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JOHNSON FRANK & ASSOCIATES 3 - 2006
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JOHNSON FRANK & ASSOCIATES 3 - 2006
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Entry Properties
Last modified
1/3/2012 2:52:08 PM
Creation date
10/23/2006 11:42:16 AM
Metadata
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Template:
Contracts
Company Name
JOHNSON-FRANK & ASSOCIATES
Contract #
A-2006-271
Agency
PUBLIC WORKS
Council Approval Date
10/2/2006
Insurance Exp Date
12/1/2010
Destruction Year
0
Notes
workers's comp ins exp. 1-01-2010
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ACCWMI- CERTIFICATE OF LIABILITY INSURANCE °"o `"'""d`y' <br /> 11130/2007 <br />Producer Teresa Brosey THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />Complete Insurance, Inc. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />19000 MacArthur Blvd. PH Floor COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine CA 92612 INSURERS AFFOR15ING COVERAGE <br />(949) 263-0606 MsuRER Travelers Indemnity Company CT <br />www.Completelnsurance.com Travelers, MN <br /> <br />Q _ If _ <br />INSURER Travelers Property Casualty of Amer <br />Travelers, MN <br />Insured INSURER <br />Johnson-Frank & Associates, Inc. <br />o2 00 6 <br />V „ <br />2 INSURER <br />0 <br />- <br />- <br />r p? <br />5150 E. Hunter Avenue <br />Anaheim CA 92807 "SURER <br /> E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />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 <br />TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY POLICY <br /> <br />N <br />S SR EFFECTIVE EXPIRATION <br />t TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS <br /> G ENERAL LIABILITY EACH OCCURRENCE $ <br />1.000.000 <br />A COMMERCIAL GENERAL LIAR 68068251-007 12/1/2007 1211/2008 FIRE DAMAGE (Any one fire) S 0.00 <br /> CLAIMS MADE FV OCCUR MED EXP (An o son) 5 50 0 <br /> Pr <br />im <br />a <br />r? <br />/?C <br />onCon <br />? Scheduled Al Endt PERSONAL L ADV INJURY y <br /> _ <br />?? <br />_ <br />?_ <br />___ <br />_ <br />? <br />Waiver SubrD <br />' <br />` <br />- #CGD3820906 GENERAL AGGREGATE S <br /> N <br />L A <br />Ui; <br />.m PPLI PER PRODUCTS-COMP/OP AGG $ 2-000 000 <br /> POLICY ROJECT LOC $ <br /> A UTOMOBILE LIABILITY <br />B ANY AUTO BA6819L639 12/112007 12/112008 COMBINED SINGLE UNIT $ 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per amident) S <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> G ARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE S <br />4000000 <br />B o71occuR ?CLAIMSMADE CUP7915Y817 12/1/2007 12/1/2008 AGGREGATE s <br /> S <br /> DEDUCTIBLE <br />S <br /> RETENTION S 0 S <br /> WORKERS' COMPENSATION & <br />' STATUTORY LIMIT THE <br /> EMPLOYERS <br />LIABILITY EL EACH ACCIDENT S <br /> EL DISEASE - EA EMPLOYEE S <br /> EL DISEASE • POLICY LIMIT S <br />6 <br />DES <br />RIPTION F PERATI N I N V I L LU I N ADDED BY END L P I I <br />Certificate Holder is Additional Insured as respects General Liability but onlyy if required by written agreement with <br />th <br />N <br />d I <br />i <br />d <br />e <br />ame <br />nsure <br />pr <br />or to an occurrence and as per coverage form #CGD3820906. Auto Liability Designated Insured <br />included per form #CA20480299. General Liability includes Severability & Contractual Liability per limitations in <br />liability coverage form #CG00011001, Coverage subject to all policy terms, conditions, limitations and exclusions. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED' BLFORE THE <br />City of Santa Ana, EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL d4>? MAIL <br /> 30 .__DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />Attn: Lee Martin LEFT. LXt Xt?tX?t?4i511t <br />20 Civic Center Plaza, 3516a4XlitS?C?C?ct4XX14M74?+t41ix({ tK <br />t <br />3rd Floor NMWKW ' 14 Days for Non-Payment of Premium <br />Santa Ana CA 92701 AUTHORIZED i" <br />REPRESENTATIVE <br />1 <br /> Alicia K. Igrarn f <br />ACORD 25-S (7/97) 0 ACORD CORPORATION 1938
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