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UNITED INSPECTION & TESTING-2016
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UNITED INSPECTION & TESTING-2016
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Last modified
9/4/2018 11:37:35 AM
Creation date
5/22/2018 2:48:33 PM
Metadata
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Template:
Contracts
Company Name
UNITED INSPECTION & TESTING
Contract #
A-2016-112-01
Agency
PUBLIC WORKS
Council Approval Date
5/3/2016
Expiration Date
5/3/2019
Insurance Exp Date
9/15/2018
Destruction Year
2024
Notes
A-2016-112
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CERTIFICATE OF LIABILITY INSURANCE <br />V D/ <br />°AT11(MN02/02 18 <br />THIS CERTIFICATE 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 BY 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 CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER - <br />Aon Risk services. Northeast, me. <br />Stamford CT Office <br />1600 summer Street <br />Stamford CT 06907-4907 USA <br />CONTACT <br />NAME'PH <br />....... <br />E AX (866) 283-7122 (800) 363-0105 <br />las. Na. Ext: _.c Na)L__ <br />EMAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC0 <br />INSURED <br />United Testing LLC <br />dba united -Heider inspection Group <br />ZZ620 Goldencrest Drive, suite 114 <br />Moreno Valley CA 92343 - <br />INSURER A: _Zurich Amari Can Tn EnranEa Company 16$35 <br />INSURER a. TravelersProp@rty C'sfe 0 America 25674 <br />u-� <br />c: Peleus Insurance foman <br />INSURER _ p y 34118 <br />INSURERS: <br />INSURER 9: <br />��— <br />INSURERS:. <br />COVERAGES CER iFiCAlE NUMBER: 57006 357229 KEVI5IUIN NUMBER: <br />THIS IS TOC UP THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THEIN UNED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limitsshown are as requested <br />INSR <br />LTR <br />TYPEOFINSURANCE <br />gp <br />D <br />POUCYNUMBERM <br />LIMITS <br />X COMMBRCIALGENERALLM USTY <br />EACHOCCURRENCE $1,000,000 <br />CLAIIAS AUE El OCCUR <br />PREMISES$$00,000 <br />m <br />MEDEXPIAnyanepa..nl - $10,000 <br />PERSONALSAOV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X LOC <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS•COMP/OP AGG $2,000,000 <br />O <br />OTHER: <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY _ <br />BAP0361006 <br />07/01/201 <br />7/01/2018 <br />COMBINED SINGLE LIMIT <br />DOOILY INJURY (Per parson) <br />X ANY AUTO <br />DODILY INJURY IPer aaddent) <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED AUTOS NO"WNED <br />ONLY AUTOS ONLY <br />PROPCRTYUAMAOE <br />Par ca o <br />B <br />X <br />UMSRELLALIA6 <br />OCCUR <br />ZUP81M3498017 <br />07/01/201 <br />07/01/2018 <br />EACH OCCURRENCE $$,000,00 <br />EXCESS LIAR <br />H <br />CLAIMSMADE <br />AGGREGATE $51000100 <br />DEU1 <br />IRETENTION <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYSITUABILRY y�N <br />ANY PROPRIErORIPARTNER IEXECUTIVE N <br />OFFICERR.IEMBER"CLUDED'I Irs9 <br />(Mandatoryin NH) <br />11 ye e, deacdbe under <br />DESORIPTIONOFOPERATIONS Below <br />WC0381004 <br />07/01/201 <br />07/01/201 <br />X STA. OTH- <br />E.L. EACH ACCIDENT $1,006160. <br />E.L. DISEASE -EA EMPLOYEE $1,000,00 <br />- <br />E. L. DISEASE -POLICY LIMIT 51,000.00 <br />C <br />Architects & Engineers <br />-. <br />SAE419739 <br />06/30/2017)61 <br />30/2018 <br />- Each C alm: $2,000,00 <br />Professional Liability <br />Aggregate, $4,006,000 <br />DESCRIPTIONIF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remorkaachedule maybe ottaallad limon .puce larepited <br />RE: Santa Ana Delhi Channel Diversion Project, Santa Ana, CA, City Of. Santa Ana <br />Project 16-6467 UST Project 10-17413PW. <br />The city of Santa Ana its officers, employees agents and representatives are included as Additional insured with <br />respect to the provisions of the General Liability policy, as per attached endorsements, a primary non-contributory <br />basis.. Waiver of subrogation applies. <br />REVIEWED BY: - EUNIGE HEREDIA( OF, 6j , <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />city of Santa Ana EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />20 CiViC Center Plaza POLICY PROVISIONS, <br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE �/� /y/y^^��' ////�+ /J `.� y/� <br />IQCW 11 Lleywlwlo V IMLti�`rrry 4l OdLL <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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