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PLUMBERS DEPOT INC.
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Last modified
5/30/2024 2:24:31 PM
Creation date
5/30/2024 2:23:38 PM
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Contracts
Company Name
PLUMBERS DEPOT INC.
Contract #
A-2024-029-09
Agency
Public Works
Council Approval Date
2/20/2024
Expiration Date
2/20/2027
Insurance Exp Date
7/12/2024
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDrfYYY) <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 th certificate holder is an ADDI- 10" �@ �o�IJJGG]] t v��Dj1ITIONAL INSURED provisions or be endorsed. <br />U�ly'A31Q�1 VypjVED, subject to [he tern s altd b 1 i 13 p�lh �l may require an endorsement. A statement on <br />INSURED <br />44-'Pura ceServices,Inc. Angle A <br />160 W Camino Real Unit 523 t <br />Bocce - ar, FL 334'2_ Date. 20 ': $ -- .. <br />Plumbers Depot Inc <br />3921 W 139th St <br />Hawthorne, CA 90250 <br />COVERAGES CERTIFICATE NUMBER: 00000410-5249673 REVISION NUMBER. 32A <br />THIS IS TO CERTIFYTHAT 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 />LTR <br />TYPE OF INSURANCE <br />AODL <br />BURR <br />POLICY NUMBER <br />POLICY EFF <br />MWDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERALLMBILITY <br />CLAIMSMADE 1XI OCCUR <br />Y <br />Y <br />103GLO202039-02 <br />07/12/2023 <br />07/12/2024 <br />EACH OCCURRENCE <br />$ 1000000 <br />PREMISES Ea occurrence <br />$ 10(),000 <br />MED EXP (Any one perscn) <br />$ 5,000 <br />PERSONAL B ADV INJURY <br />$ 1000000 <br />AGGREGATE LIMIT APPLIES PER <br />POLICY ❑ JECaT LOC <br />GENERAL AGGREGATE <br />$ 2000000 <br />GEN'L <br />X <br />PRODUCTS -COMPIOP AGG <br />$ 2.000.000 <br />Deuctible <br />$ 2,500 <br />OTHER: <br />B <br />AUTOMOSILELMBIUTY <br />504610159932001 <br />07/1212023 <br />07/12/2024 <br />OMBINEDISINGLE LIMIT <br />$lEa 1000000 <br />BODILY INJURY(Perperson) <br />$ <br />ANY AUTO <br />X HEOULED <br />OWNEDONLY 6 <br />OMESAUTOS <br />(Per BODILY INJURYecdtlent) <br />$ <br />X AUTO6 ONLY X NO�WNEAUTOS ONLDY <br />Fraccident) DAMAGE <br />$ 1000000 <br />X COMP:E7,000 X COLL: $1,000 <br />UMBI <br />$ 100000 <br />L` <br />UMBRELLALIAB <br />X <br />OCCUR <br />CXS4005386 <br />07/12/2023 <br />0711212024 <br />EACH OCCURRENCE <br />$ 5000,000 <br />AGGREGATE <br />$ 5,000,000 <br />X <br />EXCESS LIAB <br />CLAIMSMAOE <br />DIED I <br />I RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'UABILITY YIN <br />ANY PROPRIETORPARTNERIEXECUTNE <br />OFFICER/MEMBER EXCLUDED] ❑ <br />NIA <br />PER OTH- <br />I STATUTE I ER <br />EEACH ACCIDENT <br />L <br />$ <br />ELDISEASE-EAEMPLOYE <br />$ <br />(Mandatory in NH) <br />(ryes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />D <br />Excess over Excess <br />AN1288940 <br />07/2112023 <br />07121/2024 <br />Each/Agg <br />$5,000,000 <br />E <br />GKLL <br />RK84662A23 <br />08/16/2023 <br />0711212024 <br />Per unit 500K $3,1 <br />100,000 Blanket <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Certificate Holder is included as an additional insured in regards to the General Liability policy on a primary and non <br />contributory basis per written contract per the attached endorsements. A waiver of subrogation applies per written contract <br />per the attached endorsements. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOT <br />Public Works Agency - Fleet Services ACCORDANCE WITH THE POLICY PROV RdeMoMgmmt Dhidm <br />215 S. Center St., Bld. J, M-83 RBwBeEnsnPPRD ®BY <br />Santa Ana, CA 92703 AUTHORIZED REPRESENTATNE� o` Mlli 1'i, A,.y:$ALzvaa <br />�� Risk Management Spetlalls[ <br />©1988-2015 A -ORD C <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by LDL <br />
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