Laserfiche WebLink
AGORO� CERTIFICATE OF LIABILITY INSURANCE <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. TH1S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED <br />REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. <br />IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />[he terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer ri0hb to in. <br />C niflcate holder In lieu of Eueh endorsement(s)_ <br />pwooucER Phone: (707)996-2913 <br />Fax: (7071996-7912 <br />Apollo G—.1Inzursnte. Agcnry, I. <br />P. o. Box 1508 <br />N Icrilec Lcwis <br />PNawe - FAx <br />Iso . <br />'IafLnll jcrilccl�pgcn.cosa <br />Sonoma, CA 95476 <br />wsuRE s weFowolNoewFxeE I Rwlcr <br />mSURER A : Inlerinre Fit! R Casualty Co Psny 22929 <br />DANIl000221 <br />I 1N/s`.� ,t <br />i : Addiiionat in <br />tellLti-I.LCI F,V v%rltien <br />to the to`.ti_ �'(?t e721 (tee <br />and Conditions in po <br />1" <br />INSURED <br />__j <br />INSURER B - Arnet'M1CAiI Aw—b1IC InS —.— C.—..Y I 21849 <br />J &G Indu3trics. Inc. <br />18627 Bronkhurst Strcct 0302 <br />Fuuntnin Valley, CA 92708 <br />RER c - <br />:w Torus Specialiry Insurance Company 44776 <br />wsuRER o. Westchester Surplus Lines Insurance Company 1 10172 <br />INSUPlR! : <br />GE.YL AGC'AE^aATE LfS11T—LIE. PER:_ <br />—I <br />POUCY 1 LOC <br />INSURER F <br />wuToeolGLe LIAlILnY <br />B <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO <br />WID <br />INDICATED. NOTTHSTANDING 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 By PAID CLAIMS <br />j TYPE OF INSVMNCE <br />� <br />_REDUCED <br />pN YSER <br />� MM Y�F <br />" 1 <br />IJaRS <br />¢ENEPwr_ UAEILfTY <br />i I COM. ERCV.LGENERALLWBIUYY <br />A GLV MS -MADE i�OCCUR <br />Fc <br />to <br />i1Liii1, <br />or <br />DANIl000221 <br />I 1N/s`.� ,t <br />i : Addiiionat in <br />tellLti-I.LCI F,V v%rltien <br />to the to`.ti_ �'(?t e721 (tee <br />and Conditions in po <br />1" <br />n <br />Til%L �O I I <br />`u red sts) <br />L-onvact <br />ti (truite <br />icy. <br />III/l%3012 <br />us only <br />execu'ae <br />as per <br />EACHOCWRRENCE i SL_ <br />FRELaSFS /Eea�ne�] f 3OO.00D <br />IMED ExP M o n/ s _ Di000 <br />ERSGNALa•pVINJl14Y 3 1,000,000 <br />IGENEIULAGGFEfr1TE i 2 0000 <br />Rp pOVCT9--,OPwl3p 1 i 2 000.000 <br />GE.YL AGC'AE^aATE LfS11T—LIE. PER:_ <br />—I <br />POUCY 1 LOC <br />S <br />wuToeolGLe LIAlILnY <br />B <br />IIXAS0297411 <br />11/12011 <br />I 11/1.'1012 <br />, <br />ti. I LI 1,0(N7,000 <br />fiOCILY IKIURY Iper aaratm) i <br />/ ANY AUTO <br />ALLD--5t.HEDVLED <br />_TDS AUTGS <br />1 �� FIIFEO AL(TO9 � AUTON 3�1� <br />I <br />I <br />i <br />+ <br />i I <br />I <br />-' - <br />BOCILY ItLURY %per fC Csa] 1 <br />pP C I f <br />' ✓ �.aN. sP.Ms.a <br />� <br />i <br />C un aRELu LIAR OCCUR <br />EIteESS L1As CLA:MSi,IwDE <br />i <br />i <br />064051112AL: 11/1/2011 1 t/120L3 <br />I <br />I EACH OCCURRENCE 3 $.COU.000 <br />! AGr'REOATE i S,IT7O.000 <br />CF.D 1 I RETENTtOn3 <br />3 <br />WORt(ER9 COMPENSATION <br />ANa E"PLDYERS'UAeLITY YIN <br />ANY PROPRIETONPwRTNptIprECUTME <br />OFFlCEWiNEMBER IXCWOfi09 O <br />(Mafaite / In NH) <br />11 yyeetr dealtx Ille:lr <br />OE5C£wPT!CN DF OPERATIONS ["'aN <br />NIR <br />� <br />� <br />1 <br />II <br />1 <br />_ P - O I-: <br />! <br />EL. EAG. ACC:CENT 13 <br />- <br />EL. DISEI:SE - EA ENPLOYEZ� i <br />I E.L. DISEASE POL!CY LIMR I S <br />D Polluliup Liabil lty <br />I <br />� 71/l l2011 11/1:2012 <br />I G22U6}559009 <br />I G•I�n,I ncy w•'. 3,000,000 <br />j <br />I <br />I Gaon Pnn.acn ca„e,:nn: 5AC0,000 <br />DESCAIPTON V OPERATIpNa I LOCATIONS / VEH1Ct�3 IAns" wCORO io1, Addaienwl ibm.rb puur, w me,� •p•aa Ia ,esulrlMl <br />Rei Nul CI Site .-1111-2 Project. TSe City o Santa Ana, it'G oLOlcezc, agents. 6 empire -i -es. Addl[i_ca_ Inst/red <br />coverage ie _nclutled __ req 1— by yr-tten con—cm per endorsement xreto. <br />AF'PRv V is LJ AS i -I, <br />HO1deYa Nature ui [ntcsa['Cenifieate UJider LaLL.' _\r, 1C tiijcCC) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />TME EXPIRATION DATE THEREOF, NOTICE WILL BE OELNERED IN <br />Ci[y pT S.— Ana /\SS1S C1 !li � :I'v' F\IIIe*1-ACCOROANCEMTHTNEPOLICYPROVIEIONS. <br />20Civic Center Plaza M36 <br />Sema Ana. CA 92701 AUTHanIzeD weP 7ATrvEr /1 <br />All <br />ACORD 25 (2010(05) The ACORD name and logo are mSistored marks of ACORD <br />