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VILLA CENTER (3) -2013
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VILLA CENTER (3) -2013
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Last modified
11/6/2013 12:02:42 PM
Creation date
10/10/2013 4:11:34 PM
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Contracts
Company Name
VILLA CENTER
Contract #
A-2013-048-012
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/1/2013
Expiration Date
6/30/2014
Destruction Year
2019
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ACORO. CERTIFICATE OF LIABILITY INSURANCE <br />°oii21120 1 <br />D UCER 800- 736 -3904 <br />SEARCY INSURANCE CENTER, INC. <br />P. O. BOX 471 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />POLICY NUMBER <br />POLICYEFFECTIVE <br />VISALIA, CA 93279 -0471 <br />INSURERS AFFORDING COVERAGE <br />NAIC# _ <br />INSURED <br />VILLA CENTER, INC. - THE <br />910 NORTH FRENCH STREET <br />INSURERA: PHILADELPHIA INDEMNITY INS, CO. <br />PHPK748817 <br />INSURERS: <br />07/26/12 <br />INSURER C: <br />IS 1,000,000 <br />INSURER 0: <br />$ 100,000 <br />SANTA ANA, CA 92701 <br />INSURER E: <br />y 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 <br />U)D'L <br />POLICY NUMBER <br />POLICYEFFECTIVE <br />POLICYEXPIRATION <br />LIMITS <br />A <br />X <br />GENERALLIABIUTY <br />X COMMERCIAL GENERALLIASIUTY <br />PHPK748817 <br />07126/11 <br />07/26/12 <br />EACHOCCURRENCE <br />IS 1,000,000 <br />tu <br />PREMISES Eacccurence <br />$ 100,000 <br />MED EXP(Any one parson) <br />$ 5,000 <br />CLAIMS MADE [X] OCCUR <br />PERSONAL B ADV INJURY <br />S 1,000,000 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS, COMP /OPAGG <br />$ 3,000,000 <br />POLICY <br />PRO' LOC IFQ.T <br />A <br />X <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />PHPK748817 <br />07/28/11 <br />07/28/12 <br />COMBINED SINGLE LIMIT <br />(Ea amld.t) <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALLOWNEDAUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />X <br />HIREDAUTOS <br />NON,OWNEDAUTOS <br />PROPERTY DAMAGE <br />(Par accldenl) <br />$ <br />GARAGE LIABILITY <br />ANYAUTO <br />APPROVE <br />x�I ry1/� {i <br />AS O FORM <br />T�� <br />AUTO ONLY%EA ACCIDENT <br />$ <br />OTHERTHAN FAACC <br />$ <br />$ <br />AUTO ONLY: AGG <br />EXCESSIUMBRELLA <br />LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMSMADE <br />cC <br />LISA <br />n <br />Er STORCK <br />Assistan <br />City Attorney$ <br />$ <br />DEDUCTIBLE <br />J <br />$ <br />RETENTION 8 <br />( <br />WORKERS COMPENSATIONAND <br />WCS LIMT <br />TORY LIMI S OTH, ER <br />E.L. EACH ACCIDENT <br />$ <br />EMPLOYERS'LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERNEMBER EXCLUDED? <br />E.L. DISEASE r EA EMPLOYEE <br />$ <br />E.L. DISEASE POLICY LIMIT <br />$ <br />Be. describeunder <br />SPEb AL PROVISIONS below <br />OTHER <br />A <br />PROFESSIONAL LIABILITY <br />PHPK748817 <br />07128111 <br />07128/12 <br />AGGREGATE $ 3,000,000 <br />EA OCC $ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /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 />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 />10 DAY NOTICE FOR NONPAYMENT <br />i I <br />ACORD 2512001108) ' ACORD CORPORATION 1988 <br />
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