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1993-0907_ORANGE COUNTY HEAD START_Insurance Certificate (Commercial 8-25-95) '"'OtitITIPICA1 Or""INSORAN00471,4'1'"'A' ISSUE DATE(MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE alclwell Ins.Agency Inc POLICIES BELOW. 15935 Whittier Blvd Whittier, CA 90603-2567 COMPANIES AFFORDING COVERAGE TrETY A Insurance Company of Evanston BOH COMPANY INSURED LETTER B (111) COMPANY Orange County Head Start,Inc LETTER 1440 E First Street Ste.#320 Santa Ana,CA 92701 COMPANY D LETTER COMPANY E LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. – ------------------------------ -- ------------------ CO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS LTR DATE (MM/DD/YY) DATE(MM/DD/YY) GENERAL UABIUTY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 1,000,000 A CLAIMS MADE X OCCUR 8502CY003098 08/25/94 08/25/95 PERSONAL &ADV.INJURY $ 1,000,000 OWNERS & CONTRACTORS PFT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (My one fire) $ 200,000 MED.EXPENSE(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) GARAGE LJABIUTY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE OTHER THAN UMBRELLA FORM I STATUTORY UMITS WORKER'S COMPENSATION EACH ACCIDENT AND DISEASE—POLICY UMIT $ EMPLOYERSLIABILITY DISEASE—EACH EMPLOYEET,,$ OTHER rn rn C_ -‹ rn c-) DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL fTEMS rn Ill Certificate holder is added as addditional insured with respects to -3c premises leased to named insured. Loc 7-1:32502 Paseo Adelanto,San Juan Capistrano, CA 92675 - c..c) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City Of San Juan EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Capistrano MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 32400 Paseo Adelanto LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR San Juan Capistrano, CA 92675 Li. I OF ANY KIND UPON THE COMiP, NY, ITS AGENTS OR REPRESENTATIVES. /9?THO REPRESE TATI, Loan#: loc.7 V4A11(111A( 1) 7400 ... Viddeyk:, / 7 / 7 // . g-/- y .rd 0 • _ . fysJ. MEMBERS OF THE CITY COUNCIL el COLLENE CAMPBELL 4 GARY L.HAUSDORFER U GIL JONES DRUG USE AIAAAAAAno CAROLYN NASH IS • f11AIlI1NfI 1961 JEFF VASOUEZ • V76il� • CITY MANAGER GEORGE SCARBOROUGH • August 2, 1994 Mr. Marco T. Pena, Director Orange County Headstart, Inc. 1440 East First Street, Suite 320 Santa Ana, California 92701 Re: Renewal of General Liability Certificate of Insurance (Lease of City Property - Head Start Program) Dear Mr. Pena: The General Liability Certificate of Insurance, regarding the above-referenced lease, is due to expire on August 25, 1994. In accordance with your agreement, the insurance certificate needs to be renewed for an additional period of one year. Please forward the updated certificate to the City, attention City Clerk's office, by the August 25th expiration date. If you have any questions, please contact me at (714) 443-6310. Thank you for your cooperation. Very truly yours, A. kA aka,u*AL Dawn M. Schanderl Deputy City Clerk Enclosure cc: Cheryl Johnson, City Clerk Mary Laub, Management Assistant II 32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 S (714) 493-1171 re• • tY011` MEMBERS OF THE CITY COUNCIL COLLENE CAMPBELL • �� 19 GARY L.HAUSDORFER J , GIL JONES I io(ORPOAAlto CAROLYN NASH • FSfIIIISIFI 1961 JEFF VASQUEZ n ' 1776 • I', • CITY MANAGER GEORGE SCARBOROUGH September 6, 1994 Mr. Marco T. Pena Director, Orange County Headstart, Inc. 1440 East 1st Street #320 Santa Ana, CA 92701 OjArYiT RE: Renewal of General Liability Insurance Dear Mr. Pena: The general liability insurance in place for the City owned property leased by Headstart has expired. In accordance with the agreement between the City and Headstart, a current insurance certificate needs to sent to the City Clerk's office immediately. The certificate should be valid for a one year period. Please take care of this at your earliest opportunity and please don't hesitate to call me at (714) 443- 6303 with any questions you may have. Sincerely, Mary Laub Management Assistant II 32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 • (714) 493-1171