DAMON CONSTRUCTION COMPANY 1-2001

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, 'ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 H~ DATE IMMlDDfYYYY} DAMONCO ~2/28/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Wooditch Company Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1 Park Plaza, #400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Irvine CA 926~4 Phone: 949-553-9800 Fax:949-553-0670 INSURERS AFFORDING COVERAGE NAIC# INSURED ~-'2.6b \ - 18,\ INSURER A: Traveler. Property C&Bualty CO INSURER B: CO=nerclI " rlld~.try II1.uranclI Damon Const. CO. INSURER c: 885~ Watson Street INSURER 0: Cypress CA 90630-2243 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, "" ,"..II POLICY NUMBER I t"D~';!~~MMlDDJYYI- P:1M'i/~~h~~)n LIMITS LTR TYPE OF INSURANCE ~f~ EACH OCCURRENCE $~,OOO,OOO A X X COMMERCIAL GENERAL LIABILITY DT8. CO- 0599C897 -TIt.. 05 03/0~/05 I 03/0~/06 PREMISES (E~~~~~nce) $ ~OO,OOO I _ J CLAIMS MADE rX] OCCUR ! MED EXP (Anyone person) $5,000 I I ___.__m_________ 1$ ~, 000;000-- ~~AL & ADV INJURY I ! GENERAL AGGREGATE $ 2,000,000 I i GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS. COMP/OP AGG $2,000,000 .------. ( [Xl PRO- Emp Ben. ~,OOO,OOO i I POLICY X JECT LOG i ~TOMOBILE LlABILITY , COMBINED SINGLE LIMIT ,$~,OOO,OOO A X ANY AUTO DT. 810 - 0599C897 -TIt.. 05 03/0~/05 03/0~/06 (Eaaccidenl) r=- f--- All OWNED AUTOS BODilY INJURY $ SCHEDULED AUTOS (Per person) c- L!J H!RED AUTOS BODILY INJURY $ I ~ NON-oWNED AUTOS (Peraccidenl) X Camp ded $~,OOO i ..-.~,'T PROPERTY DAMAGE r=- ll.lIl 'fO FO. (Peraccidenl) $ X Co~l Ded $2,500 " GARAGE LIABILITY r.FFr.""~-[i J!;Jt; A AUTO ONLY - EA ACCIDENT $ R ANY AUTO 'd' ~ '10'CK OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCEss/UMBRELLA LlABILlTY As~~tant C t:I i'llW'" EACH OCCURRENCE $ r-l OCCUR D CLAIMS MADE AGGREGATE $ - $ =l DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X ITO'R/LIMITS livER' B I EMPLOYERS' LIABILITY 342~030 0~/01/06 0~/0~/07 E.L, EACH ACCIDENT $ ~,OOO,OOO ANY PROPRIETORlPARTNERlEXECUTIVE , OFFICER/MEMBER EXCLUDED? I I E.L. DISEASE - EA EMPLOYEE' $ 1,000 I 000 , ~~~~t~tsP~~V~~?c3NS below E.L. DISEASE - POLICY LIMIT S~,OOO,OOO OTHER ~~ ! J I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ..~~~, \ > ~ ~ *Except ~O Days Notice of Cancellation for Non-Payment of Premium. It is '. ~ I Agreed that City of Santa Ana is named as additiona~ insured as respects ~\)\'i General Liability per the attached endorsement. This insurance sha~~ apply I)~C ".}.v.~ as Primary and Non-Contributory. RB: Damon Job #~006JR, City of Santa Ana Job #05-~704, Omnibus Concrete Rep~acement . glaip/x .\~~ '/ CERTIFICATE HOLDER CANCELLATION SANTA16 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE. ISSUING INSURER WILL E:tI9E:AVSR Ta MAlL ~ DAYS WRITTEN NOTICE TO THE CE.RTIFICATE HOLDER NAMED TO THE LEFT, B"1 r'\lblJRt TQ !;lg is VIoIA!,.b. IMPeSE: ue-eElLlaA'fIElr~ 0R LIA.Bftff>fef-.AN'f-KINO-tIPON.TitE-INSl,;;IRER, ITS 'SEfITS QR City of Santa Ana Pub~ic Works Agency M-22 P.O. Box ~988 Santa Ana CA 92702 @ACORD CORPORATION 1988 ACORD 25 (2001/08)