KALISKI, JOHN AIA DBA URBAN STUDIO 3 - 2009

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ACORD�CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 7 6 2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 199 South Los Robles Ave. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite: 540 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Pasadena CA 91101 INSURED Urban Studio 3780 Wilshire Blvd., Suite 1100 INSURERA: Travelers Property Casualty Cc of Ameri INSURER B: Travelers Indemnity Co. of Connecticut INSURER c: Travelers Casualty Ins. Co. of America Los Angeles CA 90010 INSURER D: U. S . Specialtv Insurance Company INSURER E: MED EXP (Any one person) $10,000 COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD[YYI POLICY EXPIRATION LIMITS A GENERAL LIABILITY 6806708L374 12/13/2008 12/13/2009 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $2, 000, 000 X I COMMERCIAL GENERAL LIABILITY CLAIMS MADE k] OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2, 000, 000 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4 000, 000 POLICY X PRO- LOC B AUTOMOBILE LIABILITY ANY AUTO BA6708L755 12/13/2008 12/13/2009 COMBINED SINGLE LIMIT $1 , 000, (Ea accident) 0 0, 0 0 0 BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS X �'X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UB5276Y706 1/9/2009 1/9/2010 �X TNRYLIMTS OER E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE - EA EMPLOYEE] $1 0 0 0 0 0 0 E.L. DISEASE - POLICY LIMIT $1,000,0()o D OTHER Professional Liability US081200104 112/11/2008 12/11/2009 $1,000,000 Per Claim $1,000,000 Annl Aggregate DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured s respects general liability for claims arising from the operations of the named insured as required per written contract. Insurance includes primary and non-contributory wording per the attached endorsement. EVERABILITY OF INTERESTS (Per CG 00 01 10 01) 7. Separation of Insureds Continued ... CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: _ CANCELLATION 1 n nav ATni— i -c f-- Tb,,, _ Dom., _+- _-P n --- City of Santa Ana P.O. Box Cent PPROVED 20 Civic Center Pla Santa Ana CA 92702 / HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER TO IL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO FO HE LEFT. ACORD 25-S (7/97) 0 ACORD CORPORATION 1988