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25D - AGMT - WIA YOUTH PROGRAM FUND 13-14
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25D - AGMT - WIA YOUTH PROGRAM FUND 13-14
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Last modified
7/22/2016 9:03:28 AM
Creation date
5/30/2013 4:14:55 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25D
Date
6/3/2013
Destruction Year
2018
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ACCORI <br />/*"7 9-6 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM /ODlYYYYI <br />01 -07 -2013 <br />THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT; If the Certificate holder is an ADDITIONAL INSURED, the policy0es) must be endorsed. If SUBROGATIONIS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in Neu of such endorsement(s). <br />PRODUCER <br />B SANDOVAL INS AGENCY /PHS <br />184899 P:(866)467 -8730 F :(877)905 -0457 <br />UUNTACT <br />NAMKi <br />6)467-8730 I (A/C,No): (877) 905 -045 <br />ADDRESS: <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br />INSURER(S) AFFORDING COVERAGE NAIC A <br />INSURER A : Hartford Casualt Ins <br />CO—INSURER a : Sentinel Ins Co LTD <br />FORTUNA EDUCATION, LLC DBA CAREER <br />COLLEGE OF CALIFORN <br />INSURER C <br />INSURER D: <br />EACH OCCURRENCE <br />201 E 4TH ST STE 200 <br />INSURER E: <br />SANTA ANA CA 92701 <br />INSURER F <br />u172 <br />SBA UW5601 <br />i.UVERAGES CERTIFICATE NUMRFR• <br />- - - -- ncvtalum NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />1NSR <br />WVD <br />POLICY NUMBER <br />IMMlDO/YYYY) <br />(MMIOO/YYYY) <br />I UNIns <br />GENERAL <br />LIABILITY <br />EACH OCCURRENCE <br />s 1,000,000 <br />A <br />COMMERCIAL 1 1 MERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />General Liab <br />LI <br />u172 <br />SBA UW5601 <br />02/12/2013 <br />02/12/2014 <br />PREMISES FUMD <br />9 300 , 000 <br />IVIED EXP (Any one personj <br />$ 10,000 <br />X <br />PERSONAL B AOV INJURY S 1,000,000 <br />GENERAL AGGREGATE 9 2,000 0 0 0 <br />EN -L AGGREGATE LIMIT AMLES PER: <br />POLICY u PRO- I X <br />i -•BLOC <br />PRODUCTS . COMP/OP AGG <br />I S 2,000,000 <br />1 <br />AUTOMOBILE UABILTf <br />COMBINED SINGLE LIMIT <br />IEa Occident) <br />S 11000,000 <br />B <br />X ANYAUTO <br />ALL OWNED I 'SCHEDULED <br />AUTOS L� AUTOS <br />X HIRED AUTOS NON -OWNED <br />I X AUTOS <br />L`J <br />u <br />72 UEC PE1757 <br />01/21/2013 <br />01/21/2014 <br />BODILY INJURY (Pet person) <br />$ .__. <br />BODILY INJURY (Per Occident) <br />i <br />PROPERTY DAMAGE <br />(Per accident) <br />_ <br />1 <br />1 <br />UMBRELLA LIAR U <br />OCCUR <br />EXCESS LIAB CLAIMS -MADE <br />U <br />U <br />u <br />EACH OCCURRENCE <br />g <br />AGGREGATE <br />s <br />DEO� RETENTION s <br />WORKRAS COMPENSATION <br />AND EMPLOYERS' UAB LITY YIN <br />ANY PROPMETOFWARTNERfEXECUTIVE- <br />OPFICMIMEMBER EXCLUDED ? u <br />en <br />(Mdelo v In NMI <br />II Yee, describe Under <br />DESCRIPTION OF OPERATIONS below <br />N I A <br />WC STATU- 0TH- <br />T Y OMITS ER <br />B <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE - EA EMPLOYEE <br />0 <br />E.L. DISEASE • POLICY LIMIT <br />t <br />uu <br />DESCRIPTION OF OPERATIONS /LOCATIONS /—m—, (At' -c ACORD 101, Additional Remtsks SclwdtJe, R ttbrs space Is tequhad) <br />Those usual to the Insured's Operations. Certificate holder is an Additional <br />Insured per the Business Liability Coverage Form SS0008 attached to this <br />policy. Certificate holder is an Additional Insured per the Commercial Auto <br />Broad Form Endorsement HA99130187 attached to this policy. <br />CERTIFICATE Hnl noa <br />ACORD 25 (2010/05) <br />e 1988 -2010 ACID PORATIQN. All rig ved7— <br />The ACORD name and 690 are registered marks of ACORD I (� --� 'C�( <br />jg <br />41SA E ST O R orne�l <br />EX25D_499 Assistant C'tyI — '`'f <br />City of Anaheim <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />290 S ANAHEIM BLVD STE 102 <br />ANAHEIM, CA 92805 <br />AUTMORIZ PRESENTATIVE <br />/ / En P►S 'to Folk% <br />ACORD 25 (2010/05) <br />e 1988 -2010 ACID PORATIQN. All rig ved7— <br />The ACORD name and 690 are registered marks of ACORD I (� --� 'C�( <br />jg <br />41SA E ST O R orne�l <br />EX25D_499 Assistant C'tyI — '`'f <br />
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