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THERMOTEST, INC. 1 - 2010
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THERMOTEST, INC. 1 - 2010
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Last modified
7/8/2016 8:20:46 AM
Creation date
9/27/2010 10:22:35 AM
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Contracts
Company Name
THERMOTEST, INC.
Contract #
N-2010-095
Agency
PUBLIC WORKS
Expiration Date
6/30/2011
Insurance Exp Date
12/10/2010
Destruction Year
2016
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DATE (MM/OD/YWY) <br />CERTIFICATE OF LIABILITY INSURANCE 9�22�2010 <br />PRODUCER (415) 768 -9810 FAX: (415) 248 -3534 <br />=SU /San Francisco <br />201 Ca1i£ornia St. , Suite 200 <br />License # 0778092 <br />San Francisco CA 94111 -5098 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />TT>•F'T=MOTEST, SNC. <br />3070 KERNER BLVD STE A <br />SAN RAF'AEL CA 94901 <br />INSURER A:Valle FOr a Ins CO <br />20506 <br />INSURER B:Continental Ins CO <br />20443 <br />INSURERCNa tional Fire Zns Co. <br />20476 <br />INSURER D: WeS tCtleS ter Fire Ins CO <br />21121 <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITON OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />I SH MAY H P IM <br />INSR <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM /DD/YY <br />POLICY E%PIRATION <br />DATE MM/DD/Y <br />LIMITS <br />Pi <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE � OCCUR <br />4017806232 <br />- <br />12/10 /2009 <br />12/10/2010 <br />EACH OCCURR N <br />5 2 r 000 r 000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />5 ZOO , OOO <br />MED EXP An o <br />S $,000 <br />PERSONAL 8 ADV INJURY <br />5 2 , OOO , OOO <br />GENERAL AGGREGATE <br />5 4 , 000 , 000 <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />X JECT LOC <br />PRODUCTS - COMP /OP AGG <br />5 4 , 000 , 000 <br />�i <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON - OWNED AUTOS <br />4017886232 1 <br />APPROVED <br />12/10 /2009 <br />r <br />S. TO F °C <br />12/10 /2010 <br />pp <br />J��' <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />S 1 , 000 , 000 <br />BODILY INJURY <br />(Per person) <br />S <br />X <br />BODILY INJURY <br />(Per accident) <br />S <br />X <br />PROPERTY DAMAGE <br />(Per arzident) <br />S <br />GARAGE LIABILITY <br />ANY AUTO <br />�-c___ /� C,/ <br />- 4 <br />�,•�� i�8 Y <br />/ --- <br />–"' - -- <br />AUTO ONLY -EA ACCIDENT <br />S <br />OTHER THAN <br />AUTO ONLY: qGG <br />CY S)iEed }' <br />S <br />B <br />EXCESSNMBRELLA LIABILITY <br />X OCCUR � CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />-. �.�15t IIt <br />ao176e7557 <br />y ����' �'� <br />12/10/2009 <br />12/10/2010 <br />H <br />s 4,000,000 <br />AGGREGATE <br />5 4 , 000 , OOO <br />5 <br />s <br />(,+ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRI ETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />8017886327 <br />12/10/2009 <br />12/10/2010 <br />X NG STAT T- OTRH- <br />E.L. EACH ACCIDENT <br />5 1 , 000 , 000 <br />E.L. DISEASE - EA EMPLOYEE <br />5 1 , 000 , 000 <br />E.L. DISEASE - POUCY LIMIT <br />1 , 000 , 000 <br />p, <br />D <br />OTHER Contractors Erz+,�pmt <br />Professional Li ab <br />4017886232 <br />624103079001 <br />12/10/2009 <br />12/10/2009 <br />12/10/2010 <br />12/10/2010 <br />65,000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONSILOCATION� VEHICLESIEXCL USIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />The CSty o£ Santa Area, its o££icers, agents, Psatployees, consultants, special counsel, and representatives are named <br />additional insurCds i£ required by written contract. Coverage is primary. <br />CFRTIFICA TF Hffl 1'IFR CANCFI 1 ATItIN <br />ACORD 26 (200'1/08) ®ACORD CORPORATION 7988 <br />INS026 (oioa).oaa Page � of 2 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />C1er1c O£ the Ci t]s COUnC11 <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />C1 t}t O£ Santa Ana <br />3O GAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />20 C1V1C Center Plaza (M -30) <br />P.O. Box 1988 <br />FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />Santa Ana, CA 92702 -1988 <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATNE <br />Ric7iard Alesna /RI CHA «- � <br />� — <br />ACORD 26 (200'1/08) ®ACORD CORPORATION 7988 <br />INS026 (oioa).oaa Page � of 2 <br />
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