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SOLOMON, STEPHEN HOWARD (2) -2014
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SOLOMON, STEPHEN HOWARD (2) -2014
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Last modified
9/4/2018 11:20:25 AM
Creation date
9/15/2014 2:45:20 PM
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Contracts
Company Name
SOLOMON, STEPHEN HOWARD
Contract #
N-2014-130
Agency
Planning & Building
Expiration Date
8/25/2017
Insurance Exp Date
6/1/2019
Destruction Year
2019
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE INMJDDIj <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 7Hf <br />CERTIFICATE ODES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EIrTEND OR ALTER THIN COVERAGB AFFORDED BY THE PULICIE <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the POIICy(ies) must have ADDITIONAL INSURED provisions or be endorser <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy, certain Policies may require an endorsement. A statement o <br />this certificate does notconfer rights to the certificate holder In Kau of such endorsement(s). <br />PRODUCER <br />COMPLETE EQUITY (MARKETS INC <br />1190 Flex Court <br />Lake Zurich, IL 60047 <br />db. Complete Equity MarkM hiSbvInCe Ageney. _Inc <br />INSURED <br />Stephen H. Solomon <br />18861 Ridgewood Lane <br />COVERAGES CERTIFICATE NUMBER: REy <br />ISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOI <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECF TO ALL THE TERMS <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />'LSIR TR <br />TYPE W INSURANCE <br />A110L 9UBR <br />pOUCY NUMBER <br />PO OGYEFF <br />Po cy p <br />LIMITS <br />COMMERC W L GBIgItNL LIABILRY <br />CLAIMSMIIOE ❑OCCUR <br />EACH OCCURRENCE :' S <br />NAAG <br />PR NE:ES Ea oxurrenca . S <br />Man EX (Aw cne Persan) s <br />_ <br />PERS( tl 1.4ADVINJURY s <br />- <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY .�:] j�T � LOC <br />I <br />GENEBALAGGREGATE s <br />PRODUCTS-COMROPAGs I S <br />OTHER: <br />�s <br />L. lrOMOBLE UARIUTY <br />(ANY AUTO <br />OWNER SCHEDULED <br />HIRED ONLY AUTOS <br />HIRED NON -OWNED i <br />AUTos ONLY AUTOS ONLY <br />' <br />I <br />COMBIIN�51, LE LIMIT - <br />N S . <br />BDDILYINJORY (Pet Prrson7 5 <br />BODILYINJURY IRO aWont) S <br />PROPERTY DAMAGE 5 <br />Pera¢tlenl <br />_ <br />S <br />EXCESS I DAB <br />EXCESS LIAe <br />OCCUR <br />OWMSMADE <br />EACHOCWRRENCE IISC <br />AGGREGATE <br />I DED RETENT"ONI <br />ITION <br />AND BVILS YERSF 15AILIT <br />AND EMPLOYERS LIABILITY YIN <br />ANY PROPRIETOCERNEMBER EXCLUDED? ECJTNE <br />OFFICEoR IXCLUDEO? <br />NfA <br />s <br />PER DTH- F <br />STAME P,C_ <br />EL. EACH AOCIpFM IS <br />inBER <br />(eandabry in NHI <br />II s. tlescnba utnle' <br />DESCRIPTION OF OPERATIONS beb <br />EL pISPASE-EA EMPLOY s <br />E.LOISEASE-POUCYUMT $ <br />X <br />tlFSffRmNln <br />Professional Liability <br />f1C noeoennue,r nnennuc,.�arL <br />X <br />rv. <br />857634 <br />06/01118 <br />06/01119 <br />Each Claim 1,000,000 <br />Aggregate $1,000,000 <br />. •�..« .n ....,.� ,AddW iRn ;I, samdmo, may eeattach.d Bmore zpacam mwxed) <br />Subject to all policy terms, conditions, exclusions and endorsements. The City of Santa Ana is listed as an additional insured <br />but only per the terms & conditions of the endorsement generated and subject to all policy terms, conditions, exclusions, and <br />endorsements. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Civic Center ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE <br />wir-~ 77 <br />© 1988-2015 ACORD CORPORATION. Ail rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Ld 69217- 26-17 LL UOLUCIOS H uegda)S <br />
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