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1993-0907_ORANGE COUNTY HEAD START_Insurance Certificate (Commercial 8-25-94) . ............................... :...r.....r..r...n.:r.»r.:....r....r rr.u..r..:v:r:.::y,l+:n:?:iY4i'.i:•:::ii:v:. {::•�:h;+f++ ...:.// ... ...............................:::.:::::.�::.�:.�:::. ::..r......:... r.........:.....F..;.....;...............: ...rrr r r /w::::::".�;.:�:.::�.�:.:::�.�:.:�:::.�:.�::::::4:;�:!-ii� r f r . r li�r/ r:rr::+.ar:::: M :: '::':`':�:�:��� :+:::?!:;•.;.rk/f:,'+.:!,rr��/!•:;/:.;!.::•>:•::•::, ISSU DATE (M /DD/YY) r�/ ,{ r... rr /.r.:/lr CAT 1/!r�� i.� 1.�?�'.'•..:rl:,.:�.+f::!•:/::r//.r...r..... .::• :::::::::::•::::::::::r;:r: .....:.......:....:...::::: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Caldwell Ins.Agency Inc DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE �' y POLICIES BELOW. 501 S Cypress St La Habra, CA 90631-9305 COMPANIES AFFORDING COVERAGE LETT COMPEANR Y A Western Heritage Inc. BOH COMPANY B INSURED LETTER Orange County Head Start, Inc LETTERCOMPANY C Attn: Ted Fisher 1440 E First Street Ste.#320 COMPANY D LETTER Santa Ana, CA 92701 COMPANY E LETTER V W.:Y:g...VIfv. :.:. r:: ::22 2:::5:::: ::S::s.:.r'.:-:.::: :::2:::: :: ri:: f::'::':::'::::.::::::::::::::::::::: :::' : :: :: :2:'::::::>::i: :::::: ::: :>:: :: :y r5:<::'s.':`....... .:::::::::::::::::::::::2::: :: > s:«::::::`:'::......:::::::r::::::::::::::>: . 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 1,000,000 A CLAIMS MADE X OCCUR. 93CI,P0162076 08/25/93 08/25/94 PERSONAL &ADV.INJURY $ 1,000,000 OWNERS & CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 100,000 MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (PerPerson) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) GARAGE UABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ ............. ................................................................... .............. .................................................... ................ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION I STATUTORY LIMITS EACH ACCIDENT $ AND DISEASE—POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE—EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS This certificate supercedes the onse issued on 8/25/93 Certificate holder is added as additional insured with respects to leased premises to named insured I� .. .. M�ll "f'l�'3N.:::x..'�'�I�.. ;:1�€�rtl�:.ft�..0.,['.� ra0*tlf:1•':`.04na»:>::»>:: :>:<;:;::>::>::: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City Of San Juan iiii 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 FT, C T FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR San Juan Capistrano, CA 92675 `: LIABILI OF ANY KIND SParTHE CO, •ANY, ITS AGENTS OR RE•RESENTATIVES. ...O.Pf i I 3:: AU •••• PAL.. PRES'IT• E II ::::: *'tOt -ISSUE•DATE•�MM�DDL •,•••••••• '":'::::.::::::.::.::::.;�:::::::.::::::.:::...;;,:::;.:.�:. .>::;;:.»:.:,,.,:.::.>:_:•.:::�•.:::;•;:::�::�`22:;:<.::":::: :%s"2Y22«:2::::22::;:2.<22222::>';;y ..:...:......... 08/25/93 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Caldwell Ins.A enC InC DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE g y POLICIES BELOW. 501 S Cypress St La Habra, CA 90631-9305 COMPANIES AFFORDING COVERAGE LETTER A Western Heritage Inc. BOH COMPANY B ' INSURED LETTERCO �) rV Orange County Head Start,Inc LE RNY C Attn: Ted Fisher 1440 E First Street Ste.#320 COMPANY D -- m LETTER Santa Ana, CA 92701 COMPANY LETTER X� 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE I$ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG.J$ 1,000,000 A CLAIMS MADE X OCCUR. CLP0137898 08/25/93 08/25/94 PERSONAL &ADV.INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 X Personal IRI �7'U FIRE DAMAGE (Any one fire) $ 100,000 MED.EXPENSE(Any one pension) $ AUTOMOBILE UABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) GARAGE UABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ ........................................................................................ ...................................................................................... OTHER THAN UMBRELLA FORM STATUTORY LiMITS WORKER'S COMPENSATION EACH ACCIDENT $ AND DISEASE—POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE—EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate holder is added as additional insured with respects to premises leased to named insured. gIItcYffI«.:#191.1gR.;.;:::;:.;:.;:.;:.;:.;:<.;:.:<.;:.:.;:.:<.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;.;:.;:<.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.::.:CRtCPt:A' N..:..Adi.B >. ::::::::::..:::.::::::::::::::. 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 IABI TY OF ANY KIND UPON HE COMPANY, ITS AGENTS eR REPRESENTATIVES. AUT IZED R='RE` TAT 41,0 1 .::;.: .. ::.! ........ k ......