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JOHNSON & NIELSEN ASSOCIATES 1 - 2004
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JOHNSON & NIELSEN ASSOCIATES 1 - 2004
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Entry Properties
Last modified
1/3/2012 2:51:47 PM
Creation date
11/16/2004 11:06:57 AM
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Contracts
Company Name
Johnson & Nielsen Associates
Contract #
N-2004-117
Agency
Community Development
Expiration Date
6/30/2005
Insurance Exp Date
3/3/2005
Destruction Year
2009
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<br />'A CORD- CERTIFICATE OF LIABILITY INSURANCE OP ID P9 DATE (MMlDDIYYYY) <br />JOHNS-2 03/03/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />U & A Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Unickel & Assoc. Lic#0827703 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 10727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92423-0727 <br />Phone: 909-793-6810 Fax: 909-798-3959 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: The St Paul <br /> INSURER B: <br /> Johnson & Nielsen INSURER C: <br /> and Associates <br /> 911 S. Primrose Ave., #D INSURER D: <br /> Monrovia CA 91016 <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 />LTR NSRD TYPE OF INSURANCE POLICY NUMBER PD~,;!~¡'¡~J8~E Pgk~CEY(~r.tb'1^~~N LIMITS <br /> ! GENERAL LIABILITY EACH OCCURRENCE $ 1 000,000 <br />A X ~MMERCIAL GENERAL LIABILITY BK01599128 03/03/04 03/03/05 PRË'MìS'Es (Ea occurence) $ 300.000 <br /> , CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10 000 <br /> ~ PERSONAL & ADV INJURY $ 1 000,000 <br /> GENERAL AGGREGATE $2 000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 000,000 <br /> I .nPRO- n <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - $1,000,000 <br />A ANY AUTO BK01599128 03/03/04 03/03/05 (Ea accident) <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> I-- $ <br /> SCHEDULED AUTOS (Per person) <br /> I-- <br /> X HIRED AUTOS BODILY INJURY <br /> I-- $ <br /> X NON-OWNED AUTOS (Per accident) <br /> I-- ~ "d:~ 113 <br /> I-- PROPERTY DAMAGE '$ <br /> (Per accident) <br /> GARAGE LIABILITY V 7 AUTO ONLY - EA ACCIDENT $ <br /> I =1 ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> I EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> I ~ OCCUR D CLAIMS MADE <br />AI BK01599128 03/03/04 03/03/05 AGGREGATE $ 1,000,000 <br /> $ <br /> q DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND X ITORYlIMIT~! IVE~- <br /> I EMPLOYeRS' LIABILITY WVA8003742 06/01/03 06/01/04 <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. EACH ACCIDENT $ 1,000,000 <br /> ! OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> Ilf yes, describe under <br /> SPECIAL PROVISIONS below E.l. DISEASE - POLICY LIMIT $ 1.000,000 <br /> ! OTHER <br />A I Property Section BK01599128 03/03/04 03/03/05 BPP $157,500 <br /> Ded $500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS J VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*Except 10 day notice of cancellation for non-payment of premium. Cert <br />Holder named additonal insured withrespects to General Liabiltiy, per <br />attached form. RE: Seismic Evaluation of existing building Contract #N03729 <br />for The Depot of Santa Ana. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />DEPOT-1 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO <br />DATE THEREOF, THE ISSUING INSURER WILL 6:11&""&111 TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT., "liT rAil .In~ '1"1'\ r'\n ~n ~UAI I <br /> <br />The Depot at Santa Ana <br />Attn: Carolyn Fullerton <br />1000 E. Santa Ana Blvd Ste 108 <br />Santa Ana CA 92701 <br /> <br /> <br />ACORD 25 (2001108) <br /> <br />
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