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TALLER SAN JOSE (6) - 2014
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TALLER SAN JOSE (6) - 2014
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Last modified
3/6/2017 2:42:31 PM
Creation date
7/22/2014 10:36:19 AM
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Template:
Contracts
Company Name
TALLER SAN JOSE
Contract #
A-2014-127
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
6/3/2014
Expiration Date
6/30/2015
Insurance Exp Date
6/30/2017
Destruction Year
2020
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A6 O— CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 <br />07/0 /2013' <br />THIS CERTIFICATE IS 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 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />Willis Management (Bermuda) Limited <br />58 Par -la -Ville Road <br />PHO NE FAX <br />877- 945 -7378 888 - 467 -2376 <br />E-MAIL CertificatesQWillis.COm <br />P. 0. Box 1995 <br />Hamilton <br />UNICCL1301029 <br />6/30/2013 <br />Bermuda, HM FIX <br />INSURER(S)AFFORDING COVERAGE <br />HAIGA <br />INSURERA: American Unity Group Limited <br />C0929 -001 <br />INSURED <br />Taller San Jose <br />INSURER B' <br />INSURERC: <br />PREMISES Ee occurence <br />801 N. Broadway <br />Santa Ana, CA 92307 <br />INSURER D: <br />INSURER E: <br />NSURERF' <br />COVERAGES CERTIFICATE NUMBER: 20071843 REVISION 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 />TYPE OF INSURANCE <br />DD' <br />SUB <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />GENERALLIABILITY <br />y <br />2000 <br />UNICCL1301029 <br />6/30/2013 <br />6/30/2014 <br />EACHOCCURRENCE <br />$ 2,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES Ee occurence <br />$ <br />CLAIMS -MADE OCCUR <br />MED EXP(Any one emon) <br />$ <br />PERSONAL B ACV INJURY <br />$ 2,000,000 <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS- COMP/OP AGO <br />5 5 000 O00 <br />X POLICY <br />PRO- LOG <br />IFCT <br />I <br />I <br />$ <br />AUTO MOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY(Per person) <br />$ <br />ANYAUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUpTOS <br />BODILY INJURV(Per accident ) <br />$ <br />HIREDAUTOS gUTOSWNED <br />PROP cRTY AMAGE <br />$ <br />UMBRELLALIAB <br />OCCUR <br />r" ' <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS ILIAD <br />H <br />CLAIMS -MADE <br />ff;3. +' <br />_..�L"' <br />DED I RETENTION$ <br />$ <br />_ <br />_ <br />WORKERS COMPENSATION <br />` "fir i'�'!- <br />�t \Ot� <br />AND EMPLOYERS' LIABILITY Y <br />ANY PROPRIETOR/PARTNER/EXECUTIVE � <br />NIA <br />E.L. EACH ACCIDENT <br />$ <br />OFFICERIMEMBER EXCLUDED4 <br />r S' <br />IMandatoryin NH) <br />E. L. DISEASE - EA EMPLOYEE <br />$ <br />f yes, describe under <br />DESCRIPTION OF OPERATIONS bau. <br />EL .DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) <br />The Certificate Holder is named as Additional Insured by endorsement to the policy subject to the <br />terms set forth in the endorsement. <br />Taller San Jose, Block Grant - 610 N. Poinsetta, Santa Ana, CA 92701 <br />CERTIFICATE HOLDER CANCELLATION <br />Coll:4144832 Tpl:1664688 Cert:20 71843 © 1988- 2010ACORD CORPORATION.AII rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />EXHIBIT I <br />SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa <br />Ana Work Center <br />AUTHORIZED REPRESENTATIVE <br />1000 E. Santa Ana Blvd. <br />Suite <br />2000 <br />_ - <br />Santa <br />Ana, CA 92701 <br />Coll:4144832 Tpl:1664688 Cert:20 71843 © 1988- 2010ACORD CORPORATION.AII rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />EXHIBIT I <br />
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