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LEE, BRIAN H. AND SALLY SWANSON ARCHITECTS, INC. -2014
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LEE, BRIAN H. AND SALLY SWANSON ARCHITECTS, INC. -2014
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Last modified
9/15/2014 2:46:38 PM
Creation date
9/15/2014 2:45:21 PM
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Contracts
Company Name
LEE, BRIAN H. AND SALLY SWANSON ARCHITECTS, INC.
Contract #
N-2014-121
Agency
Personnel Services
Expiration Date
12/31/2014
Insurance Exp Date
11/15/2014
Destruction Year
2019
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Client #: 388 <br />+1a \� \69�J /�1Jfl <br />ACORD. CERTIFICATE OF LIABILITY <br />INSURANCE <br />DATE <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />8/26122014 014IVY) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. O. Box 12675 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />68061251_25A <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Oakland, CA 94604.2675 <br />EACH OCCURRENCE <br />510 465 -3090 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER A'. Travelers Indemnity Co. of Conn <br />Sally Swanson Architects, Inc. <br />INSURER D, Hartford Ins. Co of Midwest <br />220 Sansome Street, Suite 1100 <br />INSURER c: Hudson Insurance Company <br />San Francisco, CA 94104 <br />INSURER D: Sentinel Insurance Co. LTD <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY MMIDDNYE <br />POLICY <br />DATE MMIDDIYYON <br />LIMITS <br />A <br />GENERAL LIABILITY <br />68061251_25A <br />11/15/13 <br />11/15/14 <br />EACH OCCURRENCE <br />$1000000 <br />FIRE DAMAGE (Anyone fire) <br />$1000000 <br />X COMMERCIAL GENERAL LIABILITY <br />GENERAL LIAB <br />CLAIMS MADE FX]OCCUR <br />EXCLUDES CLAIMS <br />MED EXP(Any one person) <br />$10000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />ARISING OUT OF <br />GENERAL AGGREGATE <br />s2,000,000 <br />THE PERFORMANCE <br />GEN'L AGGREGATE LIM ITAPPLIES PER: <br />PRODUCTS - COMP /OPAGG <br />$2,000,000 <br />OF PROFESSIONAL <br />POLICY X JECT r7 LOC <br />SERVICES. <br />D <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />57UEGAE7910 <br />07/01/14 <br />07101115 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAG E LIABI LITY <br />AUTO ONLY - EA ACCI DENT <br />$ <br />OTHER THAN EAACC <br />$ <br />_ ANY AUTO <br />$ <br />AUTO ONLY AGO <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />57WEGGD6783 <br />05/06/14 <br />05108115 <br />JOEY UMLL <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$1000000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,0.0 <br />C <br />OTHER Professional <br />AEE7290000 <br />05/03/14 <br />05/03/15 <br />$1,000,000 per claim <br />Liability <br />$3,000,000 nl aggr. <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVIS19a RE: Bowers Implementation <br />City of Santa Ana <br />Attn: Risk Management, M28 <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30— DAYS W RITTEN <br />NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL <br />IMPOSE NO OBLIGATION OR LIABILITYOF ANY HIND UPON THE INSURER,ITS AGENTS OR <br />ACORD 25 -S (7197)1 of 1 #S1079441/M975082 BMA © ACORD CORPORATION 1988 <br />
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