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SOLOMON, STEPHEN HOWARD 4A - 2009
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READY TO DESTROY IN 2018
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SOLOMON, STEPHEN HOWARD 4A - 2009
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Entry Properties
Last modified
7/7/2016 5:36:49 PM
Creation date
1/7/2010 1:51:03 PM
Metadata
Fields
Template:
Contracts
Company Name
SOLOMON, STEPHEN HOWARD
Contract #
N-2009-027-001
Agency
PLANNING & BUILDING
Expiration Date
12/30/2010
Insurance Exp Date
6/2/2011
Destruction Year
2018
Notes
Amends N-2009-027 Amended by N-2009-027-002
Document Relationships
SOLOMON, STEPHEN HOWARD 4 - 2009
(Amends)
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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DEG - X9,2010 13:92 EMBER STITES 9492669191 Page 1 <br />Business Risk Partners ///°°°��� p <br />PROFESSIONAL LIABILITY INSURANCE POLICY — - � / /1 /1/��(7_ �� !'�_ o/ " <br />UNDERWRITTEN BY UNDERWRITERS AT LLOYD'S ��V/ O` %!` JY`_- 7 / lJ' <br />TNLS /S A GLA /MS MADE AND REPORTED POLICY - PLEASE READ CAREFULL Y. <br />DECLARATIONS <br />ITEM 7 <br />NAMED INSURED: <br />Stephan Solomon <br />ADDRESS: <br />947'1 Henderson Way <br />Villa Park CA 92667 <br />ITEM Z. <br />POLICY PERIOD: <br />EFF EGi IVt FROM 06r02/20T0 to 06/tT1/ZUl l (AT IZ:UI A.M. S�IANDARD TIME A7 OF <br />NAMED INSURED AS STATED HEREIN.) <br />ITEM 3 <br />LIMITS OF LIABILITY- <br />(A) 51,000,000.00 Balch Glaim intludmg Loss and Claims Expenses, but in no event <br />exceeding, <br />(B) S7,OOD,000.00 in the AggrPgaM for all Claims, Including Loss and Claims Ex genres <br />ITEM 4 <br />DEDUCTIBLE: <br />$7.000.00 per Glaim, including loss antl Claims Expenses <br />ITEM 5 <br />PREMIUM: <br />5520 <br />ITEM 6. <br />RETROACTIVE DATE: <br />D6/021Z009 <br />ITEM 7 <br />PROFESSIONAL SERVICES: <br />Sdely in the p ©rtorrtunca of providing Alternatve f7Lspute Resolution Services for others <br />for a fee. <br />ITEM b <br />NOTICES: <br />Notices required to 6e given to the Insurers under [he Policy shall be addressed tv'. <br />Business Risk Partners, Inc. <br />T Waterside Crossing. SuRe 302 <br />VVind50r, CT OB®5 <br />ITEM 9. <br />POLICY NUMBER: <br />0000 - 007343026 <br />ITEM 7D. <br />AGENT/BROKER: <br />E.LM. Insurance Brokers, Inc. <br />ITEM 71. <br />ENDORSEMENTS: <br />1. Nuclear Incident FxULlslon <br />2. Service eE Suit Clause (U.S. A.) <br />3. Several LiabilRy No4ce <br />4. War antl Civil War Exclusion <br />5. NFar and Terrorism Exd usion Endorsement <br />6. Radioactive Corltamma[wn Llrclaision Clause LiahJ dy Direct <br />7. Notice of Cancollatlm - ADR <br />8. Asbestos Exclusion <br />R Extended Reporting Nenod TUO% <br />NOTICE: THIS 19 A CWMS MAD£ AND REPORTED POLICY. EXCEPT AS MAY OTHERWISE BE PROVIDED HEREIN. THE COVERAGE OF THIS <br />POLICY IS LIMITED TO LIABILITY FOR WFIO NGFUL ACTS COMMI iT ED SU 95EOUENT TO THE RETROACTIVE DATE, IF APPLICABLE. rOR <br />44/FIICI� CWMS ARE FIRST MADE AGAINST TH£ INSURED WHILE THE POLICY IS IN FUftCE AND WHICH ARE REPORTED TO THE COM PgNY <br />NU LATtR THAN SIXTY (BOI DAYS AFI ER THE l "EF2MINA TION OF THE POLICY THE COVERAGE OF THIS POLICY DOES NOT APPLY TO <br />CLAIMS FIRST MADE AGAINST THE INSURED AFTER THE TERMINATION OF THE POLICY UNLESS AN EXTENDED REPORTING PERIOD <br />APPLIES. <br />THE LIMITS OF LIABILITY AVAILABLE TO PAY LOSS, AS OFFINF� IN THE POLICY, SHALL BE REDUCED BY AMOUNTS INCURRED FOR <br />CLAfMS EXPENSES. FURTHER NOTE THAT AMOUNTS INCLJRRFO FAR Cl.A1M4 EXPEN.°.'ES AN[J I OSS SHN.L ALSO 13E APPLIED AGAIN.T'T <br />1'Ht UEdJC TIBLE AIiAOUNT. l._ <br />�_ �c�-�f <br />AUTHORIZED REPRESENTATIVE: ��' DATE: OGA3l201G <br />L15a L7oi19rty PfealdeM <br />• <br />1 1 t ' <br />,�� <br />Gt. <br />
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