Laserfiche WebLink
<br />INSURED <br />HBA Incorporated <br />12891 Nelson St. <br /> <br />A COR'D_. .'i6iE.'.'...b;jiI.....~.I.'..j;i'..A!.fri..'h~.......~)1 ^nB\\.ll)I~...I..",ii.it!l.I.R"".'.'.'.A..i(~.~..~..,....'i' ......................,.."....'.......,....,..,.".......'............ ...~~~;i~~,DD~~) <br />,. .G\'....!T\tF!oPit;!!5)~F/I4.~.............!4tli.J"Q9.\"'J'l~~/\.. ........... .....//0 6/27/2007 <br />PRODUCER Ronald Pue THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hub International of Californ,a In HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />4371 Latham Street Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PO Box 5345 COMPANIES AFFORDING COVERAGE <br />Riverside, CA 92501 COMPANY Scottsdale Insurance Company <br />951-788-8500 951-788-2994 A <br />A- <2005 - D.,ll) A-~005-I';' COMPANY <br /> <br />,t1-,M07-d.5' B <br /> <br />American States <br /> <br />Insurance Company <br /> <br />COMPANY <br />C <br /> <br />Garden Grove CA 92840-5018 <br /> <br /> <br />THIS IS TO CERTIFY THAT 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 SIJBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CO <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POUCY NUMBER <br /> <br />POUCY EFFECTIVE POUCY EXPIRATION <br />DATE (MM/DDNY) DATE (MMIDDfYYI <br /> <br />UMITS <br /> <br />A GENERALUABIUTY BCS0015293 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 00 OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br /> <br />06/27/2007 ;06/27/2008 GENERAl AGGREGATE $ 2,000,000 <br />PRODUCTS. COMP/OP AGG 2 , 000, 000 <br />PERSONAL & ADV INJURY 1 , 0 0 0 J 0 0 0 <br />EACH OCCURRENCE 1, 000, 000 <br />FIRE DAMAGE (Anyone firel 100 / 000 <br />MED EXP (Anyone person) excluded <br /> <br />B AUTOMOBILE UABIUTY 01CH-159159-2 <br /> X ANY AUTO <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS <br /> X NON-OWNED AUTOS <br /> <br />06/03/2007 06/03/2008 <br /> <br />COMBINED SINGLE LIMIT <br /> <br />1,000,000 <br /> <br />BODILY INJURY <br />ilPerparSOn) <br /> <br />BODILY INJURY <br />(Peraccidant) <br /> <br />I <br />$ <br /> <br />PROPERTY DAMAGE <br /> <br />, GARAGE UABIUTY <br />I ANY AUTO <br />:-------" <br /> <br />AUTO ONLY. EA ACCIDENT <br /> <br />H <br /> <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT I $ <br />AGGREGATE <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />~ESS UABIUTY <br />H UMBRELLA FORM <br />OTHER THAN UMBR~LLA FORM <br />, WORKERS COMPENSATION AND <br />EMPLOYERS' UABIUTV <br /> <br />THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />OTHER <br /> <br />INCL <br />EXCL <br /> <br /> <br />';U " I J AS TO '"ORM <br /> <br />El DISEASE. POLICY LIMIT <br />EL DISEASE. fA EMPLOYEE <br /> <br /> <br />7 <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAlITEMS <br />Sa~ta Ana Parking Str~cture Job #25:5 <br />GWGC, Inc dba: Gordon and Williams General Contractors and the City of Santa Ana, i~s officers, directors, agents, volunteer <br />and renresentatives are an additional insured per ferm: CG20330704, CG20370784, & ~S-3g-01 (3-32). <br />?rimary wording included in VTS-3g-01 13-92) l~~t~~hed Waive~ ?f Subrogation endorsement # CG 2404(10/93) applies <br />'.ilt!~i~~tgH~~~~~}'7~e.ra 1 a . ..::7....~;7 ...;.n~/..................:....i'.:i.iiljf';;).....ga..~!. <br /> <br />The City of Santa Ana SH <br />20 ci vie Center Plaza 8th Floor'S ~ Hd 6' Nnf loHPlRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Santa Ana, CA 92701-4058 LUlo OAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />~ays notice for non payment <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY. <br /> <br />..~U~:ORIZED.RE::~~NTATIVE .../......~A~~6~J$$li) <br /> <br /> <br /> <br /> <br />AcDiiO~5-S11i~j .... <br /> <br />=-'_11..."""-...., <br />