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SOLOMON, STEPHEN
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SOLOMON, STEPHEN
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Last modified
4/23/2021 4:20:01 PM
Creation date
3/13/2019 8:23:01 AM
Metadata
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Template:
Contracts
Company Name
SOLOMON, STEPHEN
Contract #
N-2019-049
Agency
PLANNING & BUILDING
Expiration Date
2/12/2021
Insurance Exp Date
6/1/2021
Destruction Year
2026
Notes
WC NOT NEEDED AS VENDER HAS NO EMPLOYEES.
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1 <br />4COR002 CERTIFICATE OF LIABILITY INSURANCE DA 61NM pDIY YY) <br />04130/18 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI <br />CERTIFICATE. DOES NOT AFFIRMATIVELY OR NEGATIVELY AMGNO. ERTENO OR ALTER THE COVERAGE AFFC/RDED BY THE POLICIE <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(S), AUTHORIZE <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT: If the cent MIO holder Is an ADDITIONAL INSURED, the pol1oy0BS) must have ADDITIONAL INSURED provisions or be endorse( <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement o <br />this certificate does notconfer ri htsto the certificate holder in Ileu of such endorsement s). <br />PRODUCM <br />------- <br />NALE' <br />COMPLETE EQUITY MARKETS INC <br />"HD V 847 541-0900 FA <br />1190 Flex Court <br />Ner (84�5a1-0444 <br />Lake Zurich, IL60047 <br />AooRF: <br />Ube Cmnplet¢ Epuily Markets mswance Agenry, Inc.__. _... _ <br />NraURER(GIAFFORDINGCOVERAGE - NAICN <br />INsurtERA:.Und rwriters at Llgvd's London <br />_ <br />Ixsuaao <br />Stephen H. Solomon <br />i - — <br />INaURDR C- <br />WsURERD: <br />18861 Ridgewood Lane <br />Villa Park CA 92861 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOI <br />---- ---- -- <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO-WHICH-RIII <br />- <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, —THE—INSURANCE--AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERME <br />- _ <br />EXCLUSIONS A`1O CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS. -- --- <br />ITRR TYPE OF INSURgNCE MD 9UtlR — PODCYE,F PDLICYEIP <br />PoUCY NUMBERMMDIWDDLIMITS <br />COMMERt1,LL GENFRAI WIeILTr EACH OCCURRENCE <br />I <br />'S <br />CLAINSMADE OCCUR At E TE <br />PREMSEa IE+om�negF.9.1._....' S <br />Men EXP (Any.. pe.pnl 3 <br />tlll <br />— <br />PERSCNAL 3ADV INJURY 5 <br />GENt AGGREGATE UFAIT APPLIES PER GENERAL AGGREGATE 3 <br />POLICY <br />LOC PRODUYS-COMPIOPAG9 IS <br />AUT .Y.OSILELIARIUTY <br />COAezWm151 LEUMIT. <br />'S _ .. <br />I MYAUTO <br />BODILY INJURY IP, penonl <br />E <br />OWNED ILFD <br />GODLY wTURYIPe+emvenq <br />S <br />1 AIONLY I1T03 AUTOS <br />HIREDM NOK�NED <br />qOPERIY ruaAADE <br />AUTOS ONLY gmOE ONCI <br />mTOS <br />I <br />i <br />S <br />UMBRELLALIAS <br />OCCUR <br />EACH OCCURRENCE <br />'S <br />EXCESSLIAR <br />CLAIMS -MADE <br />AGGREGATE <br />S <br />I DEO RIITENrCIN 3 <br />$ <br />WORKERS CDMIENN <br />PER H <br />ANDERILERsASILV YIN <br />- <br />PROPUIFJOFVI`ARRPCU. <br />1 <br />OFVIC8RffiAEIJHER XCLUDED? <br />NIA <br />EL -EACH ACCIDENT <br />f 3 <br />IMAntlplory W NHi <br />IfyyeGzz tlesums urger <br />EL OISFASE_Fn EWWyE <br />-- <br />S <br />DESCRIPRON' or OPERATIONSWOb <br />I <br />�E.L <br />DISEASE -POLICY UMIT <br />_ <br />3 <br />Professional Liability <br />ac aim <br />1,D 0,00 <br />X <br />X <br />857634 <br />D6101/16 <br />U6/0V1g <br />Aggregate <br />$1,000,000 <br />OEGCRRTION OF CPERATIONSTLOCATIOxG/VEHICLES(ACORD1p1, Atltl'N"aAelnunaAs SCNAJWo, rybe aUappetlNmerc Spam is rpgoA¢UI <br />Subject to all policy terms, conditions, exclusions and endorsements. The City Of Santa Ana is listed as an additional Insured <br />but only per the terms & conditions of the endorsement generated and subject to all policy terms, conditions, exclusions, and <br />endorsements. <br />7JI//1`rlfI? <br />(nj n�- <br />Me/ �� <br />`V� <br />CERTIFICATE HOLDER CANCELLATION <br />The City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Civic Center <br />ACCORDANCE WITH THE POUCYPROVISIONS. <br />20 Civic Center Plaza <br />AUTBOPoZFD REPRESENTATIVE <br />Santa Ana CA 92701 <br />4� 7-PAW,�(— <br />©1988-2015 ACORO CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />ld 6994-IZ6-tllL LIOLUOIDSHuaydeis <br />
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