My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CPC POWERTEC, INC.-2011
Clerk
>
Contracts / Agreements
>
C
>
CPC POWERTEC, INC.-2011
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/16/2016 10:16:26 AM
Creation date
4/20/2010 1:38:57 PM
Metadata
Fields
Template:
Contracts
Company Name
CPC POWERTEC, INC.
Contract #
A-2010-012
Agency
Public Works
Council Approval Date
2/1/2010
Expiration Date
12/31/2010
Insurance Exp Date
5/24/2011
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
15
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
<br />?R?® CERTIFICATE OF LIABILITY INSURANCE OP ID IP pATE(MMIDpIYYYY) <br />CPCPO-1 05/26/10 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />United Agencies , Inc . (H) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #0252636 HOLDER. THIS CERTIFICATE DOES NOT.AMEND, EXTEND OR <br />2911 Bonita Ave - , Ste . A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />La Verne CA 93750 <br />Phone: 909-593-7776 Fax c 909-593-5477 ? INSURERS AFFORDING COVERAGE ? NAIC p <br />INSURED ....... _. __--.._. __.-... <br />' INSURER A Lloyd's o£ London _ <br />//?1 ? T .._.___..__ _. _._ .__ _ __.__-_._ <br />T ? w/ ? ?? INSURER B. <br />CPC Powertec , Inc . F wsu RER G <br />1441 Santa Margarita Pr . A390 INSURER D <br />Rancho Santa Margarita CA 92688 ? ___,__._ ___ __.. __ ._ ____. __ <br />INSURER E' <br />CAVFRAr'AFG <br />THE POLL GIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSV RED 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 OE SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLVSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />R ,_-___ -- -___ .___._..-. <br />-? ____._-- ?aLICY-?FFE?TIO??bL?V-ES(Oi)fAYYU_ _-- ..._....... .____.. _._ <br />lTR NSR TYPE OF INSURANCE POLICY NUMBER ;PATE (MM/DDIYYYY DATE MM/DO/YYYV LIMITS <br /> GEN ERAL LIABILITY 1 ? ? EACH OCCURRENCE $ 1 OOO , OOO <br /> <br />A <br />X_ <br />COMMERCIAL GENERAL LIABILITY <br />YVSA41 OO299 <br />O5 /24/10 <br />! OS /24/11 i'OAMAGE TORENTFLT"- <br />I PREMISES lEa occ rence) '"- - <br />S 250 <br />OOO <br /> <br />X CLAIMS MADE ? <br />J OCCUR <br />r <br />I <br />i <br />i <br />f MED EXP (An <br />one <br />erson) , <br />$ 5 O O O <br /> . y <br />P T <br /> __ - ..._._- _.._ -__.___. PERSONALB ADV INJURY ;. $ 1 , OOO , OOO <br /> ? <br />._. <br />? <br />GENERAL AGGREGATE ___..._ <br />$ 2 <br />OOO <br />OOO <br /> __..__..._......_._____ <br />GEN'L AGGREGATE LIMIT APPLIES PER' <br />__._ ? PRODUCTS -COMP/OP AGG , <br />, <br />$ 1 OOO , OOO <br />L <br />1 <br /> POLICY I PEQ LOC <br />X I ° -.- .._.__ <br />_ <br /> 'I. ? AUT OMOBILE LIABILITY I <br /> <br />?- ? <br />j <br />i COMBINED SINGLE LIMIT <br />$ <br /> ' <br />O NOT COVERED (Ea eccldenp <br /> i I ? -._.._ <br />I _-__ __-__... __. <br />I <br /> I i I BODILY INJURY <br />? <br /> SCHEDVL <br />E D.AUTOS <br />' <br />(Par Parson) $ <br /> HIRED AUTOS <br /> NON-OWNED AUTOS 1 ? <br />' BODILY INJURY <br />IPer accidenq <br />$ <br /> ___ <br /> ? <br /> ------------?---- i PROPERTY DAMAGE $ <br /> I <br />? (Per awdent) <br /> GARAGE LIABILITY ' <br />AUTO ONLY - EA ACCIDENT i <br />___ <br />$ <br /> <br />y <br /> <br />' <br />? <br />ANY AUTO <br />NOT COVERED <br />` ..._.. _- <br />EA ACC _- <br />S <br /> _ OTHER THAN <br /> <br />, ? Y fl' U V L-+,J, AS TO FOR UTO ONLY. AGG $ <br /> EXCESS / VMBREL LA LIABILITY <br />I ? EACH OCCURRENCE <br />___ $ <br /> <br />J OCCUR ? CLAIMS MADE - <br />NOT COVERED I ?' <br />? ? <br /> <br />: <br />LUra Stitt _ eed <br />AGGREGATE - <br /> <br />???- ??-- ???"_- ___._..-_ _ <br />?$ <br />$ <br />$ - <br /> DEDVCTIBIE <br />I <br />_ <br />. <br />y <br />' <br />? <br />f <br />?? -?-- <br />- - <br />-- <br /> <br />RETENTION $ r <br />„,I>[eIn[ Ctt <br />y Attorne <br />}/ -- <br />? $ <br /> WORKERS COMPENSATION <br />I <br />AND EMPLOYERS' LIABILITY I <br /> <br /> <br />I <br />I <br />___ _ _ - <br />TORY LIMITS <br />ER? __ <br /> ? <br />ANY PROP RI F_TORIPARTNE R/EXECUTIV <br />_ NOT COVERED <br />OFFICER/MEMBER EXCLUDED? E1 EACH ACCIDENT I <br />_, _ ____ $ <br /> <br />(Mandatory in NH) ' <br />If yes, describe ender <br /> <br />! <br />E.L. PIS EASE - EA EMPLOYE E? <br />__. __. __._.__ _._... <br />$ <br /> <br />SPECIAL PROVISIONS below ? <br />? <br />E.L. DISEASE -POLICY LIMI S ___ ___-__ <br />- <br />OTHER ? <br />A ERRORS/OM2SSIONS ?YIISA4100299 '' 05/24/10 II 05/24/11 Per Claim 1,000,000 <br />LIAB-Claims Made ? f I; I A gre ate 1,000,000 <br />OESCRIPTON OF OPERATIONS I IOGAT10N51 VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />+?EXCE PT 10 DAYS NOTICE OF CANCELLAT 20N APPLIES FOR NONPAYMENT OF PRF.MTUM- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATl01 <br />S ANTAAN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAfL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />SANTA ANA PUBL2C WORKS <br />WATER DS VISSON (M8S) REPRESENTATIVES. <br />220 S DAS SY AVE AUTHORIZED REPRESENTA VE <br />SANTA ANA CA 92 7 0 3 <br />ACORD 25 (2009/0'1) © 988-2009 A O D COR TION. All rights reserved. <br />I nB .?a?a?r<u name and logo are registered marks of ACORD
The URL can be used to link to this page
Your browser does not support the video tag.