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AMERICA ON TRACK (CDBG 2015)
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AMERICA ON TRACK (CDBG 2015)
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Last modified
4/11/2016 5:11:01 PM
Creation date
9/4/2015 1:46:29 PM
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Contracts
Company Name
AMERICA ON TRACK
Contract #
A-2015-068-03
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/21/2015
Expiration Date
6/30/2016
Insurance Exp Date
9/1/2016
Destruction Year
2020
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---4i, <br />R CERTIFICATE OF LIABILITY INSURANCE <br />1I. <br />�/ <br />DATE (MMIOO IY <br />6/30/2015 5 <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. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />_ <br />PHONE (949) 709 -8800 EAX C No: (949)709 -1666 <br />ADORIES, info@ thecomprehensiveinsurance. com <br />Suite 120 <br />INSURERS) AFFORDING COVERAGE <br />NAICIf <br />Lake Forest CA 92630 <br />INSURERA:Non rofits Insurance Alliance <br />11845 <br />INSURED <br />INSURER B : <br />A <br />INSURER C: <br />X <br />America On Track <br />INSURER D: <br />9/1/2015 <br />PO BOX 4141 <br />INSURER E: <br />MED EXP(Any one person) <br />Tustin CA 92781 -4141 <br />INSURER F: <br />$ 1,000,000 <br />COVERAGES CERTIFICATE NUMBER:GL /Auto /ISC 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 />ADDL <br />S R <br />POLICY NUMBER <br />POLICY SEE <br />qMMI <br />POLICY EXP <br />fMMIDDNYYYI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />014 - 06180 -NPO <br />9/1/2014 <br />9/1/2015 <br />E TO REN <br />PREMISES Ea occurrence <br />$ 500,000 <br />MED EXP(Any one person) <br />$ 20,000 <br />PERSONAL a ADV INJURY <br />$ 1,000,000 <br />No Deductible <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENT AGGREGATE <br />LIMITAPPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />POLICY <br />PRO X LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />014- 06180 -NPO <br />9/1/2014 <br />9/1/2015 <br />BODILY INJURY Peraccldenl <br />( ) <br />$ <br />NON-OVVNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />No Liability Deductible <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />WC STATUS OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DE SCRIPTION OF OPERATIONS below <br />A <br />Improper Sexual Conduct <br />014- 06180 -NPO <br />9/1/2014 <br />11 <br />$2,000,000A,000,0OOEe Occ $0 Deductible <br />A <br />Social Sery Professional <br />014- 06180 -NPO <br />9/1/2014 <br />11 <br />$1,00g000Agg11,000,000Ea Cl $0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />City of Santa Ana, its officers, employees, agents and representatives are included as Additional Insured <br />per attached agreement. 30 day notice of cancellation with 10 day notice of cancellation for non - payment <br />of premium per policy provision.pA/ <br />q ry <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010105) <br />INS025 (201005).O1 <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />Richard Eynon /JEREMY <br />ACORD 25 (2010105) <br />INS025 (201005).O1 <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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