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R.J. NOBLE COMPANY 1 - 2003
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R.J. NOBLE COMPANY 1 - 2003
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Last modified
1/3/2012 2:13:58 PM
Creation date
4/10/2003 3:57:40 PM
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Contracts
Company Name
R.J. NOBLE COMPANY
Contract #
N-2003-034
Agency
Public Works
Expiration Date
3/31/2004
Insurance Exp Date
7/1/2008
Destruction Year
2009
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'ACORD,, CERTIFICATS; OF LIABILITY INSURANCE I DATEIMM, OD ) <br /> 02/18/2003 <br />IJRODUCER J (949)857-4300 FAX (9,,~-]o57-4800 THIS CERTIFICATE IS Ib'~l~D AS A MATTER OF INFORMATION <br /> Millenni.um Risk Management & Tnsurance Services ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> <br />5~O0 Trabuco Road <br />Zrvine, CA 92620 <br /> <br />INSURED R. 3. Noble Co. <br /> <br />15505 Lincoln Ave. <br />P. O. Box 620 <br />Orange, CA 92865-1015 <br /> <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURERA: Tnterstate Fire & Casualty Co./CRC <br /> <br />INSURERB: First National Tnsurance Co. of A~erica/Saf <br />~NSURERC: Tnsurance Co. of the State of PA/CRC <br />~NSURERD: Pacific Eagle Tnsurance/Pointsure <br />INSURER E: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BF~N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED· NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY COI~ITRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS· <br /> INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE P¢)LICY NUMBER DATE IMM/DD/YY) DATE (MM/DD/YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL~LIABILITY FIRE DAMAGE (Any one fire) $ 50,000 <br /> I <br /> CLAIMS MADE I~,1 OCCUR MHD EXP (Any one person) $ EXCluded <br /> A X XCU GLl1110259 07/01/2002 07/01/2003 PERSONAL&ADVINJURY $ 1,0001000 <br /> GENERAL AGGREGATE $ 2,000 ! 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/DP AGG $ 1,000,000 <br /> I POLICY ~'-~PRO' <br /> JECT [~ LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> X ANY AUTO (La accident) $ <br /> 1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> B SCHEDULED AUTOS F~A8160306C 07/01/2002 07/01/2003 (Per person) $ <br /> X HIRED AUTOS <br /> BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITYr~ EACH OCCURRENCE $ 5,000,00(] <br /> X <br /> I <br /> OCCUR <br /> I I CLAIMS MADE AGGREGATE $ 5! 000! 00~ <br /> C 4202 9032 07/01/2002 07/01/2003 $ <br /> J DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND XToRyWC STATU-LiMiTS I OTH-ER <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT $ 110OO, 000 <br /> D 4S0200287 07/01/2002 07/01/2003 E,L. DISEASE-EAEMPLOYEE $ A,OOOlO00 <br /> E.L. DISEASE- POLICY LIMIT $ 1,,000,000 <br /> OTHER <br /> <br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />£ertificate Holder is named Additional Znsured as respects General Liability per special forms ~ttached <br />P,E: 3ob #90844, 1112-1114 S. Cypress St., Santa Aha, CA <br />~10-day notice of CANCELLATION in event of non-payment of premium . <br /> <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: <br /> <br />The City of Santa Ana, its officers, <br />employees, agents, volunteers <br />and representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br /> <br />ACORD 25-S (7/97) <br /> <br /> CANCELLATION Y ~ <br /> SHOULD ANY OF THE ABOV-E~D'~RI~P~I~I~ ~A6"CELLED BEFORE THE <br /> ~ I <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WI~-L ENDEAVOR TO MA L <br /> w~O DAYS WRITTEN NOTICE TO THE CERTIFICATE ~L~R NAMED TO THE LEFT, <br /> BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE ~'O OBLIGATION OR LIABILITY <br /> OF ANY KI~D UPON THE COMPLY, ITS AGENTS O~ REPRESENTATIVES. <br /> <br />~ '- ' ~ACORD CORPO~TION 1988 <br /> <br /> <br />
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