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GOLDEN BELL PRODUCTS, INC. 3 - 2011
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GOLDEN BELL PRODUCTS, INC. 3 - 2011
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Last modified
6/17/2015 4:06:52 PM
Creation date
6/7/2011 8:44:38 AM
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Contracts
Company Name
GOLDEN BELL PRODUCTS, INC.
Contract #
N-2011-065
Agency
PUBLIC WORKS
Expiration Date
6/30/2012
Insurance Exp Date
10/25/2011
Destruction Year
2018
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ACORN,,,, CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM�OD/YYYY) <br />DD' <br />5 31 2011 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />van Baurdea Zns_ Sarv, Znc. - xi ngaburg <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PO Hox 67 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Xingeburg CA 93631 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(559) 897 -2975 (559) 897 -4070 <br />EACH OCCURRENCE <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Ooldan Hell Products, Znc. <br />INSURERA Llo d•s of London <br />15792 <br />INSURER B: <br />COMMERC VLL GENE RAL LIABILITY <br />8 CLAIMS MADE � OCCUR <br />INSURER C: <br />10/25/2010 <br />P.O. Hox 366 <br />INSURER D: <br />MED EXP An one rson <br />Atwood CA 92811 <br />INSURER E: <br />PERSONALSADV INJVRV <br />S 1,000,000 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />DD' <br />POLICY NUMBER <br />POLICY EFF THE <br />POLICY EXPIRATON <br />LIMITS <br />GENERAL <br />LIABILITY <br />EACH OCCURRENCE <br />$ I <br />PRE ISE Ea oceu ca <br />S 50,000 <br />A <br />X <br />COMMERC VLL GENE RAL LIABILITY <br />8 CLAIMS MADE � OCCUR <br />10 ZPG057129 <br />10/25/2010 <br />10/25/2011 <br />MED EXP An one rson <br />S 5, 000 <br />X <br />PERSONALSADV INJVRV <br />S 1,000,000 <br />BZ /PD Dad: I, 000 <br />Peat. /Herb. End. <br />GENERAL AGGREGATE <br />S 2,000,000 <br />X <br />AGGREGATE <br />POLICY <br />LIMff APPLIES PER: <br />PRO LOC <br />PRODUCTS- COMP /OP AGG <br />5 1,000,000 <br />GEN'L <br />X <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJVRY <br />(Per Person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AVTOS <br />BODILY INJURY <br />(Peraa -IdeM) <br />S <br />HIRED AUTOS <br />NON- OV?IED AUTOS <br />PROPERTY DAMAGE <br />(Per ecrJdent) <br />S <br />� <br />GARAGE LIABILITY <br />ANY AUTO <br />�J;�� \I \ -��� <br />�} * �' -' <br />�' �. <br />_. <br />�.. <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />S <br />S <br />�I7 <br />_ -_._, <br />_ <br />AVTO ONLY: AGG <br />EXCESSNMBRELLA <br />LIABILITY <br />OCCVR � CLAIMB MADE <br />- '� J <br />-- _ <br />- � +. - -� \ , <br />� <br />r'"��' <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />DEDVCTIBLE <br />S <br />S <br />RETENTION S <br />NIORKERS COMPENSATON AND <br />WC STATU- OTN- <br />EMPLOYEJi3' LUIBILRY <br />E.L. EACH ACCIDENT <br />S <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/M EMBER EXCLUDED? <br />li yye0as OaaviUe under <br />SPECIAL PROVISIONS bebw <br />E.L. DISEASE - EA EMPLOYE <br />S <br />E.L. DISEASE - POLICY LIMB <br />S <br />A <br />OTHER pollution C1aaa -IIp <br />102P0057129 <br />10/25/2010 <br />10/25/2011 <br />550,000 Limit /$2,500 Dad. <br />OESC RIPTON OF OPE3iAT10NS / LOCATgNS /VEHICLES / EXCLVSIONS ADDED BY ENDORSEMENT / SPEGWL PRO✓ISIONS <br />Atta: Cesar Sarrara <br />Sobl Manhole spraying Eor roach control at various City of Santa Ana locationa- <br />It is agreed that the City o£ Santn Ass , its aE£icers, employasa, nganta and rapresantntivas era <br />Hamad as Additional Insureds, but only to the extant of thn liability resulting Yrom occurrences <br />arising out of the insured and /or it's wholly owned subsidiaries_ <br />liFlfYIiCLLfi r IVIY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATON <br />C1 ty oP 3aata An8 DATE THEREOF, THE ISSUING INSURER WILL E➢(O<EBVf®!]tm MAIL 30 pAY3 WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, HQD(RAi Il11¢iIX7D0EZ %0[i.Ml[)SX <br />20 Civic Csatar Plaza, ROOM 929 I� ® %g�Ly)p�7LH <br />R68REE %a"HL�SXXXX <br />S seta Ana CA 92702 AUTHOR2ED REPRESENTATNE � •/ �� <br />L <br />ACORD 25 (200'1/08) ®ACORD CORPORATION '19RR <br />r,�..e � �.f 9 <br />
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