Laserfiche WebLink
<br />-. <br />ACQRD," <br /> <br />Client#. 8419 <br /> <br />URBANSTUD <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />I DATE (MMfDDIYY) <br />02/13/2004 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER <br />Dealey, Renton & Associates <br />199 S Los Robles Ave Ste 540 <br />Pasadena, CA 91101 <br />626 844-3070 <br /> <br />._ _________ _____1- <br /> <br />,f- "",003 ~ /53 INSURER A' United States Fidelity..&. Gua.ra.nty.. <br />Urban Studio /" ----- ~ --- <br />~~~ER B: Everest Nationallnsu~~~ce Company <br />3921 Wilshire Blvd., Suite 420 <br /> <br />Los Angeles, CA 90010 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />INSURER c: <br /> <br />~_URER 0: _______ _____ <br />INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> <br />INSR'- --------- ----------- - 'POliCY-EFFECTIVE POLICY EXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE MMlDDlYY DATE MMlDDlYY LIMITS <br /> <br />A GENERAL LIABILITY BK01565160 <br />~ COMM ERCIAL GENERAL LIAB ILITY <br />!:_=~~~] CLAIMS MADE 1:)("-1 OCCUA ! <br /> <br /> <br />~~.~~:~~::GATr ~~{A~~;';~:- <br /> <br />A L AUTOMOBILE LIABILITY BK01565160 <br />I ANY AUTO <br />r-- - ALLOWNEDAUTOS <br />I I <br />1__.1 SCHEDULED AUTOS <br />X HIRED AUTOS <br />I:X-, NON~OWNED AUTOS , <br /> <br />c--I.....---I <br /> <br />12/13/03 <br /> <br />,12/13/04 <br />1 <br /> <br />.!:_~~H og_<?~_~EN~_~_ _$J,-Q.Q9,9Q9 <br />FIRE DAMAGE (Anyone fire) $300.000 <br />~D EXP (Anyone person) $10 000 <br />I PERSONAL & ADV INJURY $1.000,000 <br />,------------ ---- ------- ----------- -- <br />GENERAL AGGREGATE $2 000 000 <br />_~!"S!~~<?!~ _~CO~~!~~_~t;_~ _ $2,0Q..Q_,Q.Q.(t_ <br /> <br />12/13/03 <br /> <br />,12/13/04 <br />I <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br /> <br />, $1,000,000 <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />,$ <br /> <br />BODILY INJURY <br />I (Per accident) <br />I <br /> <br />$ <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />$ <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br /> <br />~3C~ //2- <br /> <br />i AUTOgf\JL,!_:_~~~CCIDENT $ <br />EAACC $ <br />$ <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />AGG <br /> <br />I EXCESS LIABILITY <br />11 OCCUR L: CLAIMS MADE <br /> <br />I <br />1 DEDUCTIBLE <br />, RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />I ::~::;~RRE=E ~_I: .__ _ u_= <br /> <br />C $ ----- <br />1$ <br />i WC STATU- OTH-I <br />'T RY LIMIT ER <br />F:.L EACH ACCIDENT ,_$_ <br />EL DISEASE -EAEM~.~OY_EE $ <br /> <br />B OTHER Professional <br />Liability <br /> <br />.48AE002187031 <br />I <br /> <br />12/11/03 <br /> <br />12/11/04 <br /> <br />E.L DISEASE - POLICY LIMIT $ <br />I $1,000,000 per claim <br />, $1,000,000 annl aggr. <br /> <br />DESCRIPTION OF OPERATlONSlLOCATIONS/VEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named as an additional insureds as respects <br />general liability for claims arising from the operations of the named <br />insured. <br /> <br />CERTIFICATE HOLDER <br /> <br />, AD DmONAL INSURED ;INSURER LETTER; <br /> <br />CANCELLATION <br /> <br /> <br />City of Santa Ana R E eEl V E 0 <br />Altn: Tonia Zerba <br />20 Civic Center Plaza, M-20 FE B 1 7 2004 <br />P.O. Box 1988 <br />Santa Ana, CA 92701 SANTA ANA PLANNING DEPl <br /> <br />SHOULD ANYOFTHE ABOVE DESCRIBED POLICIESBECANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILLn~xlCMAIL3D-- DAYSWRlTIEN <br />NOTlCETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, B)(J{t}Mx.JUDl:JtJr!~ttjlDlNXXX <br />AteQlX~nxJlRAIXltJO(IlDnDtf(t96XXJt~J(DIllIltX <br />D:JOJiBSl)(JlJlJM9X <br />~ED REPRESEelVE <br /> <br />ACORD 25-S (7/97) 1 of 1 <br /> <br />#S99056/M97998 <br /> <br />AAF <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />flWt-' <br />