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VILLA CENTER, THE (2) -2012
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VILLA CENTER, THE (2) -2012
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Last modified
12/5/2012 3:52:21 PM
Creation date
12/5/2012 10:02:13 AM
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Contracts
Company Name
VILLA CENTER, THE
Contract #
A-2012-059
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
3/19/2012
Expiration Date
6/30/2013
Insurance Exp Date
7/28/2013
Destruction Year
2018
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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE ° <br />' <br />,, 07/28/20 2 <br />PRODUCER 800-736-3904 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />SEARCY INSURANCE CENTER, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />15152 OAK RANCH DRIVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />VISALIA, CA 93292-9372 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURERA: PHILADELPHIA INDEMNITY INS. CO. <br />VILLA CENTER, INC. -THE <br /> INSURERS: <br />910 NORTH FRENCH STREET <br /> INSURER C: <br />SANTA ANA <br />CA 92 INSURER D: <br />, <br />701 <br /> INSURER E: <br />COVERAGES <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 />INSR DD' <br />POLICY EFFECTIVE POLICY EXPIRATION - - <br />POLICY NUMBER LIMITS <br />DATE (mm/nnim <br /> GENERAL LIABILITY - - EACH OCCURRENCE $ 1,000,000 <br />A X X COMMERCIAL GENERAL LIABILITY PHPK900006 07/28/12 07/28/13 PRDAMAUE: 10 EMISES (Ea HENI occurence) $ 100,000 <br /> CLAIMS MADE 17X7 OCCUR MED EXP (Any one person) $ 5,000 <br /> PERSONAL BADVINJURY $ 1 <br />000 <br />000 <br /> , <br />, <br /> GENERAL AGGREGATE $ 3,000,000 <br /> <br /> GEN'LAGGREGATE LIMIT APPLIES PER <br />- PRODUCTS, COMP/OP AGG $ 3,000,000 <br /> <br />PRO) F <br />] <br />CT <br />POLICY JE <br />E T LOC <br /> <br />A <br />X AUT OMOBILE LIABILITY <br />OMB SINGLE LIMIT <br />$ 1 <br />000 <br />000 <br /> ANY AUTO PHPK900006 07/28/12 07/28/13 Ea accident) <br />dent) , <br />, <br /> ALL OWNEDAUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIREDAUTOS <br /> BODILY INJURY $ <br /> X NON>OWNEDAUTOS (Per accident) <br /> <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY) EA ACCIDENT $ <br /> ANY AUTO <br />tQ A EA ACC <br />OTHER THAN $ <br /> 4 <br />. <br />yV Y AUTO ONLY: AGG $ <br /> EXCE RELLALIABILITY <br />'?QR <br />r <br />EACH OCCURRENCE <br />$ <br /> CUR CLAIMSMADE 5 <br />?or <br />? <br /> • <br />`' P AGGREGATE $ <br /> G\? <br />7 <br /> r? $ <br /> DEDUCTIBLE g\S? <br /> PS $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br /> <br /> <br />EMPLOYERS' LIABILITY WCSTATU? OT <br /> <br />W <br /> <br />TORY LIMITS <br />ER <br /> <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br />If yes <br />describe under E.L. DISEASE > EA EMPLOYEE $ <br /> , <br />SPECIAL PROVISIONS below E.L. DISEASE > POLICY LIMIT $ <br /> OTHER <br />A PROFESSIONAL LIABILITY PHPK900006 07/28/12 07/28/13 AGGREGATE $ 3,000,000 <br /> EA OCC $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS <br />RESPECTS THEIR INTEREST IN CONNECTION WITH THE NAMED INSURED. <br />-- 3lwil <br />CITY OF SANTA ANA - CDBG M-25 <br />COMMUNITY DEVELOPMENT AGENCY <br />P O BOX 1988 M-25 <br />SANTA ANA, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. 10 DAY NOTICE FOR NONPAYMENT <br />AUTHORIZED REPRESENTATIVE <br />cannon nr i <br />' ACORD CORPORATION 1988
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