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EXCEL PAVING COMPANY
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EXCEL PAVING COMPANY
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Last modified
8/10/2020 9:27:01 AM
Creation date
8/10/2020 8:46:00 AM
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Contracts
Company Name
EXCEL PAVING COMPANY
Contract #
N-2020-128
Agency
PUBLIC WORKS
Expiration Date
12/31/2020
Insurance Exp Date
1/1/1900
Destruction Year
2025
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PALP. INC <br />IEANA <br />ACOR®° CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/ (0120 <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 cer0ficate 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 policles may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />The Wooditch Company Insurance Services, Inc. <br />1 Park Plaza, Suite 400 <br />Irvine, CA 92614 <br />CONTA <br />E:CT <br />IAIco,Nri , Ext: (949) 553.9800 ti/c, Nol:(949) 553.0670 <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC If <br />NSURER A: Executive Risk Indemnity,Inc. <br />35181 <br />INSURED <br />INSURER B: Federal Insurance Company <br />20281 <br />INSURER C: <br />Palp, Inc. IExcel Paving Company; GAP Equipment, LLC <br />INSURER D : <br />2230 Lemon Avenue <br />Long Beach, CA 90806 <br />INSURER E ; <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISInm N"IMIPLPP. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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. <br />INSR <br />LTRA <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUER <br />MIDPOLICY <br />NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />X <br />54310180 <br />611/2020 <br />611/202, <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAREAGSESORENTED (Earoccurrence <br />$ 100,000 <br />GENT <br />WED EXP LAny one arson <br />$ 51000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY IFX7 JE T LOG <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />Empl Benefits <br />11000,000 <br />B <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTOS ONLY X ANUUT SONLY <br />X <br />X <br />54310182 <br />611/2020 <br />611/2021 <br />Ea ..Ideal) D SINGLE LIMIT <br />$ 1,000,000 <br />BODILY INJURY Per parson <br />$ <br />BODILY INJURY Per accident <br />$ <br />Peracadant AMAGE <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I RETENTION$ <br />$ <br />B <br />WORKERSCOMPENSATION <br />MPENIA TIOITNI' <br />ANYPRROR��PRIETORIPARTNERIEXECUTIVE YIN <br />NMeadorryEn NER EXCLUDED? <br />HH�I <br />IIrs, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />X <br />54310181 <br />6/1/2020 <br />6N/2021 <br />X SER ERH <br />e.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEAS_E-EA EMPLOYEE <br />1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />__ <br />1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101 Additional Remarks Schedule, me be attached if more space is myulred) <br />RE: Excel Job #5743; City of Santa Ana Job #18.9002, #21-6442 and #21-6443; Bush bicycle Blvd. I Bush Street Bikeway Water & Sewer Improvements. <br />glaiwv/a daiwv/wcwv <br />City of Santa Ana Is included as Additional Insured as respects General Liability and Auto Liability per attached endorsements. <br />Waiver of Subrogation for General Liability, Auto Liability and Workers' Compensation: See Attached Endorsements. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />REPRESENTATIVE <br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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