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KALISKI, JOHN AIA DBA URBAN STUDIO 3 - 2009
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KALISKI, JOHN AIA DBA URBAN STUDIO 3 - 2009
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Last modified
4/29/2016 1:08:27 PM
Creation date
8/3/2009 8:46:34 AM
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Contracts
Company Name
KALISKI, JOHN AIA DBA URBAN STUDIO
Contract #
N-2009-093
Agency
PLANNING & BUILDING
Insurance Exp Date
12/13/2011
Destruction Year
2016
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ACORD� CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YY) <br />OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />12/10/2009 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />199 S Los Robles Ave Ste 540 <br />Pasadena, CA 91101 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />626 844-3070 <br />INSURED <br />INSURERA: Travelers Property Casualtv Co of Ameri <br />Urban Studio <br />3780 Wilshire Blvd. <br />INSURER B: Travelers Casualty Ins. Co. of America <br />INSURERQHudson Insurance Com an <br />Suite 1100 <br />INSURER D: <br />Los Angeles, CA 90010 <br />INSURER E: <br />COVERAGES <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTRLIMITS <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />p, <br />GENERAL LIABILITY <br />6806708L374 <br />12/13/2009 <br />12/13/2010 <br />EACH OCCURRENCE $2,000,000 <br />FIRE DAMAGE (Anyone fire) $2,000, 000 <br />X COMMERCIAL GENERAL LIABILITY <br />Santa Ana CA 92702 <br />Z� <br />MED EXP (Any one person) $10,000 <br />CLAIMS MADE 5c] OCCUR <br />PERSONAL S ADV INJURY $2,000, 000 <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $4,000, 000 <br />POLICY X PRO- LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BA6708L755 <br />12/13/2009 <br />12/13/2010 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESS LIABILITY _ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />UB5276Y706 <br />1/9/2009 <br />1/9/2010 <br />X WCSTATU- OTH- <br />1 <br />E.L. EACH ACCIDENT $1, 000,000 <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />E.L. DISEASE -POLICY LIMIT _$1000,000 <br />C <br />OTHER <br />Professional Liability <br />AEE7242900 <br />12/11/2009 <br />12/11/2010 <br />$1,000,000 Per Claim <br />$2,000,000 Annl Aggregate <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and <br />representatives are named as additional insured as respects general liability for claims arising from the operations of <br />he named insured as required per written contract. Insurance includes primary and non-contributory wording per the <br />attached GL endorsement. <br />EVERABILITY OF INTERESTS (Per CG 00 01 10 01) <br />Continued ... <br />-- IRJVRCRLCIICR: <br />yNr96rCLLNIIVIYI IJay Notice t r Non-Payrfmt ot Prem <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />City Of Santa Arid <br />BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />P.O. Box 1988 <br />APPROVED <br />AS <br />ILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />MDP@R@4 LEFT. <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />Z� <br />NJANTIiN KA0i71,:1 <br />ACORD 25S <br />(a ACCRD CCRPnRATIAN 19RR <br />
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