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<br />M illiicip ality <br /> <br />Insurance Services <br /> <br />MD Tedesco Company Consulting <br />18264 Mt Stewart Circle <br />Fountain Valley, CA 92708-6444 <br />We are able to offer the followln9 terms which are valid for 30 days <br /> <br />FILE # 4180A <br />02/14/2001 <br /> <br />New Business <br /> <br />Page 1 of 1 <br /> <br />Coverage SPARTA INSURANCE PROGRAM: CommercIal General liability _ Hazard! [x) IA [ ] II [ J IIA [ J II! [ ] <br />Contract No: NIA <br />Contract Value: S 30,000 <br />Coverage Period: Annual <br />Insurance Carrier: Essex Insurance Company <br />Master Policy Nur:nber: 3CD5587 <br />Master Policy Effective Date: 11/15/99 to Expiration <br /> <br />Limits S2.000.000 General Aggregate/$l,OOO,OOO each Occurrence/S1.000.000 Products/Completed OperatlonslS1 ,000.000 Personal & <br />Advertising InjuryJS50,OOO Fire Damage/Medical Payments ExclUded <br /> <br />Deductibles S500 BI & PD Per Claimant Including Loss Adjustmant Expense <br /> <br />$ 750,00 Premium (Fully Earned) <br /> <br />50.00 Certificate Fee (Fully Earned) <br />22.50 State Tax - 3.0% <br />2.63 Stamp Fee ~ 0.350% <br />$ 825.13 <br />Terms and Conditions <br />1.No Cancellations Allowed. <br />2.0peratlons and Rating Based: ConsUltant_Space planning & design architectual design service.NO DEMOLITION OR BUilDING SANTA ANA ONLY. <br />3.Contractual on a Limited Form. NO PROFESSIONAL LIABILITY COVERAGE PROVIDED. <br />4.AdditionaJ lnsured(s): <br />5.Departrnent <br />Exclusions Per the Master Policy, a copy is avajlable by written request to: Municipality Insurance Services, Inc., 1920 E <br />17th St Suite #130, Santa Ana, CA 92705. <br /> <br />The Insurance afforded under the specified policy above is subject to all the terms, condItions and exclusions of such policy. (A copy of the pollcy is aval/able <br />Upon written request.) <br />This coverage applies only to the contractor or event noted above and does not extend to any other actIvities or work performed by the holder. <br />Public Entity City of Santa Ana <br />Altn: Jeff Stevens <br />20 Civic Center Plaza <br />PO Box 1988 <br /> <br />//: / ~anta ~:X;:/ <br />/~~M./!7.r: ~4 <br /> <br />Signed arid Accepted by the insured <br /> <br />NEED THE FOLLOWING TO BIND: <br /> <br />Date <br /> <br />";\'1 <br />VOl'"~ <br />, ~'O <br />:>.Ip'\) ht> -,.rl~:7L <br />}\P!'1\0 , l- J;;J;J.Z.>- <br />~S10\\C\<. 0 <br />IS"- f_,. p,\\O\fI-Y <br />\- fI\ eM <br />p.ss\S\3 <br /> <br />IC(~~/ <br /> <br />> A copy of this Quotation and a money order or cashiers check (Payable to Municipality Ins. Services) in the amount of <br />Best Regards, Carol Frost <br /> <br />$ 825.13 <br /> <br />;:'~-'"-":':.::.:i":''-'_.;';:.t.':'::':'",";~',,~...:.,..., ':::.'.r:.:;:""~"-":~~~':'~,~'.:"~,!:_ -l'::.,>:!':..,~.'l:7.:_-';~-'~:~~~:;.cr:;-_~~::.:,;".~.:c;;'_'>;~"~_':!c:~ <br /> <br /> <br />(714) 550-5040 (800) 420-0555 <br />License No. OC04849 <br /> <br />;.:c:;.z.~~sr.:;-:".l"::;"~~::=_""~ '-~:~';:':~:-<::'~-:::;~".::'c_ ZO';':.'.!. . <br /> <br />Fax (714) 550-5044 <br />