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FRIENDSHIP SHELTER 1
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FRIENDSHIP SHELTER 1
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Entry Properties
Last modified
12/3/2015 4:44:28 PM
Creation date
8/15/2006 9:00:17 AM
Metadata
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Template:
Contracts
Company Name
FRIENDSHIP SHELTER
Contract #
A-2006-059
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/3/2006
Expiration Date
6/30/2007
Insurance Exp Date
3/22/2007
Destruction Year
2012
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ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMMNYYY) <br />07/05/2006 <br />1 07/05/2006 <br />PRDDUCER (949) 709-8800 FAX (949) 709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Empresa <br />Suite 200 <br />RSM, CA 92688 <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 />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Fr i endsh i p She I ter, I TIC. <br />P.O. BOX 4252 <br />Laguna Beach, CA 92652 <br />INSURER A NONPROFITS' INSURANCE ALLIANCE <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E <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 />MIR <br />ZFTYPE <br />OF INSURANCE <br />POLICY NUMBER <br />POLICYEFFECTIVE <br />IMIlUBDOODION <br />POLICY EXPIRATDAM <br />LWRS <br />Paul Weeni CIC/KRISTY T"`�'.g" <br />GENERAL LIABILITY <br />2006 -03294 -NPO <br />03/22/2006 <br />03/22/2007 <br />EACH OCCURRENCE $ 1,000,00 <br />X COMMERCIALGENERALLIABIUTY <br />DAMAGE TO RENTED $ 100,00 <br />FNSES(Fw <br />CLAIMS MADE aOCCUR <br />�„•,' <br />-PRMEDEXP(Anyone <br />Person) $ 10,00 <br />A <br />PERSONAL8ADVINJURY $ 11000,00 <br />GENERAL AGGREGATE $ 2 ODD 00 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OPAGG $ 2,000,0 00 <br />POLICY El JEC X LOC <br />AUTOMOBILE <br />LIABRRY <br />2006 -03294 -NPO <br />03/22/2006 <br />03/22/2007 <br />ANY <br />COMBINED SINGLE LIMIT <br />$ <br />AUTO <br />(Ea acG W) <br />1,000,000 <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />A <br />SCHEDULED AUTOS <br />(Par Parson) <br />X <br />HIREDAUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per ac t) <br />PROPERTY DAMAGE $ <br />(Per accid.M) <br />GA RAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EXCESSIIIMBRELLALIABILITY <br />2006-03294-UMB-NPO <br />03/22/2006 <br />03/22/2007 <br />EACH OCCURRENCEs 1 , 000, 00 <br />X OCCUR FICLAIMS MADE <br />AGGREGATE E <br />A <br />$ 1,000,0 <br />DEDUCTIBLE <br />E <br />RETENTION f <br />E <br />WORKERS COMPENSATION AND <br />WC STATLL OTH- <br />EMPLOYERS' LIABILITY <br />E.LEACHACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTNE <br />OFFICEIVMEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYE S <br />K yes. daeoTibe Unser <br />SPECIAL PROVISIONS bebw <br />E.L. DISEASE-POLICV LIMB E <br />OTHER <br />DESCRIPTION OF OPERATKNIS I LOCATIONS / VEHICLES / EXCLUSIONS ADM BY ENDORSEMENT/ SPECIAL PROVISgHS <br />ERTIFICATE HOLDER IS ADDITIONAL INSURED PER THE ATTACHED CG2026 <br />10 DAY CANCELLATION NOTICE FOR NON PAYMENT OF PREMIUM <br />25 (2001/0I1) <br />/q ©ACORD CORPORATION 1988 <br />�MCLLNIIVR <br />SHOULD ANY OF TILE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA <br />FRANK HERNANDEZ <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />20 CIVIC CENTER PLAZA <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />PO BOX 1986 <br />SANTA ANA, CA 92702 <br />OF ANY AND UPON THE INSURER, RS AGENTB OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVEyq,, <br />Paul Weeni CIC/KRISTY T"`�'.g" <br />25 (2001/0I1) <br />/q ©ACORD CORPORATION 1988 <br />
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