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ECHAN, BARBARA A. 3 -2013
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ECHAN, BARBARA A. 3 -2013
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Last modified
7/11/2017 3:25:38 PM
Creation date
4/15/2013 2:58:08 PM
Metadata
Fields
Template:
Contracts
Company Name
ECHAN, BARBARA A.
Contract #
N-2013-024
Agency
PLANNING & BUILDING
Expiration Date
12/31/2013
Insurance Exp Date
3/1/2013
Destruction Year
2018
Notes
N-2013-024-001
Document Relationships
ECHAN, BARBARA A. 3A-2013
(Amended By)
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\Contracts / Agreements\E
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Ai^^?.??® I <br />aa.? CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDD/YYYY)..-. <br />11/29/2012 <br />THIS CERTIFICATE IS ISSUED A$ 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 />BELDW. 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 pollcyges) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />NA <br />ME: <br />COMPLETE EQUITY MARKETS INC. <br /> <br />190 Fl C <br />Nu Ex1; {$47) 541-0900 __ uo 847) 541-0444 <br />1 <br />ax Court Ll <br /> ADOREss: <br />Lade Zurich, IL 60047 <br /> INSURERIGI AFFORDINP COVERAGE I. <br /> NSURERA: Underwriters at Lloyds London <br />INSURED Barbara Echan INSURER B: <br /> INSURER C : <br />3056 Madeira Avenue INSURER D: <br />Costa Mesa, CA 92626 INSURER E: <br /> INSURER P : <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 />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILIN TYPE OF INSURANCE msR MD POLICY NUMBER MWDD/YYYY M&O/G LIMITS <br />GENERAL LIABILITY EACH OCCURRENCE S <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea ommence If <br />CLAIMS-MADE OOCCUR <br />MED EXP(AAy one person) S <br />PERSONAL B ADV INJURY $ <br />_ GENERAL AGGREGATE $ <br />GEN'L AGGRF.GATEPLLIIMMIT APPLIES PER P. V ST® FIN M PRODUCTS - COMP/OP AGO S <br />POLICY JECT LOC 5 <br /> AUT OMOBILE LIABILITY <br />(So COMBINED SING41i <br /> ANYAUTO <br />A4 <br />0 BODILY INJURY fie, person) S <br /> ALL OS"NED AUTOSULED f {( BODILY INJURY(PeracddRni) 5 <br /> HIRED AUTCS AIfTOBW"EO yr ® ® Per acddem S <br /> S <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAS CLAIMS-MADE AGGREGATE S <br /> <br /> BED RETENTIONS 3 <br /> WO RKERS COMPENSATION WCSTATU- OTH <br /> AND EMPLOYERS' LIABILITY YIN TORYLIMITS Eft <br /> ANY PROPRIETOWPARTNERENCCVrfVC <br />OFFICEWMeMBER EXCLUDED? <br />NIA <br />E.L. EACH ACCIDENT <br />S <br /> (MIAe010, N NM <br />B <br />es dexnbe unCer E.L DISEASE - EA EMPLOYE 3 <br /> y <br />DESGt RIPTION OF OPERATIONS bakrr+ EL DISEASE POLICY LIMIT 3 <br /> $1,000,000 Each Claim <br />A Professional $52546 os/Di/12 06/01/13 $1,000,000 Aggregate <br /> Liability <br />DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (Attach ACORD 101, Addilbnal Remarks Schedule, d mae space is requUed) <br />Please see pages 2-4 for additional information. <br />CERTIFICATE HOLDER CANCELLATION <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 />The City of Santa Ana <br /> AUTHORIZED REPRESENTATIVE <br /> <br />O 1985.2010 ACORO CORPORATION. All rights reserved. <br />ACORD25(2010)05) The ACORD name and logo are registered marks of ACORD
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