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DROSMAN, THOMAS 1-2010
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DROSMAN, THOMAS 1-2010
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Last modified
1/3/2012 3:05:53 PM
Creation date
9/16/2010 10:40:22 AM
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Contracts
Company Name
DROSMAN, THOMAS
Contract #
N-2010-088
Agency
CITY ATTORNEY'S OFFICE
Expiration Date
6/30/2011
Insurance Exp Date
3/8/2011
Destruction Year
2017
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A CORD <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDff" <br />08/24/2010 <br />TM. <br />PRODUCER Phone: (831) 624-5588 Fax: 831-624-5108 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />CHRISTOPHER LEE INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P.O. BOX 221818 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />CARMEL CA 93922 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> INSURERS AFFORDING COVERAGE NAIC # <br />Aoencv Licit: OE36383 <br />INSURED INSURER A: XL INSURANCE <br />DROSMAN, & PERCIVAL, LLP INSURER B: <br />38 TECHNOLOGY DRIVE, SUITE 260A INSURER C: <br />IRVINE CA 92618 <br /> INSURER D: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR ADD <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE MMID POLICY EXPIRATION <br />DATE MMID LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES Ea --n4/ $ <br /> CLAIMS MADE 7 OCCUR MED. EXP (Any one person) S <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG. $ <br /> POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Es eoeident) <br /> ALL OWNED AUTOS BODILY INJURY <br />(Per <br />erson) <br />$ <br /> SCHEDULED AUTOS p <br /> HIRED AUTOS Rlv? BODILY INJURY <br />$ <br /> NON-OWNED AUTOS OU A <br />APPR (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY t-L <br />30 H L AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO TT <br />CITY A Y OTHER THAN EA ACC <br /> AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ? CLAIMS MADE AGGREGATE $ <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> <br />WORKERS COMPENSATION AND 1/JC STATU- OTHER <br />TORY LIMITS <br /> EMPLOYERS' LIABILITY <br />ER <br />EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> ANY PROPRIETORIPARTN <br />I <br />OFFICERIMEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $ <br /> N yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />S <br /> <br />A OTHER: LAWYERS PROFESSIONAL <br />LIABILITY INSURANCE XLP9605601 10/15109 10115/10 $1,000,000 PER CLAIM, $1,000,000 PER <br />AGGREGATE, $10K DEDUCTIBLE <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />CERTIFICATF HCII nFR CANCFI 1 ATICIN <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS <br />, <br />20 CIVIC CENTER PLAZA, WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br />TO DO SO SHALL I SE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, <br />SANTA ANA, CALIFORNIA 92701." ITS AGENTS OR P NTATIVES. <br /> AUTHORIZ ESENTATIVE <br />Attention: MaryChancellor <br />A%'Unu LO (LUUT/UO) uenincate 1F Zytf ( 0 ACORD CORPORATION 1988
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