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Last modified
12/1/2023 4:18:22 PM
Creation date
10/17/2022 2:12:56 PM
Metadata
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Contracts
Company Name
MEYERS CONSTRUCTION CO.
Contract #
P 22-1201, 21-2750
Agency
Public Works
Council Approval Date
9/20/2022
Notes
CTRAX
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MEYECON-01 SSCH ELER <br />A�oizo CERTIFICATE OF LIABILITY INSURANCE <br />Da10/03121022Y> <br />10/03/2022 <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($), 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 />C CT <br />Builders Advantage Insurance Services <br />107 Main Street <br />Roseville, CA 95678 <br />PHONE FAX <br />No, Eat : 916 784-9793 Arc No ; <br />EAIC, <br />RiffifiEssi suppoq@buildersadvantageins.com <br />INSURERISI AFFORDINGCOVERAGE <br />NAIC <br />INSURERA: Rockingham Insurance Company <br />10214 <br />INSURED <br />INSURER a: California_ Automobile Ins. Co. <br />38342 <br />INSURER C: Century Surety Company <br />Meyers Construction Cc <br />INSURER D : Natnl Liab & Fire Ins Co <br />20052 <br />7020 E El Cedral Street <br />Long Beach, CA 90815 <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: RFVISION NUMRFR <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 CONTRACTOR 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 TOALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTRINSD <br />TYPEOF INSURANCE <br />ADDLSUBR <br />IWO <br />pOLICV NUMBER <br />POLICY EFF <br />MMIDOIVYVY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />X <br />X <br />RCAG306605-00 <br />1011412021 <br />10/14/2022 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence)MED <br />100�000 <br />EXP (Any one Orson <br />$ 6,000 <br />PERSONAL &ADV INJURY <br />1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />X POLICY %,OT LOG <br />OTHER: <br />GENERALAGGREGATE <br />2,000,000 <br />PRODUCTS - COMP/OP AGO <br />2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />AUTO <br />AUTOOWNED SCHEDULED <br />OWNS ONLY X AUpTNOSSV�NEp <br />AUTOS ONLY X AUTOS ONLY <br />BAD40000069644 <br />8/3012022 <br />8130/2023 <br />COMBILeaceNED echSINGLE LIMIT <br />1,000,000 <br />BODILY INJURY Per arson <br />IxANY <br />BODILY INJURY Per accident <br />$ <br />Peiao tlenPAMAGE <br />$ <br />C <br />X <br />UMBRELLA LIAR <br />EXCESS LIAS <br />X <br />OCCUR <br />CLAIMS -MADE <br />CCP956829 <br />2110/2022 <br />2110/2023 <br />EACH OCCURRENCE <br />5,000,000 <br />AGGREGATE <br />$ 6,000,000 <br />DELI I I RETENTION$ <br />D <br />ANOEMPS COMPENSATIONX <br />ANYPROPRIETOR/PARTNER/EXECUTIVE YERS' LIABILITY YIN <br />OF.1.17p qlMEI �q EXCLUDED? �Y <br />(Mantlalory m NH) <br />If Yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />X <br />9WC217686 <br />2125/2022 <br />2/2512023 <br />PER STATUTE OTH- <br />EL EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCA71ONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CityTHE <br />of Santa Ana <br />Risk Management Division <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Dr. <br />AUTHORIZED REPRESENTATIVE <br />GG ^-'-• <br />Santa Ana, Ca 92702 <br />ACORD 26 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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