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BENTON, BETSY 3B - 2010
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READY TO DESTROY IN 2018
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BENTON, BETSY 3B - 2010
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Entry Properties
Last modified
1/26/2016 3:35:30 PM
Creation date
11/30/2010 8:57:31 AM
Metadata
Fields
Template:
Contracts
Company Name
BENTON, BETSY
Contract #
N-2009-042-002
Agency
PLANNING & BUILDING
Insurance Exp Date
1/1/2013
Destruction Year
2018
Notes
Amends N-2009-042, -001
Document Relationships
BENTON, BETSY 3 - 2009
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
BENTON, BETSY 3A - 2009
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
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THIS CERTIFICATE IS ISSUED A�S.A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />C. FRTIFWATF nn Mn <br />FC T A .�.. <br />ice\ - `r 01-11i L <br />4�� ° CERTIFICATE OF LIABILITY INSURANCE <br />1/18/2012 YI <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polfcytes) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terns and conditions of the policy, certain policles may require an endorsement. A statement on this Certificate does not confer rights to the <br />certificate holder in lieu of such endomement(s). <br />PRODUCER <br />COMPLETE EQUITY MARKETS INC <br />1190 Flex Court <br />Lake Zurich, IL 60047 <br />vHOne <br />ac No t: (847)541 -0900 Aic,NO (847) 541 -0444 <br />- It <br />ADoRESS:C <br />INSLIF I51 AFFORDING COVERAGE <br />NAICr <br />wsul A: Underwriters at Lloyd's London <br />I <br />INSURED <br />INSURER B <br />Betsy Benton <br />2750 Artesia Boulevard #465 <br />Redondo Beach, CA 90278 <br />INSURER O: <br />INSURER D: _ <br />INSURER E. <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />INSR - -- <br />LTR TYPE OF INSURANCE IAjNSR .0 POLICY NUMBER MMIL Yi'YYV MMIDDM'VV LIMITS <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />—I CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />g <br />ihi <br />PREMISES Ea occurrence <br />S <br />I UP (Any one person) <br />S <br />PERSONAL&ADV INJURY <br />5 <br />— <br />GENERAL AGGREGATE <br />5 <br />' <br />GE AGGREGATE LIMIT APPLIES PER: PRO - <br />POLICY JECT LOC <br />PRODUCTS - COMPIOP AGG <br />S <br />1 <br />3 <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALL OWNED f SCHEDULED <br />AUTOS IF AUTOS <br />NON HIRED AUTOS AUTOS OWNED <br />AUTOS <br />eV <br />1 <br />I <br />10 <br />( �,L <br />'f <br />Ea arritlenl I L LIMIT <br />g <br />BODILY INJURY (Per person) <br />S <br />BODILY INJURY (Per accident) <br />8 <br />Per accident) <br />S <br />UMBRELLA LIAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />CRY <br />S <br />EACH OCCURRENCE <br />g <br />AGGREGATE <br />g <br />DED RETENTION S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y'. <br />ANY PRDPRIETOWPARTNEWE %ECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />rips,des Nxl <br />f ediao, 11. ri NIQ under <br />DESCRIPTION OF OPERATIONS below <br />NrA <br />WC STATU- OTH- <br />TORY LIMITS ER <br />s <br />E L. EACH ACCIDENT <br />g <br />E.L DISEASE - EA EMP <br />. LO YE <br />5 <br />E.L. DISEASE - POLICY LIMIT <br />5 <br />A Professional 714488 01/01/1201/01/13 $1,000,000 Each Claim <br />Liability $1 000 000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) <br />This is a four page Certificate of Insurance. <br />CERTIFICATE HOLDER CANCELLATION <br />City o£ Santa Ana <br />I , <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ll0l <br />AUTHORIZED REPRESENTATIVE <br />a` � 7P*ee , , <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD25(2010 /05) The ACORD name and logo are registered marks of ACORD <br />
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