BENTON, BETSY 1 - 2008 - Laserfiche WebLink

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'—TM. L;hK I IFI(;A I t VI- LIAI31L1 I Y INSUKAN(;t JAN 1408 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION E.L.M. INSURANCE BROKERS, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 2668 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1990 E, GRAND AVE STE 210 CA LIC OD28706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EL SEGUNDO CA 90245 -1768 PHONE: 310 - 322 -1301 INSURERS AFFORDING COVERAGE NAIC # ---Agency Lic #: OD28706 INSURED BETSY BENTON 422 W. SANTA CLARA AVENUE SANTA ANA CA 92706 N- 2008 -006 rnvconncc INSURER A: Lloyds of London INSURER B: INSURER C. INSURER D: INSURER E: 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. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE OLICY DATE MM /DD /YY ) PE EXPIRATION DATE MM /DD/YY LIMITS �GENERAL LIABILITY NOT INCL EACH OCCURRENCE �$ COMMERCIAL GENERAL LIABILITY CLAIMS MADE, OCCUR ',,, _ -_ - $ DAMAGE TO RENTED PREMISES PREMISES (Ea occurence) MED. EXP (Any One Person) PERSONAL & ADV INJURY GENERALAGGREGATE $ $ GEN'L AGGREGATE LIMIT APPLIES PER: ., PRODUCTS - COMP /OP AGG. $ POLICY j AUTOMOBILE LIABILITY NOT INCL I COMBINED SINGLE LIMIT ANY AUTO (Ea accident $ ALL OWNED AUTOS ', BODILY INJURY SCHEDULED AUTOS (Per person) $ L - HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE _ - $ GARAGE LIABILITY _. ANY AUTO NOT INCL AUTO ONLY - EA ACCIDENT $ —.- - - -- - -.:. OTHER THAN EA ACC AUTO ONLY: AGG ABILITY ri OCCUR - -. CLAIMS MADE NOT INCL EACH OCCURRENCE AGGR i EGATE $ _ - --- $ DEDUCTIBLE - -- ~ — RETENTION $ - -- -- -- - - - - -_. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY NOT INCL we s7ATU- I OTHER __._ TORY LIMITS ANY PROPRIETOR /PARTNERIEXECUTIVE E.L. EACH ACCIDENT I$ OFFICER /MeMBER EXCLUDED? If yes, describe under E.L. DISEASE -EA EMPLOYEE �$ _._ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER: PROFESSIONAL LIABILITY 0608- 00067145D JUN 28 07 A CLAIMS MADE FORM JUN 28 08 $1,000,00041,000,000 LIMITS FOR THE PERIOD FROM 11/1/07 - 6/28/08. $250,000/$500,000 LIMITS FOR THE DESCRIPTION OF OPERATIONS /LOCATION /VEHICLES /EXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE IS FOR PROOF OF ARBITRATORS & MEDIATORS PROFESSIONAL LIABILITY COVERAGE. NOTHING IN THIS CERTIFICATE SHALL ALTER, AMEND OR EXTEND COVERAGE PROVIDED BY THE ABOVE MENTIONED POLICY. ALL OTHER TERMS AND CONDITIONS OF THE REFERENCED POLICY REMAIN IN FULL FORCE AND EFFECT. 6/28/04 RETRO DATE. /// CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 20 CIVIC CENTER PLAZA M -30 P.O. BOX 1988 SANTA ANA, CA 92702 -1988 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S AGENTS OR REPRESENTATIVES. Attention: CLERK OF THE CITY COUNCIL AUTHORIZED REPRESENTATIVE m%,vnv zu kcuOI1VO) uemncale v Jrsoz rreaenCK J. rlsner U6U //99