DIXON RESOURCES UNLIMITED - Laserfiche WebLink

Home Browse Search

oil rally signed by Tod Pierson Tori Pierson Data. 2022.011.09 09.3 131 grog• 4coR0� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 7/6/2022 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(ies) must be endorsed. If SUBROGATION 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 Burnham WGB Insurance Solutions CA Insurance License OF69771 15901 Red Hill Avenue Tustin CA 92780 CONTACT NAME: Kadee Crowe PHONE 714-505-7000 FAc No:714-573-1770 aDoa :. karlee w bib.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Sentinel Insurance Company Ltd INSURED DIXON-1 Dixon Resources Unlimited INSURER B: Hartford Insurance Company 22357 INSURER C: California Auto Insurance Co 38342 Julie Dixon INSURER D: Chubb Group of Insurance Co. 20281 3639 Midway Drive Ste B345 San Diego CA 92110 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 1956745443 RFVICION MIIMRFR- 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 ISSUED 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 LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF (MWDDPrrM POLICY EXP JMMVDDNYYYJLIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IT] OCCUR 72SBAAN5235 121172021 12/172022 EACH OCCURRENCE $2,000,000 DAMAGE T RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL S ADV INJURY $2,000,000 GENT AGGREGATE LIME APPLIES PER: POLICY ❑ PRO- ❑ LOG GENERAL AGGREGATE $4,000,000 PRODUCTS-COMPIOPAGG $4,000,000 $ OTHER: C AUTOMOBILE LIABILITY BA040000036675 9/152021 9/152022 COMBINED SINGLE LIME Ea accident $lo0000 BODILY INJURY (Per person) $ AUTO ALLOWAUTOS NEO AUTOSSCHED HANY BODILY BODILY INJURY (Per accident) $ HIRED AUTOS AUT SWNED N msPERdTNOWOnt DAMAGE $ A X UMBRELLA LIAB X OCCUR 72SBAAN5235 12/172021 12/172022 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ sim min $ B WORKERS COMPENSATION EMPLOYERS' LIABILITY YIN 72WECGI434B 12/17/2021 10170022 X STATUTE STATUTE ER EL EACH ACCIDENT $1,000,000 ANY PROPRIETORJPARTNERIEXECUTIVE ❑NIA BER OFFICERIM(Mandatory E.L. E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory In In NH) Nyes, describe under E.L. DISEASE -POLICY LIMIT $1,000,Mo DESCRIPTION OF OPERATIONS below D Professional Liability D95750114 12/17/2021 12/17/2022 Aggregate Limit $2,000,000 Eatll Claim $2,000,000 Deductible $2,500 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space Is required) RE: CITYWIDE PARKING STUDY —CONSULTING SERVICES / RFP NO. 22-074 City of Santa Ana its officers, employees, agents. volunteers, and representatives are named as additional insured on the General Liability per attached SS00080405 as required by written contract subject to the terms and conditions of the policy. Primary and Non -Contributory applies on the General Liability per attached SS00080405. 30 day cancellation per the attached. City of Santa Ana Attn.: ZDENEK KEKULA Public Works Agency, M-43 20 Civic Center Plaza; Ross Annex Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE y Ridt Mansgenad Daidge /fQq ' RE+n[vhn6^AfrPRor�Br: IAA -v ,. ry 5 %TC riC1JON n 1988.2014 ACORn C( akxnza„age,ae,me;vlwae ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD v I'll