Laserfiche WebLink
<br />'. <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIVVVY) <br />..... 07M3I2Q06 <br />PI'ION: (eGO) rC.VS13 11'"", (303) oI(22.1:rn! THIS caRTlPICATB II 1S$U1tI' AS A MAneR 0' INfOIUtATION <br />rHt: CAMP lV\1I ONLY AND CONl'!RB NO IlIGHTa Ul'OH THE C!RTlFteATE <br />7&15 W. 31fTM AVI!, UNIT 11-101 ~~}="....;"'IS CERTII'IC~~~ ~ u.;:,~~n;,~ DR <br />WHEAT RIOQE CO 80033 E M YTHEP 8 ow. <br /> ,"SURERS AFFORDING CovERAGE NAlC . <br />INSUREO INSURER A: Am.ncanAiemattwiM:eorp. <br />ORANQE COUNTY YOUTH COMMISSION INS~~.I~ 8: <br />llSO E.17T11 STIIlaET .211 "SUR~~:. <br />SANTA AHA CA 92705 ...-... <br />.1IlS~RIR D: <br /> INSURER E: <br /> <br />COYl!RAGES <br /> <br />THE POl.JeIES OJ: INSURANCIi lJ811i,D ata,OW ~V& 8&EN ISSUED TO THE INSU!'.~.. NAMeD ASove. POft THE POLeY"'fUOD ItMllCATm, NOTWITHBT.NOING <br />ANY R&~. TERM OR COHDInoN Of A~ CONTAACT OR OTHI!R: 00ClN!N'T WITH AlSP&Ci 'I"OWWICJ.4 TIfIS CgmFICATE PrAA.V BE 189U!D 0" <br />MAY ~T"'M. THE INIUftANC~ AJ1IOfltDED I!Y ntI POLICIIS O&$CRIIHiD MtRlilN 18 SU8JF..CT TO All THI! ~M$, exCLUSIONS AND CONDmONS OF SUCK <br />POlICIES. AGOAIGATIl LMT$ 8MOWN YAV IoIAVE ,,'iii PliOUCEO BY PAID ctA1U8. <br />~ ~ --. --.. "-'"0" <br />TYPE Of: INSURANCE OOUCY_ I"CItJCYIlIPIC'nII ~~ W"IRAnclIU LOlITa <br /> ~lRAl UA8IlrrY 78A2GL 10000001 10122105 1012aJGe .IL. I <br /> .-.- <br /> X COMMI!"CtftL GINIRN. LlABJUTY =:a...~~ I -,- <br /> j Cl.AJMSMADIi~ OCCVR ~,"~~.!~~CIM ~) I ~rol. <br />A ~ 1~l!!.~C PNtTfCrPANTI PERSONAll' ArN INJUfitV . 1,000,000 <br /> ...- <br /> .= CENI!RAl AGGAiGAn;; I 2,0001000 <br /> !!l~ AOO~n L::6.APPr~!tEA: PRODVCTS..coMf'lIO' -'CG . 1.00~~ <br /> POliCY I ~;.:r LOC <br /> AlJfOMOIILI UAlILITY COWIINeDSINOl.li.LIMIT <br /> IWYA\M clillllOCldtnll . <br /> ',..- =.m,... <br /> - ALL OWNeO AUTOS IK)I)ILYlNJWlly <br /> SCHmut.!DAUTOS f~P'rIOfll I <br /> - '".. <br /> - tt'''!D AUTO, eooll. Y IN.AlIllY <br /> (','" . <br /> - NON-OWNED AUTO$ ~~. (Pl'If KeilIMI) <br /> 10 '-"".'. .. . ...- <br /> - -<" t->~~.J ./ ":"~~FCiI! . <br /> R',lIILlOlIIUTv :?,.6..... ~ ~ &t!Q...Q!!I!..':,:!iAACCIDI:NT , <br /> ANY AUTO r3: i 't,. S'\O~~\OII\ ~ OTHU THAN If....,.,.. , -.-.",- <br /> '" <br /> . , V AUTO ONLY: A.. I <br /> p~ I UMBIV;U.A UAMJTY () p\.: (\\ v., ~ ) !AOH OCCURRENCI! . <br /> OCCUR DCLANSMADE ~S' I'~ ... <br /> Cl pk AO$ItfOATE I <br /> ... <br /> I <br /> ~ ~DOO118LE . . <br /> I <br /> RlTlNTIQN , .. <br /> . <br /> WQIIKWq r::a..!JlItAT1ON AND ]T"'".,U.I ,. <br /> .JlIPIlt.OVIflII' UMIIUTV .._,"..l~Jl!YLlMfT'8 0TI,,1Il ., <br /> MfI( ....Dt>_I_~DtCXIQI1'M E,l. EACH AeclOl!NT . <br /> OfFa""'''lllCLUIIlIO? U, OISlA.$E.iA U1Pl.0V!! . <br /> :.r:w............ .....-- <br /> MI/M!IfIOlI........ l!.L, QIIiIiiAGfi.POlICV LMT . <br /> OTHER: <br />DUCRIP'TJON OF OPERAnON8llOCATlONSIYl!Hl L&SIIXCLUSIONS ADDED IY IINDORSEME;NTI SPECIAL PROVISIONS <br />YOUTH MENTORING f SAHTA ANA. CA. <br />POLICY DIDUCTI8I.I!: .0.00 PER EACH BOOIL Y IN URY OR PROPellTY DAMAGt: CUIIIL <br />AOOmllNAL INSUREDlSI: CITY OF SANTA AliI\, A '" PARTICIPANTS. STAFF AND FAClUnES AS SCHIlDULED WITH THE COMPANY. <br />CER11F1CATlI HOLDER CAllCELLAnON <br />CiIy of Sonta Ano SHoUI.D ANY OF Ttfl! A80Ye oeSCAIlitEO POLICteS BE OMCILLlD IEFOM'THE: <br />lOC_~P_ EXPlRA.TION OAT! THEMO". 'T'MIi ISStllNG I~Uft!" WILL MAl. 30 DAYS WAITT!!N <br />SOnta..... CA t27V1 NOTICE TO THe: CeRTIfIICJ\1l! H()I.g(R NAM!O TO THl! LEFT. <br /> AUTHO~ZEO R!PR&RNTA'TIVE hL ...:::?- <br />-: ..~ <br /> ~~ <br /> <br />ACORD 21 (lOO1/O1) <br /> <br />CortWibtt'" 10953 <br /> <br />o ACORD COIIPORATION 1981 <br />