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BENTON, BETSY 4 -2013
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BENTON, BETSY 4 -2013
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Last modified
7/11/2017 4:47:39 PM
Creation date
4/15/2013 2:58:11 PM
Metadata
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Template:
Contracts
Company Name
BENTON, BETSY
Contract #
N-2013-023
Agency
PLANNING & BUILDING
Expiration Date
12/31/2013
Insurance Exp Date
1/1/2015
Destruction Year
2018
Notes
N-2013-023-001
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AC"R®® CERTIFICATE OF LIABILITY INSURANCE <br />lzj2(4 %ZO12) <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 pollcy(les) 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 <br />COMPLETE EQUITY MARKETS INC <br />1190 Flex Court <br />Lake Zurich, IL 60047 <br />CONTACT <br />NAME: <br />a"ENO ExI: (847) 541 -0900 FAX <br />A/C, Ne,(847)541 -0444 <br />E-MAI <br />ADDRESS.� <br />INSURERI6) AFFORDING COVERAGE <br />NAICp <br />INSURER A: Underwriters at Lloyds London <br />INSURED Betsy Benton <br />INSURER B: <br />INSURER C' <br />2750 Artesia Boulevard #465 <br />INSURER D: <br />Redondo Beach, CA 90278 <br />INSURERE <br />- <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 />I�TR <br />TYPE OF INSURANCE <br />AINSR <br />IWO <br />POLICY NUMBER <br />MMIDD;Ym <br />901D/YYY'I <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />PREMISES BE occurrence <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MACE CI OCCUR <br />MEDEXP(Anyonepea.n) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY PRo LOC <br />PRODUCTS - COMPIOP AGG <br />$ <br />P R E <br />TO FM <br />M <br />IS <br />AUTOMOBILE LIABILITY <br />O B NE SINGLE LIMIT <br />(Ed <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO� <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />( <br />q <br />(7 <br />BODILY INJURY (Pereccitlznq <br />$ <br />.NON -OWNED <br />HIRED AUTOS AUTOS <br />■ <br />YA <br />M <br />YaM <br />ps�acoldarnlDAMAGE <br />5 -- <br />UMBRELLA LIAB <br />_ <br />OCCUR <br />1 <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />/1 <br />LED RETENTIONS <br />I $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERVE%ECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED] <br />NIA <br />_ <br />WC STATU- OTH- <br />TORY LIMITS ER <br />E. L. EACHACCIDENT <br />$ <br />E.L, DISEASE - EA EMPLOYEE <br />S <br />IManddIII, in NR <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMB <br />S <br />$1,000,000 Each Claim <br />A <br />Professional <br />716120 <br />01/01/1301/01/14 <br />$1,000,000 Aggregate <br />Liability <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ailanh ACORD 101, Atltlilionel Remarks Schodd., If more space is required) <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 />For Informational Purposes OnlyP <br />AUTHORIZED REPRESENTATIVE���Y,r���//��,,,�, <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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