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LIEN ON ME 2 - 2006
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LIEN ON ME 2 - 2006
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Entry Properties
Last modified
11/8/2017 10:20:57 AM
Creation date
5/26/2006 12:26:06 PM
Metadata
Fields
Template:
Contracts
Company Name
Lien On Me
Contract #
A-2006-112
Agency
Personnel Services
Council Approval Date
5/1/2006
Insurance Exp Date
8/15/2018
Notes
Workers' Comp expires 06/01/09
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10/30/2006 MON 16:34 FAX <br />[a 001/002 <br />P44490RD CERTIFICATE OF LIABILITY INSURANCE PID p"�I/24/06 <br />- _ L O-1 •- , 10/24/06 <br />ai THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />DeWitt Stern of California LLC <br />10969 Ventura Boulevard <br />Studio City CA 91604 <br />Pbvnp:818-623-5400 1Fax1818-623-5500 <br />INSURED <br />�10� Sox 9�63oc• .Q� •.�-C%C-tE /le� <br />Pasadena C2L 91109-1630 <br />[INIR.Ii:al1`LLI <br />• INSURERS AFKORDING COVERAGE <br />NAIL III <br />BIauRLmA +�-'rh0 Hart£vrd <br />' <br />I INSuwana Hiacox <br />' <br />,.... —.__.......T�.,..,,., <br />! INSURER... <br />—_��a. _ ._..... ,_ <br />f <br />A , <br />.. __..�L <br />TME PpLIpISb OF INSywnNGA 114TS0 M.IpW HALF. SEEN ISSVEp TO TME INSVREO NAMED AOOVE F09 THE POLICY PERIpp INDICATED. NOTWIR4ETANDWG , <br />ANY REQUIREMENT. TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WAICN THIS CEMIFICATE MAY BE ISSUED OR <br />MAY PFRTAIN. THE INSURANCE AFFOROCD BY THE POLICIES DESCRIBED HEREIN IO SUBJEOT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POUCICS AGGREGATE LIMITS SHO AN MAY HAVE DEEM REDUCED BY PAID CLAIMS. : ' <br />LTR q TYPl Of INSURANCE POLICTNUMSER DATi MNNO W M, UaLTH <br />LGENERAL WBIUTV <br />I EACH OCCURRENCE � i i 1000000 <br />A , <br />__.M <br />NERAABILIIY 725LA7645DX <br />X I COMMERCIAL GELLAG <br />1-ZAIMOE'G7HFA-lF�"i`�. _-- <br />I 08/15/06 ! 08/15/07 ! PREMISES S 300000 <br />I ]ELLWgMAOR I X 1 OCCUR <br />_� <br />� I i MEO ENIAJYfoaFpeNM) �S 1o00Q\�- <br />i <br />_..T -- <br />1 PER50N� AL &ADV INJURY 13 1000 o0 D - <br />GENCRALAGGREGATE I i 2000DOO <br />GEN% AGGREGATE LIMIT APPLIES PER <br />_ _ <br />PRODUCTS-COWIOPAOO I S 2000000 - <br />I <br />X ! POLICY -"I J... (— LOC <br />i`IROYOSAl WBILTN <br />�. COMBINED SINGLE LIMIT 191000000 <br />R <br />ANYMTTO <br />I <br />72SBMG7645DX 00/15/06 08/15/07 IF""J1r1J <br />�•••••_•• ••• •• .__ ____. <br />ALLOMHLDAUTOS <br />!- - <br />DOCILY INJURY <br />SCISDULGDAUTOS <br />IPNr lglnenl f <br />41RED AUTOS <br />- <br />I <br />ISOOLYINJURY <br />I <br />X;INroN4Ye+E AUTOS <br />i' , Iva aawNxl 1 <br />�•� ••- <br />If <br />1 PROrE TY MAGE I f <br />i l <br />GARAGE MAR16ITf <br />MRO ONLY•EAACCIOENT S <br />ANY AU'TD <br />I 1OTHER IRAN.- EAACCII <br />I AUTO ONLY: AGG E <br />LABILITY <br />1 <br />LACII UCCVRRENCE51000000 <br />A <br />t' OCCURCLAMS MAG[ <br />X <br />72SBA1A67645Dx <br />08/15/Ofi 08/15/07 'AGI 4REpnTE a 1000000 <br />I._._L_.._....___...._ <br />1 <br />I <br />OE.OUCTISLE <br />_...:5.. .. ....... <br />I <br />RETENTION S <br />i 1— <br />IMOMIFSCWPENSATIONAND <br />SMKgf[FW LIABILITY <br />HyyMIT R <br />ANY PROPRIETOILPARYNERR%ECUTNS <br />I E L. EACH ACCIDENTIT*S <br />I OFFICE WMEMSER EACL UOED7 <br />1 Ifm d.wrlbo lydv <br />•„-, -,-_,. <br />'ELI OISEASEry EA �APLOVEE, 6 <br />"-}--_.._....... <br />6PPOML PROM&ONS WRT <br />. <br />E.L. OIS[ASE•POLR:Y 4IMIT I S <br />OTHER <br />8 <br />�Profassienal iME0100019312 <br />I03/25/06 1 03/25/071 Limit/Agg 1000000 <br />iLiability <br />Deduct. 5000 <br />DEScwPnoH GF VPEfU1TR)Ne 1LOcgnDNSJvaRpLEa IEJIOLvavNS AapEp�ErioartsaleETfr'£F I FRovlegnE <br />The City of Sento Ana, Ztrs Agents, Officers and Employee are named as <br />additional insureds per the attached farm_ <br />*10 Day notice of cancellation in the event Of non-payment of premium. <br />city of Santa 'AVFROvI�i)r,- --�1 <br />Carolyn Richard�71 <br />20 Civic Center Plaza (14-41) <br />Santa Ane CA 92701 'i —/ <br />Au1SC:al �j7iy i114:r,: � <br />SHOVLD ANY OF THE AawE D BCRMBW POUCIEA W LANCFI L.F.P SOMFUS TME EAPIRATIOI <br />WTE THEREOF, TfIE ISSUING INEUgRR MBLL MAII. <br />30: DAYSWRITTEN <br />NOTICE TO TIRE CERTIFICATE HOLDER NAMED TO THE LFFT,� <br />
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