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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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Template:
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 />Ar1DRD.~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY) <br />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 />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />199 S Los Robles Ave Ste 540 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena, CA 91101 <br />626 844-3070 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A- United States Fidelity & Guaranty <br /> Urban Studio INSURER B: SI. Paul Protec1ive Insurance Co. <br /> 3921 Wilshire Blvd., Suite 420 INSURER c: U.S. Specialty Insurance Company <br /> Los Angeles, CA 90010 INSURER 0: <br /> , INSURER E: <br /> <br />ullelUf"- O~I::S' <br /> <br />Un.C,",I'11O)IUU <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 />NSR TYPE OF INSURANCE POLICY NUMBER P8k!fEY ~~~%~W P~~~l f~X:J~~N LIMITS <br />LTR <br />A ~NERAL LIABILITY BK01565160 12/13/06 12/13/07 EACH OCCURRENCE $1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $1 000000 <br /> I CLAIMS MADE W OCCUR MED EXP (Anyone person) $10000 <br /> e- PERSONAL & ADV INJURY $1 000 000 <br /> e- GENERAL AGGREGATE $2 000 000 <br /> n'L AGG~EnE LIMIT APPlS PER PRODUCTS - COMP/OP AGG $2 000 000 <br /> PRO- <br /> POLICY JECT LOC <br />A ~TOMOBILE LIABILITY BK01565160 12/13/06 12/13/07 COMBINED SINGLE LIMIT <br /> ANY AUTO (Eaaccidenl) $1,000,000 <br /> e- <br /> e- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> e- <br /> ~ HIRED AUTOS BODILY INJURY <br /> (Peraccidenl) $ <br /> ~ NON-OWNED AUTOS ,:,.\ <br /> - PROPERTY DAMAGE $ <br /> ,'! (Peraccidenl) <br /> , .~, ~ <br /> ~RAGE LIABILITY j QL 1/// ~ AUTO ONLY -EA ACCIDENT $ <br /> ANY AUTO '~ OTHER THAN EA ACC $ <br /> !" ~ , <br /> nx -. AUTO ONLY: AGG $ <br /> EXCESS LIABILITY "-- " . ,}' EACH OCCURRENCE $ <br /> ~:::rOCCUR D CLAIMS MADE -~f:\" \' ", AGGREGATE $ <br /> $ <br /> ~ DEDUCTIBLE, $ <br /> - <br /> RETENTIOI~ $ $ <br />B WORKERS COMPENSATION AND BW02172485 01/09/06 01/09/07 X IT~~n~T,~-o I IOJ~- <br /> EMPLOYERS' LIABILITY $1,000,000 <br /> EL EACH ACCIDENT <br /> E.L DISEASE - EA EMPL OYEE $1,000,000 <br /> EL DISEASE - POLICY LIMIT $1,000,000 <br />C OTHER Professional US061200102 12/11/06 12/11/07 $1,000,000 per claim <br /> iability $1,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHtCLES/EXCLUSIONS ADDED BY ENDORSEMENT/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 />CERTIFICATE HOLDER I I ADDITIONAL INSURED-INSURER LETTER: CANCELLATION - <br /> SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Santa Ana DATE THEREOF, THE ISSUING INSURER WI~ TOMAIL3.0.--DAYSWRmEN <br /> Alln: Vincent Fergoso NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHELEFTJOUa~i:lU(Jtk <br /> P.O. Box 1988 .lIOI'III eIIDllBXucnlX.KX_~K~aJ(!DIDaC8C. <br /> Santa Ana, CA 92702 JIIOl!_ <br /> AUTHOR~REPRES~E <br /> , ~' CW <br /> <br />ACORD 25-S (7/97) 1 of 1 <br /> <br />#M 179999 <br /> <br />AAF <br /> <br />Ii) ACORD CORPORATION 1988 <br />
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