KALISKI, JOHN AIA DBA URBAN STUDIO 2A - 2004

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r`lionf$' AA1Q URBANSTUD AC_OR . CERTIFICATE OF LIABILITY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH INSURANCE DATE 11/05/2004 Y) PRODUCER Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 POLICY EFFECTIVE DATE MM/DD/YY THIS CERTIFICATE ONLY HOLDER. ALTER IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena, CA 91101 12/13/03 12113/04 EACH OCCURRENCE $1,000,000 X COM MERCIALGENER�ALLIABILITY 626 844-3070 FIREDAMAGE (Any one fire) $100000O INSURERS AFFORDING COVERAGE INSURED MED EXP (Any one person) INSURER A: United States Fidelity & Guaranty Urban Studio PERSONAL &ADV INJURY_ INsuRER B: St. Paul Fire & Marine Ins. Co. 3921 Wilshire Blvd., Suite 420 INSURER c. Everest National Insurance Company Los Angeles, CA 90010 INSURER D INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION LIMITS DATE MM/DD/YY A GENERAL LIABILITY BKO1565160 12/13/03 12113/04 EACH OCCURRENCE $1,000,000 X COM MERCIALGENER�ALLIABILITY FIREDAMAGE (Any one fire) $100000O CLAIMS MADE nJ OCCUH MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY_ $1,000 ,00O s2,000,000 GENERAL AGGREGATE $2,000,000 _ GEN'LAGGREGATE LIM ITAPPLIE_S PER: PRODUCTS-COMP/OP AGO POLICY PE O- LOC A AUTOMOBILE LIABILITY BKO1565160 12/13/03 12/13/04 COMBINED SINGLE LIMIT $1,000,000 ANY AUTO' (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) ' X_ HIRED AUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Peraccitlent) PROPERTY DAMAGE $ (Per accident) �GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ 1 AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ] OCCUR CLAIMS MADE AGGREGATE _ $ DEDUCTIBLE $ RETENTION $ $ B .WORKERS COMPENSATION AND WVA2449066 01/09/04 01/09/05 X TORY LIMITSER EMPLOYERS' LIABILITY E L EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,0_00 _ E. L. DISEASE -POLICY LIMIT $1,000,000 C OTHER Professional 48AE002187031 12/11/03 12/11/04 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as an additional insureds as respects general liability for claims arising from the operations of the named insured. City of Santa Ana R E E E r V E Attn: Vincent Fergoso P.O. Box 1988 NOV 0 8 2004 Santa Ana, CA 92702 SANTA ANA E NNING NO (7/97)1 of 1 8R11AAG9IM1n9AA9 DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL%XR5AVVjI[XIP MAIL 30-- DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BXXVAxppx"AAAN1nU0x.X AAF © ACORD CORPORATION 1988