PACIFIC SYSTEMS ELECTRIC 2B - 2010

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCEOP ID Jl rDATE (MM/DDNYYY) 02/11/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holders an ADDITIONAL INSURED, the po cy es must be endorsed. , subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER Roger Stone Insurance Agency 5015 Birch Street Beach CA 92660 Phone:949-757-0270 rax:949-757-0375 TYPE OF INSURANCE PH0NAME: AX (A1C, No, Ext): (A)C, No): ADDRESS: VKUUUUNewport CUSTOMI PACI-12 INSURER(S)AFFORDING COVERAGE NAICi INSURED Pacific Systems Electric, Inc. 32670 Dowl.in4 Court Winchester CA 92596 INSURER A: Scottsdale Ins. Co. INSURERS: Mercury Casualty Co 11908 INSURER C INSURER D: INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIWYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPS1339230 02/02/11 02/02/12 'PR MISES (Ea occurrence) $ 50,000 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,000 X Owner/Cont Prot. X PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 PRODUCTS- COMP/OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO- POL,CY X ECT LOC Emp Ben. $ None AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B X ANY AUTO CCA0006663 02/01/11 02/01/12 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per academy $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON -OWNED AUTOS $ $ A UMBRELLA LIAR OCCUR XBS0012555 02/02/11 02/02/12 EACH OCCURRENCE $4,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 4,000,000 DEDUCTIBLE $ X RETENTION $ N/A gg t'I r oici $ AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER E . EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 11A , ' DISEASE - EA EMPLOYEE $ (Mandatory In NH)E.L. If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below - DESCRIPTION OF OPERATION,SSF WgATiONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) RE: Elect&cal`' °s4Wvices for the City of Santa Ana CA The City of S4ntar.,Ana its officers, employees, agents and representatives are namedrAddiUAal insured with primary and non-contributory per form CG201007 *10 day notice of -'cancellation for non-payment of premium. CANCELLATION G- _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYSA9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C;Lty of "nta Ana ACCORDANCE WITH THE POLICY PROVISIONS. XXXXXXXXXXXX P�n: amuding Maintenance Div 20 Civcio' enter Drive AUTHORIZED REPRESENTATIVE P.O. Box 1988 Santa Ana CA 92702o0�—'v ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD