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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 />r- <br />, <br /> <br />. . <br />A CORD," <br /> <br />Client#: 8419 <br /> <br />URBANSTUD <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DATE (MMIDD/YY) <br />12/12/05 <br /> <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 /> <br />PRODUCER <br />DeaJey, Renton & Associates <br />199 S Los Robles Ave Ste 540 <br />Pasadena, CA 91101 <br />626 844-3070 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />Urban Studio <br />3921 Wilshire Blvd., Suite 420 <br />Los Angeles, CA 90010 <br /> <br />INSURER A: United States Fideli~y & Gu.~ranty <br />INSURER B St. Paul Fire & Marine Ins. Co. <br />JJ ~dfX)j-155-1J.L 'NSURERC U.S. Specialty Insurance Company <br />INSURER D <br />INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH[ 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 - ------- --- ----- ------ r'oLlCY-EFF-ECfiVE- IpC)i:.icV-EXPiRATloril <br />lTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/VY DATE MMIDDNY <br /> <br />LIMITS <br /> <br />A <br /> <br />GENERAL LIABILITY ! BK01565160 <br />-00_-' , <br />_X IC.OMMERCIAlGENERA. L LIABILITY i <br />--l i CLAIMS MADE ~~ OCCUR <br /> <br />tj <br /> <br />12/13/05 <br /> <br />I <br /> <br />12/13/06 <br /> <br />~ F.ACH OCCUf~RENCE $.1.,9JJ9,_QQO <br />i_!,~~~AMAGE IA_~~_o_~_~~~~)___ $1,000,QQO <br />l_~_~D _~?<!'J..Any on~p~~..0L--i-!1Q,990 ______ <br />_PERSON~~~_~~_~~~l!RY __: _!t.QQ_QIOOO <br />GE~~_~~~~S>GREGA:rE ----J $2.000.QOO_____ <br />_~_~~~.}oU~~_~_C()~~IOP AGG + ~.?IOQQ&Q.~__ <br />I <br /> <br />A AUTOMOBILE LIABILITY <br /> <br /> <br />BK01565160 <br /> <br />12/13/05 <br /> <br />12/13/06 <br /> <br />COMBINED SINGLE: lIMI1 <br />(Eaaccident) <br /> <br />$1,000,000 <br /> <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDUi.ED AUlDS <br />X HIRED AUTOS <br />X I NON-OWNED AUTOS <br /> <br />BODilY INJURY <br />(Per pcr~on) <br /> <br />BODli_Y INJUHY <br />(Pcraccidont) <br /> <br />:$ <br /> <br />I EXCESS LIABILITY <br />:_] OCCUR I <br /> <br />[l DEDUCTIBLE <br />[-I <br />I RETENTION <br /> <br />00 j CLAIMS MADE <br /> <br />I PROPER IY DAMAGE <br />I (Poraccidont) <br /> <br />I_AUTO ONL_Y . EA ~CCIDE'NI i$ <br /> <br />I OTHER THAN EA ACe I $ <br />: AUTO ONLY AGG : $ <br /> <br />EACH OCCURRENCE <br />I-A~~~~-~~T~ <br /> <br />_n_j:n_- <br /> <br />$ <br /> <br />GARAGE LIABILITY <br />1--- <br />i <br /> <br />ANY AUTO <br /> <br />$ <br /> <br />B 'I WORKERS COMPENSATION AND <br />EMPLOYERS" LIABILITY <br /> <br />WVA2449066 <br /> <br />; 01/09/05 <br />I <br />, <br /> <br />01/09/06 <br /> <br /> <br />OTH- <br />E8 tu ...____ <br />, $1,000,000 <br />~E,L, DISEA?~ - ~~ EMPL OYEEl $1 ,000,000 <br />E.l_ DISEASE. POLICY LIMIT $1,000,000 <br />$1,000,000 per claim <br />$1,000,000 annl aggr. <br /> <br />C OTHER Professional <br />Liability <br /> <br />US051200101 <br /> <br />! 12/11/05 <br /> <br />,12/11/06 <br />i <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named as an additional insureds as respects I6t 7 /> <br />. ~ V-/, ',' I '- <br />general liability for claims arising from the operations of the named <br />insured. <br /> <br />CERTIFICATE HOLDER <br /> <br />DEe 1 4 2005 <br /> <br />CANCELLATION av Notice for Non-Pavment of Pre <br />SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WI~~ TO MAIL 30 DAYS WRITTEN <br />NOllCETOTHE CERTIFICATE HOlDERNAMED TOTHE LEFT.)ftU[X~k <br />~<<n_MItXIlOJl~K~~.!ll~ <br />"""K~ <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br /># <br />AAF @ ACORD CORPORATION 1988 <br /> <br />, ADDmONAlINSURED;INSURERLETTER: <br /> <br />City of Santa Ana <br />AUn: Vincent Fergoso <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />RECEIVED <br /> <br />\p <br /> <br />ACORD 25-S (7/97)1 <br /> <br />011 <br /> <br />#M145574 <br />
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