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SOLOMON, STEPHEN HOWARD 4 - 2009
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READY TO DESTROY IN 2018
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SOLOMON, STEPHEN HOWARD 4 - 2009
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Entry Properties
Last modified
7/7/2016 5:36:32 PM
Creation date
6/10/2009 10:25:02 AM
Metadata
Fields
Template:
Contracts
Company Name
SOLOMON, STEPHEN HOWARD
Contract #
N-2009-027
Agency
PLANNING & BUILDING
Expiration Date
12/31/2009
Insurance Exp Date
6/2/2011
Destruction Year
2018
Notes
Amended by N-2009-027-001, -002
Document Relationships
SOLOMON, STEPHEN HOWARD 4A - 2009
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
SOLOMON, STEPHEN HOWARD 4B - 2010
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
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E.L.M. I NSURANCE BROKERS, INC <br />1890 EAST GRAND AVE, SUITE 210 1 EL SEGUNDO, CA 90245 <br />3118108 B E N D E R # 34845.01 <br />INSURED: Stephen Solomon <br />9471 Henderson Way <br />Villa Park, CA 92861 <br />TEL (310) 322 -1301 <br />FAX (310) 322 -1302 <br />CA LIC # OD28706 <br />AGENT: Ember J. Stites <br />27001 La Paz Rd #200 <br />Mission Viejo, CA 92681 <br />Page 1 of 1 <br />Binder is effective from 12:01 ANV2r -%= to 12:01 AM 03/23/08 uniess cancelled or replaced by the Policy. <br />Policy is effective from 1201 AWZ#26t48 to 1201 AM 021260). <br />This is to certify that in accordance with your instructions, we have bound coverage as follows: <br />COMPANY: Certain Underwriters at Lloyds, London POLICY NO: 0209-00119005A <br />COVERAGE: Alternative Dispute Resolution Professional LiabHity 1 Form: PL (7100) 1 Claims Made <br />LIMITS: 1,000,000 Per Claim <br />ZL 11 <br />-X g- x/' /I e, - 4 7,- a <br />r <br />No fiat cancellations. 25% minimum retained premium in the event of cancellation. <br />This Binder is subject'to all terms and conditions of the policy to be issued. The Binder shall be terminated and voided by delh ery of a policy <br />either the Insured, his agent or representathve. The coverage wiU remain in effect for the teim indicated unless canc8lied by <br />Me Insured, or the Company, via written notice. <br />1,000,000 in the Aggregate <br />DEDUCTIBLE: <br />1,000 Per Claim <br />OTHER <br />Defense Inside the Limits <br />Retroactive Date: 212612008 <br />PolicyTerm: 12 Months <br />FORMS: <br />1. Nuclear Incident Exclusion <br />2. Service of Suit Clause (U.S.A.) <br />3. Several Liability Notice <br />4. War and Civil War Exclusion <br />5. War and Terrorism Exclusion Endorsement <br />6. Radioactive Contamination Exclusion Clause Liability Direct <br />7. Notice of Cancellation <br />S. Asbestos Exclusion <br />9. Extended Reporting Period -100% <br />RATE: <br />Flat <br />PREMIUM: <br />$520 -00 <br />15.60 State Tax <br />a.s5 CA Stamp Fee <br />$ 53635 Total <br />ZL 11 <br />-X g- x/' /I e, - 4 7,- a <br />r <br />No fiat cancellations. 25% minimum retained premium in the event of cancellation. <br />This Binder is subject'to all terms and conditions of the policy to be issued. The Binder shall be terminated and voided by delh ery of a policy <br />either the Insured, his agent or representathve. The coverage wiU remain in effect for the teim indicated unless canc8lied by <br />Me Insured, or the Company, via written notice. <br />
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