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LE, CHOC 4 - 2015
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LE, CHOC 4 - 2015
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Last modified
3/25/2020 11:21:19 AM
Creation date
4/23/2015 3:41:18 PM
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Contracts
Company Name
LE, CHOC
Contract #
N-2015-057
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
7/1/2017
Insurance Exp Date
12/17/2017
Destruction Year
2022
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PRODUCER <br />Maguire Insurance Agency, Inc. <br />27101 Puarta Real Suite 200 <br />Mission Viejo, CA92691- <br />Bn.438.14s9 <br />CERTIFICATE OF LIABILITY INSURANCE <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 />V�„._ Irvsunex H: vniraaelpnla ln0emmtV Insurance lompany 1xVsn <br />ChocV le V+f'� (`�j�LCw/+'•r, INSURERS: <br />4 FabIl /v INSURERC <br />Irvine, CA 92620-2576 INSURER b: <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 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 />ADD4 <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />INSRO <br />TYPE OF INSURANCE <br />POLICYNUMBER <br />DATE(MM/DD/YYYY) <br />DATE IMM/OD/YYYY) <br />LIMITS <br />A <br />% <br />GENERALLIABILITY <br />PHPK661902004 <br />12/17/2014 <br />12/17/2015 <br />EACH OCCURENCE <br />$1,000,000 <br />pREMI5E5 Est oc<TuErance <br />$100,000 <br />% COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />MED ENE (Anyone person) <br />$2,500 <br />PERSONAL &NOV INJURY <br />$1,000,000 <br />X PROFESSIONALLABILITV <br />GENERAL AGGREGATE <br />$3,000,003 <br />PRODUCTS — COMP/OP AGG <br />$3,000,000 <br />GENU AGGREGATE LIMIT APPLIES PER <br />X POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(EAaecidant) <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per peraon) <br />BODILY INIUflV <br />HIRED AUTOS <br />NON OWNED AUTOS <br />(Par accident) <br />PROPERTY DAMAGE <br />(Per ecCldrm) <br />GARAGE LIABILITY <br />AUTO ONLY — EA ACCIDENT <br />OTHERTHAN EA ACC <br />ANYAUTO <br />AUTOONLY: AGO <br />EXCESS/ UMBRELLA LIABILITY <br />EACH OCCURENCE <br />OCCUR CIAIMSMADE <br />n('� <br />Reviewed <br />by. <br />AGGREGATE <br />DEUCfIBtE <br />RETENTION <br />4-- <br />W RKEft5 COMPENSATION ANDH- <br />EMPLOYERS' LIABILITY YN <br />ANY PROPRIETOR <br />_. <br />Cue <br />Silvia CUV <br />,,, <br />rro�c { <br />GS i�`0 <br />TOftY LIMITS ER <br />E.L. EACH ACCIDENT <br />E4. DISEASE — EA AMPLOYEE <br />(Mandatory In NH) <br />SPECIAL PROVISIONS below <br />F��T [71 <br />P CSA/A <br />ryY .".'�/ <br />1 in. <br />E.L.DISEASE — POLICY LIMIT <br />OTHER <br />i <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />It Is understood and agreed that the following entity is added as an additional Insured but only with respect(,) to Ube operations of the named insured eacept that liability resulting from the additional insured's sole <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />E y of Santa Are, Its efflaers, employees, agents, repraAmtatlyes & volunteers <br />20 Civie Center Plata M-25 <br />Santa Ana, CA 92701- <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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