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FRIENDS OF SANTA ANA ZOO (FOSAZ) 7-2016
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FRIENDS OF SANTA ANA ZOO (FOSAZ) 7-2016
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Last modified
7/13/2017 4:12:11 PM
Creation date
5/13/2016 11:21:42 AM
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Contracts
Company Name
FRIENDS OF SANTA ANA ZOO (FOSAZ)
Contract #
A-2016-036
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 />`#`% ' CERTIFICATE OF LIABILITY INSURANCE <br />D03122/2ATE 01 YY) <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(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 />Schweickert &Company <br />15 Peters Canyon Road <br />Irvine, CA 92606 <br />CONTACT Lori Rosenfeld <br />PHONE FA% <br />ac Ne E:x:7'14.689-1770 ac Ne:714-436-6498 <br />nl oeEss: lori@schweickert.com <br />PRODUCER FRIEN-1 <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED Friends of Santa Ana Zoo <br />INSURER A: Nonprofits' Insurance Alliance <br />1801 East Chestnut Ave. <br />Santa Ana, CA 92701 <br />INSURERS; North American Elite Insurance <br />INSURER C: <br />INSURER D : <br />INSURER E: <br />01/17/2016 <br />INSURER F <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 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 />RJUaR <br />I TYPE OF INSURANCE <br />ADD <br />B <br />MD <br />POLICY NUMBER <br />MMIDDmYY <br />MMIIDDIYVYY LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,00 <br />$ 50,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />X <br />2016 -15073 -NPO <br />01/17/2016 <br />01117/2017 PREMISES Eaoccurrence <br />CLAIMS -MADE ® OCCUR <br />MED EXP (Any one person) <br />$ 20,00 <br />$ 1,000,00 <br />PERSONAL&ADV INJURY <br />$ 2,000,00 <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE LIMI T APPLIES PER: <br />$ 2,000,00 <br />PRODUCTS - COMP/OP AGO <br />PRO LOC <br />POLICY JE CT <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />Vl+< <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULEDAUTOS`SI <br />HIREDAUTOE <br />p <br />(j e�`V <br />0�7 <br />PROPERTY DAMAGE <br />(PER ACCIDENT) <br />$ <br />$ <br />NON-OWNEDAUTOS <br />t J <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR�\LL <br />CLAIMS -MADE <br />1\ <br />�na <br />i, <br />EACH OCCURRENCE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />P�s� <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />WCSTATU- 0— <br />TORY LIMITS ER <br />OFFICE RIM EMBER EXCLUDED? <br />NIA <br />— <br />$ <br />(MandalorylnNH) <br />E. L. DISEASE - EA EMPLOYE <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT <br />$ <br />B <br />Property Policy <br />CW60004042.12-15073 <br />01/17/2016 <br />01/1712017 Bldg 135,00 <br />B <br />BPP <br />SPECIAL FORM $10( DED <br />BPP 559,50 <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 />City of Santa Ana <br />Attm:PRCSA <br />20 Civic Center Plaza M-23 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />
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