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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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ACOR <br />CERTIFICATE OF LIABILITY INSURANCE DATE <br />YYYYI <br />-,a <br />1/200 <br />12 12 <br />PRODUCER Complete Insurance, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />19000 MacArthur Blvd. PH Floor ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Irvine <br />CA 92612 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(949) 263-0606 <br />www.Com letelnsurance.com INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Johnson-Frank & Associates, Inc. INSURERA'. Beazle Insurance Company, Inc. <br /> <br />5150 E. Hunter Avenue <br />INSURERB _ <br />Anaheim CA 92807 <br /> INSURERC: <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 DD'L <br />LTR INSRO TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE PDUCYEXPIRATION LIMBS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CIAL GENERAL LIABILITY PREMISES Ea oC.'.rce $ <br /> 47 <br /> IMSMADE <br />E]OCCUR MED EXP (Any one person) $ <br /> PERSONAL& ADV INJURY S <br /> _ GENERALAGGREGATE S <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGG $ <br /> POLICY PRO LOG <br />JECT <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea amldent) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NONOWNED AUTOS <br />(Per soo axbant) $ <br /> <br /> PROPERTY DAMAGE $ <br /> (Per acc,tlenq <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANYAUTO - I <br />OTHER THAN EA AGO S <br /> AUTO ONLY: AGG S <br /> EXCESWUMBRELLA LIABILITY EACH OCCU RRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> C <br />iO <br />W <br /> WORKERSCOMPENSATIONAND IIMIT <br />IR <br />JQRY <br /> EMPLOYERS' LIABILITY <br /> <br /> <br />ECUTIVE <br />A <br />Y E.L. EACH ACCIDENT <br />$ <br /> N <br />OFFICERIMEMBOER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ <br /> H yes, dascnbe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br />OTHER <br />A Professional V15PR308PNPA 12/1/2008 12/1/2009 $1,000,000 per Claim <br />Liability $2,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />30 Day Notice Endt. BICAE00411105 included <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana, DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN <br />Its Officers, Employees, and Representatives NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Attn: Sherry Barkley <br />PO BOX 1988 IMPOSE NO OBLIGATION OR UABIUTY OF ANY HIND UPON THE INSURER, ITS AGENTS OR <br />• <br /> <br />t <br />A <br />CA 92702 <br />S 10 Days for Non-Pa enl of Premium <br />REPRESENTATIVES. Ym <br />an <br />a <br />na AUTHORIZED REPRESENTATIVE - <br /> <br /> Alicia K. I gram CERT Fa. :12E -19 eery nor. i2; u2cae 12:o' '6 -, ez3e 1 ACORD 25 (2001108) © ACORD CORPORATION 1988 <br />
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