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BENTON, BETSY 3 - 2009
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READY TO DESTROY IN 2018
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BENTON, BETSY 3 - 2009
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Entry Properties
Last modified
1/26/2016 3:35:55 PM
Creation date
10/12/2009 12:21:44 PM
Metadata
Fields
Template:
Contracts
Company Name
BETSY BENTON
Contract #
N-2009-042
Agency
Planning & Building
Expiration Date
12/31/2009
Insurance Exp Date
1/1/2012
Destruction Year
2018
Notes
Amended by N-2009-042-001, -002
Document Relationships
BENTON, BETSY 3A - 2009
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
BENTON, BETSY 3B - 2010
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
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'`�c�RO CERTIFICATE OF LIABILITY INSURANCE 12/2`0%20 0) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN SURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WANED, subject [o <br />the terms and conditions of the policy, certain policies may require an entlorsement A statement on ihls certificate does not confer rights to the <br />certi£cate holder in lieu of such endorsement(s). <br />PRODUCER <br />COMPLETE EQUi TY Ma RKFTS INC <br />1190 Flex Court. <br />Lake Zurich, 2L 60047 <br />ILrR <br />PHONE <br />ac Np Ext: (847) 541 -0900 ,VC.Np:(B47) 541 -0444 <br />AoDRESS:❑ <br />INSURERS) AFFORDING COVERAGE <br />NAICy <br />INSURER A T..7ndetWrl t @rS alt Lloyds London <br />MM/OD/YY`!Y <br />INSURED $etgy Benton <br />2750 Artesia Boulevard #465 <br />Redonda Beach, CA 9027$ <br />INSURER B <br />GENERAL LIABILITY <br />INSURER G <br />INSURER D: <br />INSURER E: <br />INSURER F <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILrR <br />TYPE OF INSV RANCE <br />INSR <br />wvp <br />POLICY NUMBER <br />MM/DD/YY`(Y <br />MM/OD/YY`!Y <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence <br />$ <br />CLAIMS -MADE � OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL 8 ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEML AGGREGATE LIMIT APPLIES PER' <br />PRODUCTS - COMP /OP AGG <br />$ <br />POLICY PRO- <br />JECT LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />I <br />0 � <br />� <br />Ee accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per accident) <br />$ <br />AUTOS AUTOS <br />NON -0WNED <br />HIRED AUTOS AUTOS <br />Per accident AMA <br />$ <br />� <br />I) <br />la aa- Q <br />UMBRELLA LIAR <br />OCCUR <br />�� <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />C�7 <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />_ <br />OER <br />AND EMPLOYERS' LIABILITY y/ry <br />TORY 1TIT5 <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXEGUTIVE <br />OFFICEWMEMBER EXCLUDED? � <br />N/w <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(ManJtlory In rvrvl <br />If yes describe under <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional _ <br />652164 <br />1/1/11 <br />1/1/12 <br />$1,000,000 Each claim <br />Liabilit <br />- <br />$1 000 000 re ate <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ALlach ACORD tOl, Addltlonal Remarks Schedule, i( more space le required) <br />This is a two page Certificate o£ insurance, please see page two for additional <br />informaiton. <br />�� EMI V liC LLN 1 1 V I V <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />For information Only ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©'1958 -20'I O ACORD CORPORATION_ All rights reserved. <br />HI.;VKU LS (LU'1 V /V5) The ACORD name and logo are registered marks of ACORD <br />O� <br />
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