DMS FACILITY SERVICES. LLC 1A - Laserfiche WebLink

Home Browse Search

Rv CERTIFICATE OF LIABILITY INSURANCE OP ID LA DATE(MM/DD/YYYY DMSFA-1 03/03/11 PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION Andreini & Company -South Coast ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License 0208825 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR One MacArthur Place, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Coast Metro CA 92707 Phone : 714-327-1400 Fax : 714-327-1499 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER& Travelers Property Casualty 36161 INSURER B: DMS Landscaping INSURER C: DMS Facility Services, LLC 417 E. Huntington Drive INSURER D: A— Monrovia CA 91016 I r'C,a JLl/L INSURER E: COVERAGES THE POLICIES 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 CONTRACT OR 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN3K LTR ADVIL NSR TYPE OF INSURANCE POLICY NUMBER EFF DATE MM/DD ICY EXPIRATION DATE MM/DD/YYYY)LIMITS GENERAL LIABILITYEACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY P-630-950OB978-TIL-1103/01/11 03/01/12 PREMISES Eaoccurence $ 300,000 MED EXP (Any one person) $5,000 CLAIMS MADE Fx_1 OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY X PE LOC AUTOMOBILE LIABILITY A X ANY AUTO P-810-950OB98A-TIL-1103/01/11 03/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per eccideni) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION_ 71 AND EMPLOYERS' LIABILITY Y / N TORY LIMITS 1 ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVrj OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER PPRO V EI-) AS TO FORM DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is included as an additional insured as respects Ge Liability only per the attached "Additional Insured Endorsement for aurr,�jit e-d Commercial General Liability Policy" form which is part of the insurance,,Stan t City Alil)rne�, policy shown above. Primary/Non-Contributory wording is included pursuant to the attached CG DO 37 04 05 form (SEE ATTACHED HOLDER NOTES) CERTIFICATE HOLDER CANCELLATION City of Santa Ana Attn: Robert Carroll 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana CA 92701 ACORD 25 (2009/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SANSANI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 1988=2009 ACORD CORPORAWN. All rights reserved The ACORD name and logo are registered marks of ACORD