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KALISKI, JOHN AIA DBA URBAN STUDIO 2B - 2003
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KALISKI, JOHN AIA DBA URBAN STUDIO 2B - 2003
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Entry Properties
Last modified
1/10/2017 10:28:22 AM
Creation date
1/11/2006 2:25:20 PM
Metadata
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Contracts
Company Name
Kaliski, John dba Urban Studio
Contract #
N-2003-155-02
Agency
Planning & Building
Expiration Date
12/31/2006
Insurance Exp Date
12/13/2006
Destruction Year
2013
Notes
Amends N-2003-155, A-2004-240 Amended by A-2006-147, A-2006-316, A-2008-002
Document Relationships
KALISKI, JOHN AIA DBA URBAN STUDIO 2D - 2006
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
KALISKI, JOHN AIA DBA URBAN STUDIO 2 - 2003
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
KALISKI, JOHN AIA DBA URBAN STUDIO 2A - 2004
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
KALISKI, JOHN AIA DBA URBAN STUDIO 2C - 2006
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
KALISKI, JOHN AIA DBA URBAN STUDIO 2E - 2008
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
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<br />I...llttIlL".- O"t'::f <br /> <br />Ut\C""'~.-:JIULl <br /> <br />-;~ p CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDIYY) <br />ACORD," 12/08/06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />199 S Los Robles Ave Ste 540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena, CA 91101 <br />626 844-3070 INSURERS AFFORDING COVERAGE <br />--- '.-V ------------------- - - <br />INSURED -j INSURER A: United States Fidelity & Guaranty <br /> Urban Studio r---------~- <br /> 3921 Wilshire Blvd., Suite 42COP i INSURER 8: St. Paul Protective Insurance Co. <br /> --._-----_._---~- ~.__._~_._. -- <br /> , INSURER C U.S. SpeclaltY_lnsura~e Company <br /> Los Angeles, CA 90010 ~I;~URER 0 <br />. I 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 />INS"RT- . PQ[ICYEFFECTIV-i:-- 'I POLiCy EXPIRATION <br />L TR ' TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MM/DDIYY LIMITS <br /> <br />A ! GENERAL LIABILITY <br />: X :COMMERCIAL GENERAL liABILITY <br />. 1 '1 ,-------, <br />CLAIMS MADE L~J OCCUR <br /> <br />BK01565160 <br /> <br />12/13/06 <br /> <br />12/13/07 <br />I <br /> <br />A <br /> <br />I GE~'L AGGREGATE LIMIT APPliES PER <br />, , POLICY f l P~OT I LOC <br />AUTOMOBIL.E L.IABllITY <br />- -i ANY AUTO <br /> <br />12/13/07 <br /> <br />BK01565160 <br /> <br />12/13/06 <br /> <br />ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />i~xq NON.OWNED AUTOS <br />r <br />1--1---- <br />I <br />i GARAGE LIABILITY <br />r--'1 ANY AUTO <br /> <br /> <br />I EXCESS LIABILITY <br />!__-_-_-J OCCUR C: CLAIMS MADE <br /> <br /><---- <br />_J DEDUCTIBLE <br />, RETENTIO,~ <br />B WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />BW02172485 <br /> <br />101/09/06 <br />, <br /> <br />01/09/07 <br />! <br /> <br />C I OTHER Professional <br />iability <br /> <br />US061200102 <br /> <br />.12/11/06 <br />! <br /> <br />,12/11/07 <br /> <br />DESCRIPTION OF OPERATlONSILOCATIONSNEHlCLES/EXCLUSIONS ADDEO BY ENOORSEMENT/SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named as additional Insured as respects general <br />liability for claims arising from the operations of the named insured. <br /> <br />i.~~~~~CURRENCE ____ <br />, FIRE DAMAGE (Anyone fire) <br />~~~~~~~~?r1~.l'.!'.~c:~_..__ <br />I'_~"~RSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />_.__._----~--._-- <br />'PRODUCTS -COMPIOPAGG <br /> <br />':1,000,000 <br />.1 ,000,000 <br />.10,000 <br />.1 000000 <br />'2,000,000 <br />.2 000 000 <br /> <br />COMBINED SINGLE LIMIT $1 000 000 <br />,(EaaCCldenIJ=f ' <br />I"'BODILY~NJURY S -- --~- <br />(Per person) <br />1_----- - <br />BODIl YlNJURY l' <br />I (Per accident) <br />PROPERTY DAMAGE $ <br />(Peraccldenl) <br /> <br />AUTO ONLY. EA ACCIDENT S <br /> <br />I OTHER THAN <br />AUTO ONLY <br /> <br />EA ACC 5 <br /> <br />AGG 5 <br /> <br />~~~~~ OCc:!-:!R.~~~~__..___.__ _$______ ______ <br />L~_S'_~.~G.~!E_____,__ <br /> <br />--_.~---~- <br />is _____..___.._..._.~_ <br />. <br /> <br />x !T~~~I~1~s__JJ~- <br />E.l. EACHACC.~DENT 51,000,000 <br />E.l. ~~~~~.:....~_~~.~~QY~~ .$1,000,000 <br />E.l. DISEASE .POltCYlIMIT $1,000,000 <br />$1,000,000 per claim <br />$1,000,000 annl aggr. <br /> <br />CERTIFICATE HOLDER <br /> <br />AD DITIONALINSURED -INSU RE R LETTER: <br /> <br />CANCELLATION <br /> <br /> <br />City of Santa Ana <br />Attn: Vincent Fergoso <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANYOFTHEABOVE DESCRIBED POlICIESBE CANCELLED BEFORETHE EXPtRATION <br />DATE THEREOF. THE ISSUING INSURER WIMXJfKIeAXOlIK TOMAIL3D--DAYSWRITTEN <br />NOTICE TOTHE CERTIFICATE HOLDER NAMeD TOTHELEFTJC'IUf'J:~lJg~anft(k <br />JIOli\lllJLelff.l~~.RXU~Matme8ClJ:a:AlUlIJ(~ <br />_Jt~ <br />AUTHORIZED REPRESE~TIVE <br />..df. ' ~t::W <br /> <br />ACORD 25-5 (7197)1 of 1 <br /> <br />#M179999 <br /> <br />AAF <br /> <br />@ ACORD CORPORATION 1988 <br />
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