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SADDLEBACK INN - 1971
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SADDLEBACK INN - 1971
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Last modified
6/19/2014 3:05:59 PM
Creation date
4/21/2011 1:18:10 PM
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Template:
Contracts
Company Name
SADDLEBACK INN
Contract #
A-1972-25
Agency
Public Works
Council Approval Date
8/11/1971
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C OF INSUR MCE <br />This Is to cextlfy PLs[ (TEH It Mansfield, Ohio <br />po,;yr,q <br />has issued to <br />ASSURED SaddlebAck Inn, Santa Anaf InC. <br />ADDRESS 1660 East First Street,-. . Santa An California <br />LOCATION CO FRED ab ove ., <br />DESCRIPTION OF WORK All .o .e at.lo of' the 'insured <br />Policies of Insurance Described as Follows: - <br />POLICY o. KIND of INSURANCE LISTS LIMIT S FYFF_C"TrvE EXPTRFS <br />Automobile <br />Bodily Injury <br />Automobile <br />Property Damage <br />Each Person $ <br />Each occurrence <br />Each Occurrence $ <br />Autoinobile 0 Co isiou or Upset less <br />Physical Damage Deductible <br />Comprehensive <br />Fire and Theft <br />Covers: <br />(Description of Automobile) <br />Covers: <br />Description of Automobile) <br />Covers: <br />(Description of Automobile <br />THIS CERTIFICATE ISSUED AT THE REQUEST OF: <br />I a=e City-of Santa Ana Santa Ana � aliforhia <br />3/6/7.2 3/6/73 <br />THIS CERTIFICATE OF INSURANCE <br />NEITHER AFFIRMATIVELY NOR <br />NEGATIVELY AMENDS, EXTENDS <br />R ALTERS THE COVERAGE <br />AFFORDED BY ANY POLICY <br />DESCRIBED HEREIN. <br />Address <br />IF CERTIFICATE ISSUED AT LOSS PA. EERS REQUEST, CHECK HERE <br />In the event of any material change In or cancellation of said policies, THE LUNMERNIENS MUTUAL INSURANCE COMPANY <br />Intends to notify the party to whom this Certificate is addressed of such change or cancellation, but undertakes no responsibility <br />by reason of any failure so to do (except as required by Lou payable Agreement Form 49A on revue side). <br />Dated at June '23, r 19-72 5.rr 'I' LU BE N MUTUAL INSURANCE C D <br />19 BIT A � <br />L. M. I C f I 1 <br />Authorized Representative <br />Each Person <br />Bodily Injury Liability <br />Each Occurrence <br />Combined SIngle <br />Aggregate products <br />Limits. <br />Each Occurrence <br />Properly Damage <br />Aggregate Operallons <br />Liabillty - except <br />Aggregate Protective <br />Automobile <br />Aggregate Products <br />....�,. <br />Aggregate Contractual <br />$� <br />Automobile <br />Bodily Injury <br />Automobile <br />Property Damage <br />Each Person $ <br />Each occurrence <br />Each Occurrence $ <br />Autoinobile 0 Co isiou or Upset less <br />Physical Damage Deductible <br />Comprehensive <br />Fire and Theft <br />Covers: <br />(Description of Automobile) <br />Covers: <br />Description of Automobile) <br />Covers: <br />(Description of Automobile <br />THIS CERTIFICATE ISSUED AT THE REQUEST OF: <br />I a=e City-of Santa Ana Santa Ana � aliforhia <br />3/6/7.2 3/6/73 <br />THIS CERTIFICATE OF INSURANCE <br />NEITHER AFFIRMATIVELY NOR <br />NEGATIVELY AMENDS, EXTENDS <br />R ALTERS THE COVERAGE <br />AFFORDED BY ANY POLICY <br />DESCRIBED HEREIN. <br />Address <br />IF CERTIFICATE ISSUED AT LOSS PA. EERS REQUEST, CHECK HERE <br />In the event of any material change In or cancellation of said policies, THE LUNMERNIENS MUTUAL INSURANCE COMPANY <br />Intends to notify the party to whom this Certificate is addressed of such change or cancellation, but undertakes no responsibility <br />by reason of any failure so to do (except as required by Lou payable Agreement Form 49A on revue side). <br />Dated at June '23, r 19-72 5.rr 'I' LU BE N MUTUAL INSURANCE C D <br />19 BIT A � <br />L. M. I C f I 1 <br />Authorized Representative <br />
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