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ACADEMIA LEARNING CENTER, LA 1-2005
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ACADEMIA LEARNING CENTER, LA 1-2005
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Last modified
1/3/2012 3:20:23 PM
Creation date
9/2/2005 10:48:55 AM
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Template:
Contracts
Company Name
La Academia Learning Center
Contract #
A-2005-111
Agency
Community Development
Council Approval Date
6/6/2005
Expiration Date
3/31/2007
Insurance Exp Date
5/10/2006
Destruction Year
2012
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<br />ACORD_ <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />OP 10 T DATE (MMlDOfYYYY) <br />ACADE-1 05 10 05 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 /> <br />PRODUCER <br />Andreini & Company-S.Coast Met <br />License 0208825 <br />One MacArthur Place, Suite 100 <br />South Coast Metro CA 92707 <br />Phone, 714-327-1400 Fax,714-327-1499 <br />INSURED <br /> <br />The Academia Community <br />Learning Center <br />1631 N. Bristol #200 <br />Santa Ana CA 92706 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A: The Hartford <br />INSURER B: <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />NAIC# <br /> <br />COVERAGES <br /> <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 />LT. NS. TYPE OF INSURANCE POLICY NUMBER PJi'TE iMMfDDNYI'" DATE MM/DDIYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 72SBAG3271 05/10/05 05/10/06 PREMISES (Ea occurence) .300,000 <br /> I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,000 <br /> ~ PERSONAL & ADV INJURY $ 1,000,000 <br /> ~ GENERAL AGGREGATE $ 2,000,000 <br /> - <br /> GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG $ 2,000,000 <br /> I 'nPRO- nLOC <br /> POLICY JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - $1,000,000 <br />A ANY AUTO 72SBAG3271 05/10/05 05/10/06 (Eaaccident) <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> lC.. HIRED AUTOS BODILY INJURY <br /> $ <br /> lC.. NON-OWNED AUTOS (Per accident) <br /> ---~ <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> =1 ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 <br />A ~ OCCUR D CLAIMS MADE 72SBAG3271 05/10/05 05/10/06 AGGREGATE $ <br /> -- $ <br /> =1 DEDUCTIBLE . <br /> RETENTION . APPROV F 11 C' ... . <br /> WORKERS COMPENSATION AND ~ '- " ITo~iLI~ifs I IU",\'- <br /> EMPLOYERS' LIABILITY \..<~i/ - <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> '/ ,/ <br /> OFFICER/MEMBER EXCLUDED? . ,..,', ' // E.L. DISEASE - EA EMPLOYEE . <br /> ~~~~I~i.~~b6v~~~6~s below ~1Ur<l S/i[ 7--""'~ "- <br /> ShCl~l,./y' ' E.L. DISEASE - POLICY LIMIT . <br /> OTHER U/ i\[lnr'l, \ <br />DESCRIPTION OF OPERATIONS I LOCATIONSJ VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Certificate holder is named as additonal insured aa respects to general <br />liability coverage. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />Community Development Agency <br />City of Santa Ana <br />P.O. Box 1988 <br />Santa Ana CA 92702-1988 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL.ED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ~Ii ,. .~- -e-MAIL ~ DAYS WRITTEN <br />NOTICE lOTHE CERTIFICATE HOLDER NAMED TO THE L.EFT, CUI r""'L...n.L . _ I. __ _I.......... <br /> <br />I11PgB ..........L._......I!118"L.".,BIL.. 1 _f 'n liIIl ....-...,.,.._...!HRIiR,ITB i!;:l] ......,_ <br />1(1:;1"'''U;;~'''I"tI''''',,__, <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />AUTHO <br /> <br />ACORD 25 (2001/08) <br />
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