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<br />;<\~OR}y l'~~~:rl fIS,6.T~>9'Pl..IABILl,.y, ~,~u RA~iqEir;\j',,>;<..i.i....1 Do<' ~~;~;;~05
<br />Producer Sandy Machlley THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
<br />Advanced Risk Solutions THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
<br /> COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />12980 Metcalf, Suite 490 INSURERS AFFORDING COVERN~r
<br />Overland Park KS 66213
<br />913.385.2455 INSURER Lumbermen's Underwriting Alliance
<br />www.advancedrisksolutions.com A
<br /> INSURER
<br />Insured A-~m)-o/,T! B
<br />Employers Resource Management Co. A <>cOo 'UV1 -01,D2 INSURER
<br />For: United Inspection & Testing C
<br />22620 Golden Crest Drive #114 INSURER
<br />Moreno Valley CA 92553 D
<br />COVERAGES. '. .',:.'>.. .Y> '. ...........:,,!...,.!' .' .... .
<br /> .'.";,;\; " '. ., '..
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
<br />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
<br />TERMS, EXCLUS!ONS AND CON[)!T!ONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAiD CLMv1S.
<br /> POLICY POLICY
<br />INSR EFFECTIVE EXP1RA liON
<br />TYPE OF INSURANCE POLICY NUMBER DATE MJ,~67vy LIMITS
<br />LTR "M/DDNY
<br /> GENERAlllABILlTV EACH OCCURRENCE $
<br /> ~~MERCIAl GENERAL L1AB Not Applicable FIRE DAMAGE IAn" 1 fire) $
<br /> CLAIMS MADE DOCCUR MED EXP (An '0' erson) $
<br /> PERSONAL & ADV INJURY $
<br /> GENERAL AGGREGATE $
<br /> GEN'L AGG LIMIT APPLIES PER PRODUCTS-COMPtOP AGG $
<br /> IPOllCY nPROJECTnLQC $
<br /> AUTOMOBILE LIABILITY
<br /> Not Applicable COMBINED SINGLE LIMIT $ XXXXXX
<br /> ANY AUTO
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> SCHEDULED AUTOS (Per person) $ XXX XXX
<br /> HIRED AUTOS BODILY INJURY
<br /> NON.OWNED AUTOS (Per accident) $ XXX XXX
<br /> APPR PROPERTY DAMAGE
<br /> OYED J\~ "n .n", (Per accident) $ XXX XXX
<br /> ~~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
<br /> ANY AUTO Not Applicable ~CC'i"'-..; if .' OTHER THAN EA ACC $
<br /> , ,.. - C, ,/ ,Ji ./ AUTO ONLY: AGG $
<br /> EXCESS LIABILITY Laura Stitt S EACH OCCURRENCE $
<br /> j~CCUR D CLAIMS MADE Not Applicable ccdy AGGREGATE $
<br /> !\ srSlant City tinrncv $
<br /> ~ ~EDUCTIBLE $
<br /> RETENTION S $
<br /> WORKERS' COMPENSATION & .II STATUTORY LIMIT I hTHER .0" ".'
<br /> EMPLOYERS' LIABILITY El EACH ACCIDENT $ ITI1ITTII1
<br />'" 273772 7/1/2005 7/1/2006 EL DISEASE. EA EMPLOYEE $ UUU. UU
<br /> EL DISEASE - POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />THIS CERTIFICATE CONFERS NO ADDITIONAL INSURED RIGHTS UPON THE CERTIFICATE HOLDER. :
<br />Only the co-emgloyees of United Inspection & Testin8 22620 Golden Crest Drive #114 ;no .lltl /,
<br />Moreno Valley A 92553, but not subcontractors of: nited Inspection & Testing
<br /> A/\i
<br /><;ERTI~ICA TE HOLDER . .... CANCELLp'~IQriJ.<.' . ..... ../ '.-
<br />""q.,j"",'."-.._,.-.-'".""......."::;s-,,,., '. ,~/:"::,l":"","'"
<br />241380 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
<br /> PUBLIC WORKS AGENCY ~DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br /> CONSTRUCTION ENGINEERING LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
<br /> OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE.
<br /> P.O. BOX 1968/M-22 SENTATIVES.
<br /> SANTA ANA CA 92702 AUTHORIZED
<br /> REPRESENTATIVE .~~ ~(~~
<br /> Robert M Gaane
<br />i\C9@ 25-S (7197) created at www,eCeit:SONLlNE:com -"'",., l1!?A'CORD CORPORATION 1988
<br /> 0..... :<"1
<br /> """,'; /. .-",.",
<br />
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