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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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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE D <br />M <br />O f <br />„ 12/1/ <br />2008 <br />PRODUCER Complete Insurance, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PH Floor <br />19000 MacArthur Blvd ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Irvine, CA 92612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(949) 263-0606 <br /> <br />.Com letelnsurance.com <br />www <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />A? ^T? <br />INSURED Johnson-Frank & Associates, Inc <br />• INSURER A: Travelers Property Casual insCoofAmerica <br />- <br />J <br />r <br />V <br />5150 E. Hunter Avenue <br />INSURERS: <br />Anaheim CA 92807 A--QzCk - INSURER C: <br /> INSURER D: <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 OD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />A GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 <br /> ? COMMERCIAL GENERAL LIABILITY 68068251-007 I 12/1/2008 121112009 PRAEMIBES Eeoccurence $ 1 000 000 <br /> CLAIMS MADE IV] OCCUR MED E%P (Any ore person) $ 10,000 <br /> ? Primary/NonContrib Scheduled Al Endt PERSONAL &ADV INJURY $ 1,000,000 <br /> ? Waiver Subro #CGD3820907 GENERALAGGREGATE $ 2,000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP ADS $ 2,000,000 <br /> POLICY r ? PRO- LOC <br />jECT <br />A AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> BA68191 <br />639 12/1/2008 12/112009 (EaawMent) 1 <br />000 <br />000 <br /> _ <br />ANYAUTO , <br />, <br /> Designated Insured <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> <br />Endt#CA20480299 <br />SCHEDULEDAUTOS <br />(Perpa <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> NONOWNED AUTOS (Perealdent) <br /> PROPERTY DAMAGE $ <br /> (Per amMent) <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> P ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY AGG $ <br />A EXCESSNMBRELLALI <br />ABILITY CUP7915Y817 12/1/2008 12/1/2009 EACH OCCURRENCE $ 4,000,000 <br /> _ <br />? OCCUR DI-AIMS MADE AGGREGATE $ 4,000,000 <br /> <br /> ? DI=_DUCneLE $ <br /> RETENTION $O $ <br /> WC STATU- <br />OTH- <br /> WORIKERS COMPENSATION AND <br /> MPLOY <br />EMPLOY <br />EERS' LIABILITY <br /> <br />_ <br />_ <br />EL. EACH ACCIDENT <br /> <br />S <br /> ANV PROPRIETORIPARTNEFJE%ECUTIVE <br /> OFFICEWMEMBER EXCLUDED? / E.L. DISEASE - EA EMPLOYEE S <br /> H yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />S <br /> OTHER <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 Liabilityy but onlyy if required by written agreement with <br />ated Insured included per <br />the Named Insured prior to an occurrence per coverage form #CGD3820907. Auto Liablllty Desi <br />c <br />form #CA20480299. General Liability includes Severability of Interest & Contractual Liability per limitations in Liab <br />e subject to all <br />olic <br />terms <br />conditions <br />limitations and exclusions <br />Covera <br />f <br />#CG00011001 <br />p <br />, <br />, <br />. <br />g <br />y <br />coverage <br />orm <br />, <br />CFRTIEICATP W l nPR CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana, OATS THEREOF, THE ISSUING INSURER WILL pX)V(Vi Otpp MAIL 30 _ DAYS WRITTEN <br />Its Officers, Employees, and Representatives NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Attn: Sherry Barkley yy?NH? xaNaXxaXXNXNXVe?xwya ?qxs pa <br />PO BOX 1988 <br />A <br />CA 92702 N$FRNfPX7lD"8@X ' 10 Days for Non-Payment of Premium <br />Santa <br />na AUTHORIZED REPRESENTATIVE - <br />K <br />I <br /> . <br />Alicia <br />gram <br />Ce.T No. a ',Ill eeccy Trams 12/1/2c OB X:40:48 AN Jaye 1 ACORD 25 (2001108) ©ACORD CORPORATION 1988
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