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UNITED STORM WATER, INC. 4B-2010
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UNITED STORM WATER, INC. 4B-2010
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Last modified
5/8/2020 1:21:58 PM
Creation date
9/20/2010 8:52:47 AM
Metadata
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Template:
Contracts
Company Name
UNITED STORM WATER, INC.
Contract #
N-2008-122-002
Agency
PUBLIC WORKS
Expiration Date
6/30/2011
Insurance Exp Date
11/16/2011
Destruction Year
2016
Notes
N-2008-122
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_ � N <br />N o2Q 08 —��.�. qF— N - z c� n 8 - �� 1 <br />A00 -�.. CERTIFICATE OF LIABILITY INSURANCE DATEfNMIDOrYYYYj <br />PROLUCER 213.553840D FAX 2 <br />213.553.8466 01/25/2010 <br />Wil Shire Insurance Agency O <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />83 S Wi 1 shi re Blvd 4th F7 oor H <br />HOLDER. THIS CERTIFICATE GOES NOT AMEND, EXTEND OR <br />Los Angel es , CA 9001 7 -2 603 A <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />ms�Ren'- _.._. _.__...__ — <br />i INSURER�17k�F�jli<�Ily_Q �CO�R4G �f 1 i NAIC # <br />14000 East Valley B7Vd. - <br />ILSUIrERA Nautilus Ins.Co. <br />City of Industry, CA 91746 - <br />_ _� � <br />.ti T <br />..... -. .. . <br />_____...____._._...._.__ <br />�:•..iURLR E .....__.___.._._______._. <br />G <br />TF-c POLICIES pF INSURAAiC= LISTED 6ELOW NAVE BEEN ISSUED TO THE INSURED NAMED A604E FOR THE POLICY PEF21OO IN DICATEO Np'TV✓ITHSTANDING <br />'• FiEQUiRC.R ^JT. TEghf OR CONDI7ir.7N OP A.N1' GONTFtACT bit OTHER DOGUhtENT V <br />VL4TH AESFE.CT TO WHICH THIS CERTIFICATE tw!AY 2E 155VED r�F2 <br />tits -..Y F R 7-. >IN Tr+E INS VRAivCE AF FOr'tOE_D BY THE Pt)If LIES DESCRIEIED HE�21N IS SUB.:ECT TO ALL Ti-IE TERPAS. ExGLU 5rON5 AND CO�+DfTIpNS OF St�Crl <br />Pc ..ICIES :•GCaREGATE LkiIITS SHOLYN (N..Y MA\.'E BEEt~7 REC]VCED BY PAID C <br />iNSR 1a00' — __... . <br />CL41T.iS. <br />GEH ERAL LIA6ILI'ty L <br />LIMfT9 <br />ECPCO200004131 11/16/2009 11./16/2010 F +cH xruRRe�JCe ; 1 <br />r tic TY i <br />.. _ <br />�. f <br />1 , 000 , 00 <br />f c � n._>E O <br />Oqi, � T..TrREr. G � ; SD DD.... <br />A f ' <br />' nl 5' 9. fi.�i, � C C /1D <br />-4 - .. .... J V _.... <br />FERSU^JAL 4AGV NJURY 1- 1 DDD DD <br />� -" - G <br />GE E GC NcGAT'E _ � ; I ,DDD . OO <br />i i i .__ _ ° .... � � <br />� va�.:.vr5 co..I - -oa .:c : ; 1 ,DDD , DD _. <br />Av-roMOeaE LIABILITY B <br />�" <br />�.. :r,.l r <br />COIJHINED ScNGl E: LF:RT 1 <br />j :; nu _ <br />1 ,DDD , DD <br />B ;L x;_ o.� i A <br />APPROV AS TO� FORM I'n° 3' -r� - i <br />.0 <br />X I <br />� X �.._ .1'. a._ _ ^a I � <br />� -/ I P •tlly INJ' Rv ___.._.. ...___....� <br />I x ' <br />— Zee �. , ! <br />_._ <br />X j CA9948-- --- -- --'-�- -�— L <br />La4ra .' .t Shee � �Raa ., ...:.__ -. r�� <br />GYRAGE LSABIL ITY <br />r,LLx a_ �o V <br />r a <br />aUTG ONLY . E � •i ...GIpEN - $ <br />• ____.____..__ <br />�_EXCESSUMBRELLA LIABILITY F <br />FFX020006513 11/16/2009 11/16/2010 E <br />X IiC_'.7u G' .A 10..5 MFGF. S <br />Er.CIy OGG1:RFiEv`GE ; <br />A _ � a <br />a�r��E�:.:TE s 5,000,00_ <br />.._ _ <br />X � R <br />-. <br />R� TE.v r - <br />._._._ .� _ <br />Ysa R «ERS COINPENSAnDN AND � W <br />_ - <br />L ��! - <br />,.... � nJ-.Y31!rrTS v rq ' <br />t i .- v e �b -P vL2II ` - � <br />_' = L.. °...r.Cn ar C.0 '.JT 3 a ...__ ___..._ <br />1 000 DD <br />� c <br />cl ¢s sE -= = rnP�uvE : s 1_000.00. <br />i OTH R E <br />E L <br />E 5E - POLICY ubnT $ 1 . DDD , DD <br />iPro Liability/ ' ECPCO20000413� 11/16/2009 11/16/201.0 51,000,000 total limit & <br />'4 E&O Cclaims made ! Annual Agg 5/T 525,000 Ded <br />POLLUTION LIAB COCC FORM] <br />HEM CITY OFP SANTA �ANA,prTS OFFZCERSSIOAGENTS� VOIUsNTEERS EANDP EMPLOYEES ARE NAMED AS <br />ODITIONAL INSUREDS WITH RESPECT TO ALL ]OB OPERATIONS PERFORMED BY THE NAMED INSURED. THIS <br />NSURANCE Is PRIMARY TO ANY INSURANCE. <br />'EXCEPT 10 DAY NDTZCE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. <br />R 1F1 A E L.OER <br />A i N <br />9MOUL0 AHY OF THE ABOYE DESCRIBED POLICIES B.E CANCELL EO BEFORE.TaE <br />EXPIRATION GATE THEREOF, THE ISS LRNG IR9URER WILL �1fXJbLeXr16 µArL <br />i' 3D DAYS WRCfTEN NOTKF TO THE CERTIFICATE MOLDER HAMEO TO THE LEFT. <br />CITY OF SANTA ANA X0006% iUCaCi[ dQ7( e7tx' 7CYYif.1fY]idpl6Y�y�I�}1�y�.XX) <br />20 CIVIC CENTER PLAZA M -93 ��������� <br />SANTA ANA, CA g27O1 iI( XdI<? 4X9fAMa�IEI[1iJ(JEK9(XXX?CXXXX) <br />AUTHOR EO E3ENTATIVE <br />� ��.1 <br />AcoRD zs �zaavos� - <br />©ACORD CORPORATION 7988 <br />
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