KALISKI, JOHN AIA DBA JOHN KALISKI ARCHITECT 5 - 2013

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Client#: 8419 JOHNEKALI1 ACORD,. CERTIFICATE OF LIABILITY INSURANCEDATE(MMIOONWY) INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 12/02/2013 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Marie Swaney Dealey, Renton & Associates PHONE FAX 199 S Los Robles Ave Ste 540 (AIC, xt : uc No ADDRESS: mswaney@insdra.com Pasadena, CA 91101 EACHOCCURRENCE $2 000,000 828 844.3070 INSURER(S)AFFOROING COVERAGE NAICp INSURER A: Travelers Property Casualty Co 25674 INSURED INSURER B: Hudson Insurance Company 25054 John E Kaliski dba John Kaliski Arch. $10,000 PERSONAL &ACV INJURY 3780 Wilshire Blvd., Suite 300 INSURER C: Los Angeles, CA 90010 INSURER D: 213 383-7980 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYV LIMITS A GENERAL LIABILITY 680670BL374 12/13/2012 12/13/2012 EACHOCCURRENCE $2 000,000 X COMMERCIAL GENERAL LIABILITY CLAIMSWADE Fx] OCCUR PREMIBES Ea occurante $2000,000 MED EXP (Any one person) $10,000 PERSONAL &ACV INJURY s2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $4,000,000 POLICY X PER LOC $ A AUTOMOBILE LIABILITY BA67081_755 12/13/2012 12/1312013 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY (Per accitlent ) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ X No Owned Auto UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA UB5276Y706 01/09/2013 01/09/201 X WC STATU- OTH- D SFIR E.L. EACH ACCIDENT $1,000000 E.L. DISEASE - EA EMPLOYEEI $1 OOO,OOO (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 B Professional Liab AEE7242903 12/11/2012 12/1112013 $1,000,000 per claim Claims Made Form $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Cancellation Notice: 30 day/10 day for non -pay of premium. General Liability policy excludes claims arising out of the performance of professional services. Insured owns no company vehicles; therefore, hired/non owned auto is the maximum coverage that applies APPROVED AS TO FORM FOR PROPOSAL PURPOSE'9"8 LY" y (Proof of Insurance) ACORD 25 (2010/05) 1 of 1 #S812636/M487356 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE LIM @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MGS