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PACIFIC COAST CABLING 3 - 2004
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PACIFIC COAST CABLING 3 - 2004
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Last modified
3/21/2017 1:55:19 PM
Creation date
12/8/2004 4:48:26 PM
Metadata
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Template:
Contracts
Company Name
Pacific Coast Cabling
Contract #
A-2004-189
Agency
Finance & Management Services
Council Approval Date
9/20/2004
Expiration Date
9/21/2007
Insurance Exp Date
1/1/2008
Destruction Year
2010
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<br />PROOUCER (310)393-9477 FAX <br />Wh~e & Company Insurance Inc <br />POBox 70 <br />Santa Monica, CA 90406-0070 <br />Cecil Quinones <br />INSURED Pacific Coast Cabling Inc. <br />9340 Eton Ave <br />Chatsworth, CA 91311 <br /> <br />ACOflIJ" 'CERTIFICATE OF LIABILITY INSURANCE O;;il~~/~';;I <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />(310)393-7186 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A: Hartford Casual ty Insurance <br />INSURERS: Majestic Insurance <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />Co <br /> <br />NAIC# <br />29424 <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT 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 DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL. LIABILITY 72UUNUQ7399 01/01/200S 01/01/2006 EACH OCCURRENCE I 1,000,000 <br /> ~~i COMMERCIAL. GENERAL. LIABILITY DAMAGE TO RENTED I 300,000 <br /> H-J CLAIMS MADE [K] OCCUR MED EXP (Anyone person) I 10,000 <br />A' PERSONAL & ADV INJURY , 1,00U,000 <br /> GENERAL AGGREGATE I 2,000,000 <br /> n'L AGG~E~~r LIMIT APnS PER: PRODUCTS - COMP/OP AGG I 2,000,000 <br /> POLICY X j~8T LaC <br /> ~TOMOBILE LIABILITY 72UUNUQ7399 01/01/200S 01/01/2006 COMBINED SINGLE LIMIT <br /> (Eaaccidenl) S <br /> ~ ANY AUTO 1,000,000 <br /> "- ALL OWNED AUTOS BODILY INJURY <br /> (Per person} I <br />A ~ SCHEDULED AUTOS <br /> "- HIRED AUTOS BODILY INJURY <br /> (Per accident) I <br /> "- NON-OWNED AUTOS <br /> ~ PROPERTY DAMAGE I <br /> (Per accident) <br /> RRAGE LIABILITY AUTO ONLY - EA ACCIDENT I <br /> ANY AUTO OTHER THAN EA ACC I <br /> AUTO ONLY: AGG S <br /> 0ESSIUMBRELLA LIABILITY 72RHUUQ7263 01/0l/200S 01/01/2006 EACH OCCURRENCE $ 6,000,000 <br /> X OCCUR D CLAIMS MADE AGGREGATE $ 6,000,000 <br />A $ <br /> R DEDUCTIBLE I <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND C20030290703 01/01/200S 01/01/2006 X I T\/f,~,S:~T,~~ I IDJ",- <br /> EMPLOYERS' LIABILITY 1,000,000 <br />B ANY PROPRIETORlPARTNERlEXECU1IVE E.L. EACH ACCIDENT I <br /> OFFiCE~-v'rll1;:~"l';GR f;';Ci.I.':""lC? \/-C<,c< t/> E.L. DISEASE - EA EMt'LDYf::t: $ 1,000,000 <br /> If yes, describe under 1,000,000 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHiCL.ES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />ertificate holder is an additional insured as per form HGOO011001, Section II, paragraph 6, attached <br />0 the general liability policy and accompanying this certificate. <br />"Except for 10 days written notice of cancellation for non-payment of premium. <br /> <br />CERTIFICATE <br /> <br />LDER <br /> <br />AN LLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30~': DAYS WRiTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAil SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />City of Santa Ana, Its Officers, Agents & <br />Employees <br />Information Svcs Div M-12 <br />P.O. Box 1966 <br />Santa Ana, CA 92702 <br /> <br />Kathleen Benner, ACSR/KJB <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORD CORPORATION 1988 <br />
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