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FRIENDS OF SANTA ANA ZOO (FOSAZ) 6 -2016
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FRIENDS OF SANTA ANA ZOO (FOSAZ) 6 -2016
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Last modified
7/13/2017 4:10:58 PM
Creation date
5/13/2016 11:21:40 AM
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Contracts
Company Name
FRIENDS OF SANTA ANA ZOO (FOSAZ)
Contract #
A-2016-035
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
3/1/2016
Expiration Date
2/28/2019
Insurance Exp Date
1/17/2018
Destruction Year
2024
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OP ID: ROLO <br />A41CCW?" CERTIFICATE OF LIABILITY INSURANCE <br />�-�"""'- <br />DATE (22/2016 <br />03/22/2016 <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(les) 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 />Schweickert & Company <br />15 Peters Canyon Road <br />Irvine, CA 92506 <br />CONTACT <br />Lori Rosenfeld <br />PHONE Fax <br />ac o Ext: 714-689-1770INC No: 714.436.6498 <br />E-MAIL <br />ADDRESS: lori@schweickert.com <br />GENERAL LIABILITY <br />PRODUCERFRIEN-1 <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED Friends of Santa Ana ZooINSURER <br />ts' insae Alliance <br />A; Nonprofit.- nn <br />1801 East Chestnut Ave. <br />Santa Ana, CA 92701 <br />INSURER B :North American Elite Insurance <br />INSURER C <br />INSURER 0, <br />X <br />INSURER E, <br />2016-15073.NPO <br />NSURERF: <br />01/17/2017 <br />COVERAGES CERTIFICATE NUMBER: 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 15 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />(LTR <br />TYPE OF INSURANCE <br />INSR ADSL <br />SUBRI <br />POLICYNUMBER <br />EFF <br />MMIDDrYYYY <br />MLICY <br />MIDD� <br />LIMITS <br />GENERAL LIABILITY <br />-jam, <br />EACH OCCURRENCE $ 1,000,00 <br />PREMISES Ea occurrence $ 50,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />2016-15073.NPO <br />01/1712016 <br />01/17/2017 <br />MED EXP (Any one peri $ 20,00 <br />PERSONAL &ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE $ 2,000,00 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMPIOPAGG $ 2,000,00 <br />POLICY PRO- <br />OLOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ca accident) <br />ANY AUTO <br />y��( <br />BODILY INJURY (Per person) $ <br />ALL OWNED AUTOS <br />�J dJ� <br />BODILY INJURY (Peraccident) $ <br />SCHEDULEDAUTOS <br />HIREDAUTOS <br />-w1n <br />nn�VvG <br />nJ�V <br />�V <br />� � <br />PROPEINJ <br />(PER ACTIDENT)DAMAGE $ <br />(PER ACCIDENT) <br />$ <br />NON -OWNED AUTOS <br />$ <br />V��• <br />LA LIAB <br />LIAB <br />OCCUREACH <br />CLAIMS -MADE <br />OCCURRENCE $ <br />AGGREGATE $ <br />IBLE <br />I <br />$ <br />$ <br />ON $ <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />WC STATU- GET <br />TORYLIMITS ER <br />E. L. EACH ACC( DENT $ <br />E. L. DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />g <br />Property Policy <br />iCWBOOD4042-12-15073 <br />01/17/2016 <br />01/17/2017 <br />Bldg 135,00 <br />B <br />BPP <br />(SPECIAL FORM $1000 DED <br />BPP 559,60 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City ofSanta Ana is named as additional insured as respects to the <br />operations of the named insured. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2009109) <br />© 1988-2009 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 />Cif Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Y of <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attm: PRCSA <br />20 Civic Center Plaza M-23 <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2009109) <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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