51:1 :4 11 a lortyl d W Uff :R11VAINT", WiTep
<br />DATE (MMODOMYY)
<br />0311112010
<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(B), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, I
<br />MPUKIANI: it uro Certificate nomer is an ADDITIONAL INSURED, the polleyfies) 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 andomemont. Astatement on
<br />this certificate does not confer rialls to the certificate holder In lieu of such ondorsemont(s).
<br />PRODUCER
<br />StateFarm mike martinek, state Farm Agent License #OH3201 5
<br />State Farm Insurance & Fionanctal Services
<br />5000 N. Parkway Calabasas, Suite 109
<br />Calabasas, CA 91302
<br />State Farm General Insurance
<br />INSURED
<br />C11 GUARD SECURITY SERVICE INC
<br />INSU ERC:
<br />- — ------ ----- - -- — ------- - - ---------
<br />9301 CORBIN AVE STE 1800 INSURER D
<br />... ....... .......... . ....... I -------
<br />NORTHRIDGE CA 91324-2525
<br />- --- - ------_--------
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />818-255-7749
<br />THIS A TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE. POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Or 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.
<br />11-1111-, ....... .1-1- - , -
<br />FNSR � ------ - - - __ ____ -]A:, - SUBAI --- -- ._ __ MaL,1CI - .... PducytxP - -.--
<br />TYPE OF INSURANCE "n! POLICY NUMBER YEFFM" ,
<br />DIMMVDD)yyY%N1 LIMITS
<br />COMMERCIAL L GENERAL UASILITY
<br />EACHOCCURRENCE
<br />CLARAS-MADE
<br />DAMAGE T6 rVNlTU--'
<br />1751 Harbor bay Parkway, Suite 200
<br />Alameda, CA 94,902
<br />Mffl0JA__
<br />................
<br />L AGGREGATE LIMIT APPLIES PER
<br />0 NERALAGGREGATE
<br />POIACY PRO f-1 z
<br />JrV"� Lor
<br />PRO LOTS COMPIOPAGG
<br />-_- ---------- - ----- - ____ -- - -------------------- -- ----- ------
<br />$
<br />AUTOMOBILE LIABILITY Y Y 1 61008$1-807-75F
<br />02JO712019COMBINEDsi 00,000
<br />,X ANY AUTO
<br />. . ......... ..........
<br />BODILY INJURYJPer pefsn; S
<br />i OWNED SCHEDULED
<br />AUT09 ONLY AUICS
<br />I
<br />BODILY (_Pa, .-m-W-w-A S_
<br />i HIRED NOWOMED
<br />---- -.111111.11.111B
<br />PROPERTY DAMA, E
<br />AN OS ONLY ALRO$ONLY
<br />$
<br />UMBRELLA LAS OrA"UR
<br />EAP_10OCURRBNCE
<br />EXCESS LIAR CLAIM&MADC
<br />-1
<br />AGGRE 0 ATE $
<br />DED I NOTE IONS
<br />WORKERS COMPENSATION
<br />I 21B�107 E I
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIE f ORMAR I NFRiEMCU TIVE YIN
<br />------
<br />E.L. VACHACCIOFNT $
<br />UFFJOERIME El NtAl
<br />hij,
<br />1. I . I I I - , , , . , , - I I 1 - I- - 1 ........
<br />in NRI
<br />C I L ) I S E A 6 E - E A t M P L 0 Y I' E
<br />If
<br />r'�6R
<br />V
<br />o(Maudatory
<br />TION 0, OPERATIONS bef.
<br />E.L. D)SEASE - SODCY LIMIT S
<br />DESCRIPTION OFOPERATIONS tLOCATIONSI VEHICLES (ACORD 101,AddiU.n.1 Remarks Schedule, maybe attached if moreap.. $arequired)
<br />JOB NUMBER 20270.00. DESIGN -BUILD SERVICES FOR AIRPORT HOTEL PROJECT, 55 SOUTH MCDONELL RD., SAN FRANCISCO, CA 94128
<br />WEBCOR CONSTRUCTION, LPDBA WEBCOR BUILDERS, ITS OFFICERS, DIRECTORS, AND EMPLOYEES, THE CITY AND COUNTY OF SAN
<br />FRANCISCO, THE AIRPORT COMMISSION, AND ALL OF THEIR BOARD MEMBERS AND COMMISSIONS, AND ALL AUTHORIZED AGENTS AND
<br />REPRESENTATIVES, AND MEMBERS, DIRECTORS, OFFICERS, TRUSTEES, AGENTS AND EMPLOYEES AND ANY OF THEM ARE INCLUDED AS
<br />ADDITIONAL INSUREDS FOR ALL REQUIRED INSURANCE WITH THE EXCEPTION OF WORKERS COMPENSATION, COVERAGE IS PROVIDED ON A
<br />PRIMARY AND NON-CONTRIBUTORY BASIS FOR BOTH ON-GOING AND COMPLETED OPERATIONS. WAIVER OF SUBROGATION IN FAVOR OF ALL
<br />ADDITONAL INSUREDS IS INCLUDED FOR ALL REQUIRED INSURANCE.
<br />CERTIFICATE HOLDER CANCELLATION
<br />Q 1988-2016 ACOR"ORPORATION. All rights reserved.
<br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD
<br />IC014M 1.32M9 12 03�IWU16
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Weboor Construction, LP Boa Weboor SUMER&
<br />AUTHORVED REPRESENTATIVE
<br />1751 Harbor bay Parkway, Suite 200
<br />Alameda, CA 94,902
<br />Mffl0JA__
<br />Q 1988-2016 ACOR"ORPORATION. All rights reserved.
<br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD
<br />IC014M 1.32M9 12 03�IWU16
<br />
|