ldenr) <br /> <br />IX <br /> <br />~OOll Y INJuRY <br />(Perpeo;an) <br /> <br />05/01/05 <br /> <br />05/01/04 <br /> <br />Tli00SOU29 <br /> <br />eOOl1- Y INJURY <br />(P81&CCldonl) <br /> <br />IA. <br /> <br />H-- <br />I I <br />~RAG& L.IA.BIUT'( <br />I ANY AuTO <br /> <br />pA,OPERTV DAMAG5 <br />(persC'CldCn\) <br /> <br />AuTO 01>11. Y . i:A ACCIDENT $ <br /> <br />OTnER THAN 5AACC $ <br />AUTO Ofoll Y; AGG S <br /> <br />A <br /> <br />!XC¡¡:S$lUMBRIEl.I.A LlABIL.IT't <br />X OCCUR 0 ClAIMS MAD!: <br /> <br />EAC/1 OCCLJRR~Ca <br />AGGRgGATE <br /> <br />TB0080J.929 <br /> <br />05/0J./04 <br /> <br />05/01/05 <br /> <br />X PIIDUCTIBI.E <br />RETi'.TIO. $10 000 <br />.1' ;. WORtCERS COMPaNSA11ON ANP <br />: ¡:MPl..DYIR$' UABIUTY <br />'I B i ANV PRoPRleTORIPARTNERI~CUnVE <br />. OFFICER/MEMBER EiXCtuOeO? <br />¡fl~,Qascrlbt:l.indo:' <br />I S¡>EC~ PROVISIONS !:Itlow <br />, OTHiR <br /> <br />LIMITS <br /> <br />,1 000 000 <br />,250 000 <br />110,000 <br />.11,.000,009 <br />12 000.000 <br />'2,00~.000 <br /> <br />$ 1,000,000 <br /> <br />$ <br /> <br />, <br /> <br />$5 000 000 <br />15 000 000 <br />$ <br />$ <br />$ <br /> <br />WC54794J.3 <br /> <br />07/0J./03 <br /> <br />07/0J./04 <br /> <br />X TORY \- MITÅ ER <br />0.'. EACH ACCIP..T ,1 000 L 000 <br />e., OISEASE . EA EMPCOYEe $ 1 , 000 000 <br />OC.PISEAS..POLlCYLlMIT ,1 000 000 <br /> <br />I gI!SC~PTlON OF OPERATIONS I LOCAnONS I VEHfC..ES I exC~USlCNS AOOa:r BY ENOORSEMENT ¡SPECIAL PROVISIONS <br />City of sane.. ,~na Also Li$eed 11.$ Additional Insured <br /> <br />rìiL,~,v <br /> <br />;/5 <br /> <br />CERTIFICATE HOLDElt <br />! <br /> <br />CIT¥O~$ <br /> <br />CANCELLATION <br />SHOULD ANY OF THE AeOVE DUCRlef!!O POUCIES se CANCEl-LED BiFom THE eXPIRATION <br />CAn: l1'IEREOF, THI!. ISSUING INSURER WII,.L. 'N)~VOR TO MAl" ~ DAYS WRITTeN <br />NanCE TO THE ceRTIFICATE HOL.OiR NAMED 10 THa U=FT. BUi FAI~URE 10 DO sa SHALL. <br />IMP05i,..0 OBLlCATlON OR UABII.IT'( OF AAY KIND I,IPQN 111E 'N$U~¡;:~ TS AC&:NiS OR <br />JUiPRESENTATlVES. <br />A zeAP $ <br /> <br />City 0;: Santa Ana <br />"InfOrIlLiition service¡ <br />Atten, Lynd.. Ké11y <br />p 0 bo;< 1988 <br />Santa .~na CA ~2702 <br /> <br />M-J.2 <br /> <br /> <br />C1A.. <br />@ ACORD CORPORATION 1981 <br /> <br />ACORD 25 (2001/08) <br /> <br />~ <br />
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