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ECHAN, BARBARA A. 4 -2014
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ECHAN, BARBARA A. 4 -2014
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Last modified
7/6/2016 5:02:14 PM
Creation date
9/15/2014 2:45:23 PM
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Contracts
Company Name
ECHAN, BARBARA A.
Contract #
N-2014-123
Agency
PLANNING & BUILDING
Expiration Date
8/25/2017
Insurance Exp Date
6/1/2016
Destruction Year
2021
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�® ® ` OATEIMMIDDNYYY) <br />CERTIFICATE "OF LIABILITY INSURANCE 5/15/2015 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE GOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, 10E'atDlj +ALTER TddS C VER({ E AFFORDED BY T14E POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE"' MTkA6T §rETWEEN. HE,' UING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the p It $y ��jp nJl� G be'^eRpgraeIi, If SLBROGAT10N IS WAIVED, sub)ect to <br />the terms and conditions of the policy, certain policies may require an entli}aS tp sldturraht �n this ce'rti(icete does not confer rights to the <br />certificate holder In lieu of such sndon:ement(s. -.. '. <br />PRODUCER <br />COMPLETE EQUITY MARKETS INC <br />1190 Flex Court <br />CONTACT <br />NAME: <br />P(N.ICY PALMER <br />(047)541 -0900 Ao (897)541 -0444 <br />Lake Zurich, IL 60047 dsk"r <br />Imanname Aq <br />n. Ress, <br />INEUREAI31 MPeflaNiG COVEMGE <br />W1Mtl <br />INSURER A:Underwriters at Lloyd's London <br />INSURED Barbara Echan - <br />INSURER B <br />3056 Madeira Avenue <br />INSURER C' <br />IF <br />Costa Mesa CA 92626 <br />INSURER D,� <br />- <br />WSURER E : <br />INSURER F r <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />-o. <br />wvo <br />P(N.ICY PALMER <br />--~ <br />LIMITS <br />' <br />eaEM "At meleAL LIA91LIry <br />ICLAmasMADE CI OCCUR <br />I <br />I. <br />EACH OCCURRENCE <br />IF <br />Ir- <br />P e occurmnw <br />MID EXP (Any — ja m r) <br />_ <br />PERSONA. B. ATV INJURY. <br />5. <br />GEN/. AGGREGATE LIMIT APPLIES PER <br />POLICY D PEC El LOC <br />OENERAI...AGGREGATa <br />5. <br />ARODUOTS:- COMPIOP AGG <br />"$ <br />S <br />OTHER: <br />AUTOMOSILE <br />.w <br />LIABILITY <br />Ea arcltlerp <br />6 <br />'BODILY INJURY (Pau µs50,) <br />S <br />ANYAUTO <br />ALL OWNED SCHEDULEO <br />AUTOS _AUTOS <br />NON -OWNED <br />HIRED AUT05 _ AUTOS <br />BODILY INJURYperaxideN)8 <br />( <br />tPtt sectGelAT <br />'�""" <br />..a <br />1 <br />UMTRELLA LWb <br />OCCUR <br />EACH OCCURRENCE <br />s " <br />EXDESS Le16 <br />CLRIMS -MADE <br />AGGREGATE — <br />6. <br />OED RCTEN7[ NS <br />If <br />SAT(ON. <br />r <br />AND EMRS YERS' L <br />AND ma0ymEERSAATMEMTY YIN <br />AM' PROPRIMER VRTNERIEXEGUIIV& <br />eFpICCAAdEE9ER d%CLVDE61. � <br />Im.adnayla Ns <br />It yme tlayaby tnWer <br />DESCRIPTION OF OPERATIONS balmy <br />MIA <br />) <br />STATUTE ER <br />BL,EACHACOMENT <br />$. <br />EEL EA EMPLOYE <br />EL. OtBEASE- POLICY LIMIT <br />S <br />$. <br />$110001000 Each Claim <br />A <br />Professional <br />Liability <br />$54476 <br />06/01/15 <br />06/01/16 <br />$1,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS II EH[GLES (ACORO 101. MdRimal Remmks SCneduld, may as aEadIed Ewe. space is eaquved) <br />This is a four page certificate. I <br />r <br />I <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Civic Center Plaza (M -20) ACCORDANCE WITH THE POLICY PROVISIONS. <br />P O Box 1988 <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE <br />0 <br />ACORD25(2013I04) The ACORD name and logo are registered marks of ACORD <br />reserved <br />
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