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LARRY-HERRERA-CABRERA, LKHC CONSULTING (3)
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LARRY-HERRERA-CABRERA, LKHC CONSULTING (3)
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Last modified
3/26/2024 9:34:47 AM
Creation date
5/13/2019 3:46:03 PM
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Contracts
Company Name
LARRY-HERRERA-CABRERA, LKHC CONSULTING
Contract #
N-2019-034-01
Agency
CLERK OF THE COUNCIL
Destruction Year
2025
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />02/1312019 <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 polloyQes) 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 endoraement(s), <br />PRODUCER <br />HISOox Inc, d/b/al Hiscox InsUranCe Agency In CA <br />520 Madison Avenue <br />32nd Floor <br />C MEACT <br />PHONE ($$$) 202-3007 (F(C pl: <br />`N <br />E.mAIL <br />ADD Ess: contact@hlscox.com <br />�T <br />..._._....... INSURER(S) AFFORDING COVERAGE <br />NAIC,y_ <br />New York, NY 10022 <br />INSURER A: Hiscox Insurance Company Inc <br />10200 <br />INSURED <br />LKFIC Consulting <br />INeuftr•.R e <br />28080 Me Del Cerro <br />INeURERC: <br />INSURER D: <br />San Juan Capistrano CA 92675 <br />NSURERE: <br />INSURER P <br />COVERAGES CERTIFICATE NUMBER' REVISION nIUMSER• <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 />INBR <br />UIR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM QI <br />POLICY EXP <br />DONYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />O R TEp <br />PREMISES Ea occulnnc <br />$ <br />MEN EXP(Any one person) <br />S <br />PERSONAL &ADV INJURY <br />$ <br />IES PER: <br />AGGREGATE LIMIT AP —PLIES LOC <br />POLICY PRO- a <br />ECT a <br />GENERAL AGGREGATE <br />$ <br />GEN'L <br />PRODUCTS COMPIOP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED S INGLELIMIT <br />Ea awltlent <br />$ <br />BODILY INJURY (Per person) <br />S <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />. AUTOS <br />BODILY INJURY (Per accident) <br />5 <br />HIRED AUTOS AAUTOSUT SWNED <br />PROPERTY DAMAGE <br />_ c Iden <br />S <br />$ <br />UMBRELLALIAS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />QED RETENTION.$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNEWEXECU I VE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />PER OTH- <br />STATUTE E <br />EL EACH ACCIDENT <br />$ <br />E.L, DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory I., NH) <br />If yes, describe under <br />EL. DISEASE - POLICV LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liability <br />UDC-2080768-EO-18 <br />10/20/201$ <br />10/20/2010 <br />Each Claim: $ 1,000,000 <br />Aggregate: $'1,c00,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is mr,rdAredd)) <br />CERfIFIC/AtE 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 />AUTHORIZCD REPRESENTATIVE / <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 2512014101) The ACORD name and logo are registered marks of ACORD <br />
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