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Last modified
10/28/2014 10:26:41 AM
Creation date
6/9/2004 3:20:49 PM
Metadata
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Template:
Contracts
Company Name
Daley & Heft, LLP
Contract #
A-2004-031
Agency
City Attorney's Office
Council Approval Date
3/15/2004
Insurance Exp Date
3/1/2009
Notes
Workers' Comp 06/08/15; Professional 5/16/11
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(06/06 Con £ irmNet -> 17146476515 <br />I <br />i <br />Pg 2/2 <br />,a � <br />ACORD CERTIFICATE OF LIABILITY <br />FIRE DAMAGE (Any one fire) <br />$300,000 <br />$10,000 <br />(INIMID YY <br />INSURANCE <br />PRODUCER CA99520 1- 619 -234 -6848 <br />Cavignac s ASSOCiates <br />450 B street, suite 1800 <br />3 06 <br />03(06/06 <br />/06 <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 />San Diego, CA 92101 -8005 <br />Jolinda Kramer <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />B (Per acrJtlenf) <br />Daley & Heft <br />INSURERA:United States Fidelit & Guarant Co an <br />INSURER B: <br />462 Stevens Avenue, Suite 201 <br />INSURER C. <br />Solana Beach, CA 92075 <br />INSURER D. <br />COVERAG'Ev <br />INSURER E <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 />ISR <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POU YEXP11111 H N <br />T M IV AT MID lYV LIMITS <br />GENER <br />A AL LIABILITY BKO1599511 03/01/06 03/01/07 <br />EACH OCCURRENCE 1 000 00 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE O OCCUR <br />X Broad Form <br />X Blkt Contractual <br />GFIN L AGGREGATE LIMIT APPLIES PER <br />POLICY X PRO LOC <br />A AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />X HIREDAUTOS <br />X NON -OWNED AUTOS <br />X No Company Owned Auto, <br />ANV AUTO <br />JOCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />11 <br />$ 0 <br />FIRE DAMAGE (Any one fire) <br />$300,000 <br />MED EXP(Any we person) <br />$10,000 <br />PERSONAL& AUV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS- COMPIOP AGG <br />$2,000,000 <br />1 SINGLE LIMIT <br />COBB NEp <br />$1,000,000 <br />ani) <br />BODILY INJURY <br />$ <br />(Per pemen) <br />BODILY INJURY <br />LU fliX t .` d'ty _�i:4 (Per actldeny <br />$ <br />PROPERTY DAMAGE <br />B (Per acrJtlenf) <br />$ <br />J'{ 1 f Vii, .ley CV �UTO OTT <br />POLICY <br />CRIPTION OF OPERATIO SILOCATONSI EHCLESEXCLUSONS ADDED By EN ORSEMENTISPECIAL PROVISION I S $ <br />tificate Holder is named a, Additional Insured with respect to General Liability <br />days notice of cancellation for non - payment of premium. coverage included in policy form. <br />City of Santa Ana <br />Juanita Preciado- Hernandez <br />20 Civic Center Plata M -29 <br />Santa Ana, CA 92702 <br />ACORD25•S(7197) Katherine <br />4047083 <br />:ED. INSURER LETTER: A CANCELLATION <br />SHOULD :OBLIGATION HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THHE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRES. <br />USA AUTHORIZED REPRESENTATIVE <br />`iE.J� fi.M <br />
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