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JOHNSON FRANK & ASSOCIATES 2 - 2005
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JOHNSON FRANK & ASSOCIATES 2 - 2005
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Last modified
1/3/2012 2:52:04 PM
Creation date
3/29/2005 10:01:16 AM
Metadata
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Template:
Contracts
Company Name
Johnson Frank & Associates, Inc.
Contract #
A-2005-027
Agency
Public Works
Council Approval Date
2/7/2005
Insurance Exp Date
12/1/2010
Notes
Amended by A-2005-027-01, workers' comp. ins. exp. 1-01-2010
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ACCRA CERTIFICATE OF LIABILITY INSURANCE i2/01/200 ) <br />PRODUCER (949)263-0606 FAX (949)263-0906 <br />Complete Insurance, Inc. <br />California DOI #0437762 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />19000 MacArthur Blvd., PH Flr <br />Irvine, CA 92612-1447 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Johnson-Frank & Associates INSURERA. Fidelity & Guaranty Underwr. <br />5150 E. Hunter Avenue w$URERB. Fidelty & Guaranty Ins. Co. <br />Anaheim, CA 92807 INSURERC (C/o St. Paul Travelers, KS) <br /> INSURE 6 <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY BKO1957972 12/01/2004 12/01/2005 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL <br />LIABILITY DAMAGE TO RENTED $ 300,000 <br /> ? <br />CLAIMS MADE . - . OCCUR MED EXP (Any one parson) $ 10,000 <br />A PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $ 2,000,000 <br /> POLICY X PRO- OC <br />JECT <br /> AUT OMOBILE LIABILITY BA01669594 12/01/2004 12/01/2005 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 1,000,00 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />B SCHEDULED AUTOS (Par person) <br /> X HIREDAUTOS <br />BODILY INJURY <br />$ <br /> X NONOWNED AUTOS (Per accitlent) <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGO $ <br /> EXCESSIUMBRELLALIABILITY BKO19S7972 12/01/2004 12/01/2005 EACH OCCURRENCE $ 4,000,000 <br /> X OCCUR FICLAIMS MADE AGGREGATE $ 4,000,000 <br />A $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND A 3 TO FOR WC STATU- OTH- <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNEWEXECUTIVE n <br />E. L. EACH ACCIDENT <br />$ <br /> OFFICEWMEMBER EXCLUDED? I .+ <br />EL DISEASE - EA EMPLOYE <br />$ <br /> If yes describe under <br /> SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $ <br /> OTHER 10 day notice applies to <br /> .,.,r,:enl t;rt AUOrnev <br /> non-payment <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Certificate holder is additional insured as respects general liability but only if required by written <br />contract with the named insured prior to an occurrence and as per coverage form CL/BF26090903. Coverage <br />subject to all policy terms and conditions. <br />I <br />CFRTIFICATF HOI nFR CANCFI I ATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> <br />City of Santa Ana, EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLK9MXJM MAIL <br />its officers, employees, agents and 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />representatives KXXX%?K](d(iWtl66X0UQKitlkC74Bil6l@(dtAtrXlU4X)tXXX <br />20 Civic Center Plaza tfi(dWN(dF)h?(AfNKXdtl(dC?(dOW05XXDf?fJtXl00EKdtrl€904XAfd6lEYXXXXXXXXX <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />l <br />: <br /> _ <br />?- (f <br />Alicia I ram MICHMA ? <br />ACORD 26 (2001/08) CACORD CORPORATION 1988
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