Insurance - Kaplan - 2013-01-28 RECEIVED
SUMMARY OF INSURANCE
JAN292013
THE
• bu IN IYttm JwVfIARY DISTRICT HARTFORD
FOR:
FRANCENE KAPLAN DBA KAPLAN CONSULTING Prepared: 01-28-2013
PO BOX 10263
COSTA MESA CA 92627
Phone: FAX:
BY: HOME OFFICE
BIN INSURANCE HOLDINGS LLC/PHS 505500
PO BOX 33015
SAN ANTONIO TX 78265
Phone: (866)467-8730 FAX: (877)905-0457
ACCOUNT POLICY RECAP Polic Number Eff Date Ex• Date Premium
. Spectrum 46 SBM BP1544 02082013 02082014 $425.00
Sentinel Ins Co LTD
POLICY DETAIL Policy . Spectrum
Property Coverages - Form Limit Deductible
Location 001 Building 001
254 CECIL PL
COSTA MESA, CA 92627
Comm'l Liability Coverages - Applicable to all policy locations
Each Occurrence $1,000, 000
Damage to Premises Rented to You $1, 000, 000
Medical Expense (Any One Person) $10,000
Personal & Advertising Injury $1,000, 000
General Aggregate $2,000,000
Product/Complet Operation Aggregate $2, 000,000
• CYBERFLEX COVERAGE
TERRORISM
Class Description Detail Code Premium Basis
Location 001 Public Speaker 10531 $3,075
This Summary and its attachments provides a high level overview of policy coverages and
does not include all conditions, limitations or exclusions. Please refer to the actual
policy forms for detailed coverages, limits and deductibles.
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° POLICY NUMBER.—46' SBM: BP1544
THIS'ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
ADDITIONAL:. INSURED PERSON ORGANIZATION
° TA MESA<SANITARY DISTRICT
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o COSTA MESA CA 92627.
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NO. 001 Printed in=USA• Page ':0=01 1 -
Process Date.;`. 11/2E/12 - Expiration'Date: 02/08. 1
INSURED 'COPY