DEKRA-LITE INDUSTRIES, INC. 10 - Laserfiche WebLink

Home Browse Search

AC eaa ®® CERTIFICATE OF LIABILITY INSURANCE L_.� DATE (MWDD/YYYY) 9/25/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGRATION 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). PRODUCER Willis Towers Watson CONTACT NAME: Ontario 12980 Metcalf Ave Suite 500 PHONE (A/C No Ext): (909) 284-7540 FAX (A/C NO): (360) 828-0699 Overland Park 166213 EMAIL ADDRESS: Angela.Scott@bbsihq.com INSURERS) AFFORDING COVERAGE NAIC # Me INSURER A 'ACE American Insurance Company 22667 INSURER B INSURED Barrett Business Services, Inc. L/C/F INSURER C DEKRA-LITE INDUSTRIES, INCORPORATED INSURER D 3102 W ALTON AVE INSURER E SANTA ANA, CA 92704 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR Me (MM11312 YY) (MMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLOCCUR DAMAGE TO RENTED PREMISES (Ed occurence) $ MED EXP (Any one person) $ ®®®m�AIMS-MADE PERSONAL B ADV INJURY $ GENE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ POLICYPROJ- LOC CT 1 - AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS AUTOS BODILY INJURY (Per accident) $ BSCHEDULED HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS MAE OCCUR AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' in 065204861 10/01/18 10/0112019 WCSTATU- GTH- LIABILITY YIN �/ TORYLIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N/A X'. Covered states CA J E.L. EACH ACCT DENT $2,000,000 E. L. DISEASE - EA EMPLOYEE $2,000,000 I E.L. DISEASE -POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) In the event of any payment under this policy for a Loss for which the named insured has waived the right of recovery in a written contract entered into prior to the Loss, insurer hereby agrees to also waive our right of recovery but only with respect to such Loss. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City Of Santa Ana EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE POLICY PROVISIONS, WITH THE 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 Rep Authorized c) 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD.