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MANGOSING, PETER 6A - 2010
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READY TO DESTROY IN 2019
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MANGOSING, PETER 6A - 2010
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Entry Properties
Last modified
4/21/2016 3:18:47 PM
Creation date
2/1/2012 7:27:57 AM
Metadata
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Template:
Contracts
Company Name
MANGOSING, PETER
Contract #
N-2010-084-001
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2012
Insurance Exp Date
1/6/2013
Destruction Year
2019
Notes
Amends N-2010-084 Amended by N-2010-084-002
Document Relationships
MANGOSING, PETER 6 - 2010
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
MANGOSING, PETER 6B - 2010
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
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PRODUCER <br />Maguire l n surance Agency, Inc. <br />27101 Puerta Real Suite 200 <br />Mission Pejo, CA 92691- <br />(877 <br />)a3.a459 <br />peter ma ngosing <br />118 W Stevens - <br />S-1. Ana, CA 92707 - <br />COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/\ <br />12/0./2011 <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW - <br />N -2010-084-001 NSURER B: <br />INSURER C: <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 CERIFICATION 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 />INSR <br />ADD -L <br />POUCV EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE(MM/DD/YYYV) <br />DATE (MM/OD/YYYYI <br />OMITS <br />A <br />X <br />GENERAL LIABILITY <br />PHPK603-001 <br />01/06/2012 <br />01/06/2013 <br />EACH OCCURENCE $1,000,000 <br />PREMISES Ea occurrence $100,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE EX OCCUR <br />MED EXP (Any one person) 52,500 <br />PERSONAL & ADV INJURY $1,000,000 <br />TXPR-FESSIONAL LIABILITY <br />GENERAL AGGREGATE $3,000,000 <br />PRODUCTS – COMP/OP AGG $3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />% POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANV AUTO <br />(EA accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per -6 -0 <br />GARAGE LIABILITY <br />AUTO ONLY– EA ACCIDENT <br />OTHER THAN EA ACC <br />ANY AUTO <br />AUTO ONLY: <br />AGG <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURENCE <br />OCCUR = CLAIMS MADE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />EMPLOYERS' LIABILRY Y N <br />ANV PROPRIETOR/PARTNER/EXECUTIVE <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />OFFICER/MEMBER EXCLUDE DT <br />E.L. DISEASE– EA AMPLOYEE <br />(Mandatory In NH) <br />SPECIAL PROVISIONSr below <br />E - DISEASE POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />It is understood and agreetl that th¢ following entity is added as an additional insuretl but only with respeaa(s) m the operations of the named insuretl except that (lability resulting from the atltlitlonal insuretl's sole <br />n¢gligence. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />City of Santa Ana THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 GAYS WRfTTEN NOTICE TO THE <br />20 Civic <br />v c Center Plaza CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br />Santa Ana, CA 92201- —_ UABILI Y OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />_ _ L AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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