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ORANGE COUNTY PUMP COMPANY
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_PENDING FOLDER
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READY TO DESTROY IN 2020
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ORANGE COUNTY PUMP COMPANY
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Entry Properties
Last modified
3/25/2024 4:12:43 PM
Creation date
3/10/2011 5:52:29 PM
Metadata
Fields
Template:
Contracts
Company Name
ORANGE COUNTY PUMP COMPANY
Contract #
A-2011-031
Agency
PUBLIC WORKS
Council Approval Date
2/7/2011
Expiration Date
12/31/2011
Insurance Exp Date
12/19/2011
Destruction Year
2020
Notes
Amended by A-2012-041, A-2013-004, A-2014-009
Document Relationships
ORANGE COUNTY PUMP CORPORATION 1A
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
ORANGE COUNTY PUMP CORPORATION 1B
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
ORANGE COUNTY PUMP CORPORATION 1C
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
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r l Cliont#• 137R991 3050CPUM <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />02/16/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />BB&T Insurance Services <br />of Orange County <br />680 Langsdorf Drive Suite 100 <br />Fullerton, CA 92831 <br />CONTACT <br />NAME: Kimberly Elfring <br />PHONE 714 578 7022 FAX 877-297-9247 <br />A/C No Ext : A/C, No <br />E-MAIL ADDRESS: kelfring@bbandt.com <br />PRODUCER 3050CPUM <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: Admiral Insurance Company <br />24856 <br />Orange County Pump Corporation <br />1627 Boyd Street <br />Santa Ana, CA 92705 <br />INSURER B : Delos Insurance Company <br />35408 <br />INSURER C : Golden Eagle Insurance Corporat <br />10836 <br />INSURER D <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />DDL <br />NSR <br />UBR <br />D <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />I LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />CA00001372303 <br />12/19/2010 <br />12/19/2011 <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMAGE To RETE <br />PREM 'ES (E. occur ence <br />$50,000 <br />MED EXP (Any one person) <br />$EXCLUDED <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />17 POLICY X PRO LOC <br />PRODUCTS - COMP/OP AGG <br />$2,000,000 <br />$ <br />C <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BA8827101 <br />APPROVED <br />12/19/2010 <br />- <br />c„} t � 1 <br />,AS <br />_ <br />12/19/2011 <br />1, Ulf , <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />---- <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />X <br />X <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAIS <br />OCCUR <br />CLAIMS -MADE <br />y "' Laur`.i <br />AS iU. <br />:1:.0 <br />lty <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYTORYLIMIT <br />ANY PROPRIETOR/PARTNERIEXECUTIVEY/N <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />02DKRM12008244 <br />12/19/2010 <br />12/19/2011TEL. <br />WC STATU- OTH- <br />EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />***************************** SUPERSEDES ANY CERTIFICATE PREVIOUSLY ISSUED ******************************* <br />RE: Job #07-033 & 6th Street and Flower <br />(See Attached Descriptions) <br />City of Santa Ana <br />PWA Water Resources <br />Purchasing Divisions M-16 <br />20 Civic Center Plaza <br />LWYcIcto! <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />®1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) 1 of 2 <br />#S6333110/M6068111 <br />The ACORD name and logo are registered marks of ACORD <br />KSELF <br />
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