KALISKI, JOHN AIA DBA URBAN STUDIO 3 - 2009

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ACORD ,� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/ri) 12 1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 199 S Los Robles Ave Ste 540 Pasadena, CA 91101 HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED NOT AMEND, EXTEND OR BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE 626 844-3070 INSURED Urban Studio2 ��9- C� �-3 3780 Wilsi e Blvd. Suite hrN� 0 1100 INSURER A: Travelers Pro ert Ca SIIaltx Co of Ameri INSURER B: Travelers Casualt & Surat CoMrD INSURERC:Hudson Snsurance Com an INSURER D: LOS Angeles, CA 90010 INSURER E: 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 fMSPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE FRMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LYR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 6806708L374 12/13/2010 12/13/2011 EACH OCCURRENCE _ $2, p_Op Q00___ FIRE DAMAGE (Any one fire) $2 000, 000 _ X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $10_000 CLAIMS MADE KI OCCUR PERSONAL 8 ADV INJURY $Z 000 000 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4_000 000 POLICY F,_1 PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO BA6 7 0 8 L 7 5 5 12 / 1 3/ 2 0 1 0 T2/T3/2011 COMBINED SINGLE LIMIT (Ea acciEBn[) $ 1+ 0 0 0, 0 0 0 BODILY INJURY $ (Par person) ALL OWNED AUTOS SCHEDULED AUTOS X ' BODILYINJURY $ (Per accident) HIRED AUTOS NON -OWNED AUTOS 0 ','O �R X PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ; Ia I S O O AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ ANY AUTO Y� EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ S DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND UB 5 2 7 6 Y7 0 6 T/9/2010 1/9/2011 WC STATU- OTH- X TORY LIMIT EMPLOYERS- LIABILITY E.L. EACH ACCIDENT $1 O O O O O O E.L. DISEASE - EA EMPLOYEE $1 00Q 000 E.L. DISEASE - POLICY LIMIT $1.000.000 C OTHER Professional Liability AEE7242901 12/11/2010 12/11/2011 $1,000,000 Per claim $2,000,000 Annl Aggregate DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ity of Santa Ana, 20 Civic Center P1aza, Santa Ana, California 92-]01; its officers, employees, agents, volunteers and representatives are named as additional insured as respects general liability £or claims arising from thN operations of the named insured as required per written contract. Insurance includes primary and non-contributory wording per the ttached GL endorsement. EVERABILITY OF INTERESTS (Per CG 00 01 10 01) Se e Attached_.. CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 1 £ m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City O£ Santna a AILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER P.O. Box 1988 NAMED TO THE LEFT. 20 Civic Center Plaza Santa Ana CA 92702 AUTHORIZED REPRESENTATIV ACORD 25S (7/97) O ACORD CORPORATION 1988