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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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fAC401? ® CERTIFICATE OF LIABILITY INSURANCE 7%23%2013 ) <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 policy(ies) 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 />NAME: <br /> <br />COMPLETE EQUITY MARKETS INC _ <br />PHONE 541-0900 FAX <br />E C No EXI> (847) Ac Ne:(847) 541-0444 <br />1190 Flex Court ADDRESS: <br />Lake Zurich, IL 60047 <br />IN6VRERt61 AFFDRDING COVERAGE _ <br />NAIOfl <br /> (NSURERA: Underwriters at Lloyds London <br />INSURED Barbara Echan INSURER B'. <br />3056 Madeira Avenue INSURER C: <br />Costa Mesa, CA 92626 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE DD <br />INSD SUER <br />a <br />POLICY NUMBER FUR"y t"' <br />MMIODA'YYV P LICV XP <br />MMIDDP/l' <br />LIMITS <br /> COMMERCIAL GENERAL <br />?LIABILITY <br />- EACH OCCURRENCE $ <br /> I <br />I OCCUR <br />I CLAIMS-MADE [- PREMISESS(Eaaooccurrence $ <br /> _ MED EXP(Any one person) $ <br /> PERSONAL B ADV INJURY $ <br /> GEN T AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY CI PROJECT C LOC <br />PRODUCTS - COMP/OP AGO <br />$ <br /> OTHER: AQUNN O AS <br />AS FM $ <br /> AUT OMOBILE LIABILITY OLOUIS INGLE <br />E. accident LIMIT <br /> <br />$ <br /> ANYAUTO BODILY INJURY (Per person) It <br /> ALL OWNED <br />AUTOS SCHEDULED <br />AUTOS BODILY INJURY (Per accident) $ <br /> <br />NON-OWNED <br />I Ef <br />DAMA E <br /> <br />$ <br /> HIRED AUTOS AUTOS Per aaldent <br /> $ <br /> UMBRELLA ILIAD OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEO RETENTION $ $ <br /> WO <br />AND RKERS COMPENSATION <br />EMPLOYERS' LIABILITY I PER <br />STATUTE <br />ER <br /> YIN <br />ANY PROPRIETORIPARTNtmeXECUTIVE <br />NIA _ <br />E.L. EACHACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? ? <br />(Mandatory In Nm E.L. DISEASE - EA EMPLOYE $ <br /> Ifyes deschlreunder <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE ? POLICY LIMIT <br />$ <br /> <br />A <br />Professional <br />Liability <br />852764 <br />06/01/13 <br />06/01/14 $1,000,000 Each Claim <br />$1,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached if more space Is required) <br />Please see pages 2-4 for additional information. <br />CERTIFICATE HOLDER CANCELLATION <br /> <br /> <br /> <br />f Santa Ana <br />The Cit 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 />y AUTHORIZED REPRESENTATIVE <br />©1988-2013 ACORD CORPORATION. All rights reserved. <br />ACORD25(2013104) The ACORD name and logo are registered marks of ACORD
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