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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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(.-4j /� <br />DALEY -1 OP ID: JN <br />AFRO CERTIFICATE OF LIABILITY INSURANCE <br />DATE 014 <br />06109/2014 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. G t4JIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A stateme0j this certificate does n nfer dghts to the <br />e <br />certificate holder in lieu of such endorsements . <br />PRODUCER <br />Ahern Insurance Brokerage <br />9655 Granite Ridge Dr., #500 <br />San Diego, CA 92123 <br />Tamara L. Bartels, CIC <br />CONTACT <br />NAME: <br />PHONE <br />nooRESS: <br />INSURERS AFFORDING COVERAGE <br />NNCM <br />INSURER A: Oak Rlwr Inaunnes Company <br />Santa Ana, CA 92702 <br />INSURED Daley& Heft, LLP <br />462 Stevens Avenue, Suite 201 <br />Solana Beach, CA 92075 <br />INSURER B: <br />$ <br />INSURER C <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />INSURER D <br />INSURER E: <br />AA 2 <br />R�%DO X031 <br />INSURER F: <br />V <br />11.1 urwrc wmoee. RFVISInN NL1MNtN' <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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 />INSR <br />TYPE OF INSURANCE <br />L <br />POLICY NUMBER <br />POLICY EFF <br />MM/D <br />POLICY EXP <br />MMI <br />LIMITS <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />GENERAL LIABILITY <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />EACH OCCURRENCE <br />$ <br />PREMISES Ea occunence <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) <br />$ <br />CLAIMS -MADE E] OCCUR <br />R <br />PERSONAL S ADV INJURY <br />$ <br />,P's 'to <br />8 <br />O <br />=ap�Oy*�D <br />1i� Y "4^ <br />GENERAL AGGREGATE <br />$ <br />DEVIL AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />PRODUCTS - COMP /OP AGG <br />$ <br />Q, ST <br />Rcy, <br />$ <br />AUTOMOBILE LIABILITY <br />t C 1 <br />Ee accitleD SINGLE LIMIT <br />BODILY INJURY (Per person) <br />E <br />ANV AUTO <br />J ssistan <br />BODILY INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />PERACCIDENT <br />$ <br />E <br />UMBRELLAUAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTIONS <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILnY <br />ANY PROPRIETORIPARTNER/EXECUTIVEY� <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />i yes. tlescrioe un°er <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />2200064646141 <br />06/0812014 <br />06(0812615 <br />X WC STATUS OTH- <br />R <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />E L. DISEASE - EA FMPI OYF <br />E 1.000;00 <br />E. L. DISEASE - POLICYLIMIT <br />S 1,000,08 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddII Remarks Schedule, If more space is required) <br />Proof of Workers' Compensation Insurance. <br />*10 day notice of cancellation applied in the event of non- payment of <br />premium. <br />- _ ramrPl 1 ATTnN <br />C ERIIr IIdAtC nVLVCn <br />- ----- - <br />CITYSA2 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City fo Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza M -29 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />
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