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SOLOMON, STEPHEN HOWARD 5 -2013
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SOLOMON, STEPHEN HOWARD 5 -2013
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Entry Properties
Last modified
7/11/2017 9:57:09 AM
Creation date
4/15/2013 3:40:32 PM
Metadata
Fields
Template:
Contracts
Company Name
SOLOMON, STEPHEN HOWARD
Contract #
N-2013-025
Agency
PLANNING & BUILDING
Expiration Date
12/31/2014
Insurance Exp Date
6/1/2014
Destruction Year
2018
Notes
Amended by N-2013-025-01
Document Relationships
SOLOMON, STEPHEN HOWARD 5A - 2013
(Amended By)
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08/06/2013 10:02 FAX <br /> <br />x001 <br />K11 FR(4WDWYYy) <br />1 ?r CERTIFICATE OF LIABILITY INSURANCE 7/24/209/2o13 <br />°? <br />THIS CERTIFICAT! IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED RY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CEATIFICATE HOLDER. <br />IMPORTANT: II the certl"Uts holder I, an ADDITIONAL INSURED, the pollcy(We) mutt be anchormen. N SUBROGATION IS WAIVED, eubpct to <br />the terms and conditions or (he Polley, certain Pollder MAY rtpWre 101060M mrnl. A atafemaret on thle corthICate doer not confer rlobb to the <br />e...... holder In Ileu of each andonamenN+, <br />RODUCER <br />COMPLETE EQUITY MARKETS INC NAMES 'JL <br />1190 Flex Court (847)541-0900Np)(847)541-Dflfl4 <br />Lake Zurich, IL 60047 AP OR 68U « <br />_ INruAMRI "FORNNO BBVeMae g <br />INBURERA•UnderHritYrtl at tloyd'Is London <br />IBUREO •^? , <br />INSURER e <br />Stephen H. Solomon INSURER G: <br />9471 Henderson Way INSURER O• <br />Villa Park, CA 92861 INSURER C, <br />INSURER F <br />OVERAGES cFa71p IT:ATF NtlvacoTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 109UE0 TO THE INSURED RENAMED VISION B NUMBER': POLICY <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICI <br />CERTIFICATE- fMY BE IUSUEO OR MAY PERTAIN. THE INSURANCE AFPOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />EXCLUSIONS AND CONCI11ONS AF Al Ir.H PAI tame I..mo o ............ ....T ___..__. <br /> <br /> <br />rn <br /> <br />TYPE OF trISUAANCB AM AM <br />- - <br />vame. <br /> USNERAL LIABIUtt MA VIVO POLICY NUMBER LIMIT S <br /> <br /> <br />COMMERCIAL GEN <br />R FA H OCCURRENCE a <br />` <br /> E <br />AL LABILITY <br />CWMe <br />M <br />D PR MI Fj bm a <br /> - <br />A <br />E OCCUR NEO FXP [Any wv revel) r <br /> <br /> PkABONAL S ADVINJURY s <br /> .._.. <br /> GENL <br />R <br />G <br />T <br />M STOW M GENEfuL AOOAEOATS r <br /> AOO <br />E <br />A <br />6 LI <br />IT APPLIE6 PER: <br /> <br />POLICY PR - PRODUCTS-COMPJOP AGO a <br /> LOC <br />a <br /> AUT OMOBILE LMUIUtt <br /> <br />ANYAVYO <br />ALIo NEo ACHos ULED <br /> <br />3 den <br />BDOIIY INJURY (Pet Senor) <br />g <br /> l <br />IIWCD <br />T NDN.OVMED ?raa <br />as . C SOOILY INJURY (PeremNrM) I <br /> AU <br />OS AUTO$ Aherne IPer enNdNMI s « <br /> a <br /> UMBRELLA LIAR OCCUR <br /> <br />M <br />EXCES6 LIAR _ EACH OCCURRENCE 4 <br /> OUIMO-MADE <br />CEO <br />ETE <br />TIO <br />AOtlRECATE <br />g <br /> N$ <br />R <br />N <br />- <br /> wo RtlERS COMPENSATION a <br /> AND EMPLOYERS' LIABILITY WN <br />ANY MOPRIfTOA.eM1YW:AJL <br />YBGVM'f )911YtaJ1 <br /> , <br />jwkr>F Not t%cLUOEDr <br />INAnr.wry H N111 NIA SL EACH ACCbENT e <br /> Vq e AMGIee wd.t <br />0 UORIPTN)N Of' P EA OISEABE - EA EMPLOYE r <br /> ERATION9 teb <br /> <br />ProfeatlioXTa1 .. <br />EL, 016EABE.POLICYLIMIf t <br /> <br />A <br />Liability <br />852743 <br />06/01/13 <br />06/01/14 $1,000,000 Each Claim <br />$1 <br />000 <br />000 A <br /> , <br />, <br />ggragate <br />ESC RIPTR)M be npPRAYMNA /Inr?Ylnun ...... <br />... <br />.. <br />......... ... .. <br />.- <br />t _...__.._............w n??., w, avnV?B,uMnM1 W.'e 1{reQ9ypAJ <br />hie is a four page L7r#rtificate. <br />City of Santa And Civic Canter <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />ICORD25(2O1)/05) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE <br />THE EXPIRATION DATEpOLIG THEYPREOF, NOTICE WILL BE DELNERED IN <br />ACCORDANCE WITH THE ROVISIONS. <br />AUTHORUED <br />01988.2010 <br />The ACORD name and b90 are rogialered marks of ACORD <br />If -10 <br />All rights reearved,
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