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1990 AGN JUL 09 I01
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1990 July 09 Adj Agenda Packet
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1990 AGN JUL 09 I01
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AI:II1a0® CERTIFICATE OF INSURANCE ISSUE DAT��Y) <br />7/10/90 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />PROFESSIONAL INSURANCE ASSOCIATES, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />P. 0. BOX 1266 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />SAN CARLOS, CA. 94070 <br />COMPANIES AFFORDING COVERAGE <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INS {yLIC `�`� E FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER D 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 />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />_TR DATE (MM/DD/YY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS <br />GENERAL LIABILITY <br />XX COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE XX OCCUR. <br />OWNER'S & CONTRACTOR'S PROT. <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />GARAGE LIABILITY <br />EXCESS LIABILITY <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br />MINI FAIR <br />CERTIFICATE HOLDER <br />CITY OF COLTON <br />LEAGUE CENTER <br />292 EAST "0" STREET <br />'OLTON, CA. 92326 <br />25-S <br />GENERAL AGGREGATE <br />7/13/90 7/16/90 <br />COMPANY <br />LETTER <br />A <br />SCOTTSDALE INSURANCE CO. <br />CODE SUB -CODE <br />$ <br />EACH OCCURRENCE <br />$1, 000, <br />INSURED <br />ETTERNY <br />B <br />�) 3i ) e' +�"\ <br />VICTORY OUTREACH CHURCH <br />SINGLE $ <br />360 N. MT. VERNON <br />ETTER"Y <br />C <br />SAN BERNARDINO, CA. 92911COMPANY <br />(Per person) <br />a-1 <br />BODILY <br />D <br />(Per accident) <br />LETTER <br />PROPERTY $ <br />DAMAGE <br />COMPANY`.'- <br />LETTER <br />E <br />AGGREGATE <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INS {yLIC `�`� E FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER D 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 />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />_TR DATE (MM/DD/YY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS <br />GENERAL LIABILITY <br />XX COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE XX OCCUR. <br />OWNER'S & CONTRACTOR'S PROT. <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />GARAGE LIABILITY <br />EXCESS LIABILITY <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br />MINI FAIR <br />CERTIFICATE HOLDER <br />CITY OF COLTON <br />LEAGUE CENTER <br />292 EAST "0" STREET <br />'OLTON, CA. 92326 <br />25-S <br />GENERAL AGGREGATE <br />7/13/90 7/16/90 <br />$1,000, <br />PRODUCTS-COMP/OPS AGGREGATE <br />$ <br />PERSONAL & ADVERTISING INJURY <br />$ <br />EACH OCCURRENCE <br />$1, 000, <br />FIRE DAMAGE (Any one fire) <br />$ <br />MEDICAL EXPENSE (Any one person) <br />$ <br />COMBINED <br />SINGLE $ <br />LIMIT <br />BODILY <br />INJURY $ <br />(Per person) <br />BODILY <br />INJURY $ <br />(Per accident) <br />PROPERTY $ <br />DAMAGE <br />EACH <br />AGGREGATE <br />OCCURRENCE <br />STATUTORY <br />$ (EACH ACCIDENT) <br />$ (DISEASE—POLICY LIMIT) <br />$ (DISEASE—EACH EMPLO` <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />REPRESENT VE <br />') )k 0 <br />1 <br />CORPORATION 1988 <br />
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