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HomeMy WebLinkAboutRP 06-13; Yoshino; Redevelopment Permits (RP) (3)—T- /\C:OR€X 0(^-6 CERTIFICATE OF LIABILITY INSURANCE Date (mm/dd/yy) 8/9/2010 Producer AHTKY INSURANCE AGENCY LLC 1451 W ARTESIA BLVD STE A GARDENA, CA 90248 Insured TOMIO NAKANISHI YOSHINO 2913 STATE ST CARLSBAD, CA 92008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSUf^EfeS AFFQfebING COVERTS INSURER A American Economy Insurance Company INSURER C INSURER D NAIC# 19690 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE UMITS SHOWN MAY ABOVE FOR THE POLICY PERIOD INDICATED. DOCUMENT WITH RESPECT TO WHICH THIS DESCRIBED HEREIN IS SUBJECT TO ALL THE HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDI LTR INSD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/PP/YY LIMITS 1.UUU.UUU i:ouu!ouo / GENERAL LIABILITY COMMERCIAL GENERAL LIAB ^CLAIMS MADE0OCCUR Businessowners 02BP48178350 7/1/2010 7/1/2011 EACH OCCURRENCE DAMAGE TO RENTED PREMISES MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE GEN L AGG LIMIT APPLIES PER [POLICY I |PROJECT[71LOC PRODUCTS - COMP / OP AGG 10,000 1.000,000 2:ooo!ooo 2:000:000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EXCESS UABILITY ^OCCUR [^CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS' COMPENSATION & EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifves, describe under SFtC(AL PROVISIONS below |WC Statutory Limit EL EACH ACCIDENT EL DISEASE - EACH EMPLOYEE EL DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is additional insured-Designated Persons or orginazation. 10 days for non pavment of premium. CERTIFICATE HOLDER CANCELLATION * City of Carlsbad 2965 Roosevelt St. Suite B Carlsbad, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- SENTATIVES. AUTHORIZED REPRESENTATIVE V ACORD 25 (2001/08) insurance Visions, Inc. © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)