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SOLOMON, STEPHEN HOWARD 5A - 2013
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SOLOMON, STEPHEN HOWARD 5A - 2013
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Last modified
7/11/2017 9:57:09 AM
Creation date
3/4/2014 10:06:30 AM
Metadata
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Template:
Contracts
Company Name
SOLOMON, STEPHEN HOWARD
Contract #
N-2013-025-001
Agency
PLANNING & BUILDING
Expiration Date
12/31/2014
Insurance Exp Date
6/1/2014
Destruction Year
2019
Notes
Amends N-2013-025
Document Relationships
SOLOMON, STEPHEN HOWARD 5 -2013
(Amends)
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08/06/2013 10:02 FAX <br />x001 <br />1 `'"� r CERTIFICATE OF LIABILITY INSURANCE °A'�'/2013 <br />7/29/2oz� <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 polley(We) must be anchormen. N SUBROGATION IS WAIVED, .ubpct to <br />Ibe terms and Conditions or (he Polley, certain P0110e4 MAY repWre e0 endoge ITT. A atafemaret on thle corthICate doer not confer rlobb to the <br />e.RIScAq holder In Ileu o1 each AndonamenN +, <br />RODUCER <br />COMPLETE EQUITY MARKETS INC HAW -.. <br />1190 Flex Court (847)541 -0900 Np)(847)541 -Oflfl4 <br />Lake Zurich, IL 60047 AD R 6BU « <br />_ INruAMRI "FORNNO BBVeMae g <br />INBURERA•vnderNri . tYr6 at tloyd'Is London <br />IBUREO • ^� , <br />INSURER e <br />Stephen H. Solomon INSURER C: <br />9471 Henderson Way NSURER b• <br />Villa Park, CA 92861 INSURER C, <br />OVERAGES <br />INSURER F <br />cFa71p IT:ATF Ntivaco� <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 199UE0 TO YHE INSURED REVISION S NUMBER: <br />POHCY PEgA?D <br />INDICATED. NOTWITHSTANDING BE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE, µAy BE 195UED OR MAY PERTAIN. THE INSURANCE AFPOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM4 <br />EXCLUSIONSAND CONCITIONS OPAlmW Pra tame ...moo ............ .. ..T ___..__. <br />rn <br />TYPE OF trISUAANCB <br />AM <br />AM <br />- - <br />v.Ime. <br />USNERAL LIABIUtt <br />MA <br />VIVO <br />POLICY NUMBER <br />LIMITS <br />FA H OCCURRENCE <br />a <br />` <br />COMMERCIAL GENERAL LABILITY <br />a <br />CWMe <br />PR MI PSI bm <br />NEO FXP [Any wv Nm) <br />r <br />-MADE OCCUR <br />PkABONAL A ADVINJURY <br />s <br />GENEfuL AOOAEOATS <br />STOW <br />):'1 <br />GENL AOOREGAT6 OMIT APPLIE6 PER: <br />PRODUCTS - COMPJOP AGO <br />a <br />POLICY PR � LOC <br />a <br />AUTOMOa(E <br />LMUIUtt <br />ANYAVYO <br />"f0 SCHEDULED <br />3 <br />den <br />BDOIIY INJURY (Pet penot) <br />g <br />lAWTO6 <br />NDH.OV✓NED <br />AAAa <br />p <br />.rry <br />p(e <br />Ci <br />BODILY INJURY (PeremNrM) <br />t <br />IIWCD AUTOS AUTOS <br />Aherne <br />IPer eRNdNMI <br />s « <br />a <br />UMBRELLA LIAR <br />OCCUR <br />_ <br />M EAOf$$ LIAR OUIMO -MADE <br />EACH OCCURRENCE 4 <br />AOtlRECATE g <br />CEO RETENTION$ <br />-wo <br />RtlERS COMPENSATION <br />a <br />AND EMPLOYERS' LIABILITY WN <br />)91iYtGR <br />ANY MOPRIfTOA.eM1YW:AJE,YBGVM'f <br />sXCLUOEm NIA <br />SL EACH ACCk)ENT <br />jwkr'>F Not <br />IMlnxmory H N111 <br />$ <br />Vq e AMGIee wd.t <br />0 UORIPTN)N Of' PERATION9 teb <br />EA OIStLOE - EA EMPLOYE r <br />.. <br />ProfeatlicXTal <br />EL, 016EABE.POLICYLIMIf t <br />a Liability 852743 <br />06/01/13 06/01/14 <br />$1,000,000 Each Claim <br />51,000,000 <br />Agq(regate <br />EOCPIPTION OF OpfRATIONB J LOCATIONO / vENIClE9 (An.rA ACOHU 701. Addlbul Rrnwkl <br />6dnbde, U rAare epeu Ia RquveA) <br />his is a four page clertifice,te. <br />City of Santa And <br />Civic Center <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 DATE THEREOF, NOTICE WILL BE DELNERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORUED <br />01988.2010 <br />The ACORD name and b90 are rogialered marks of ACORD <br />All rights reearved, <br />
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