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CALIFORNIA WATERS, LLC 2 - 2012
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CALIFORNIA WATERS, LLC 2 - 2012
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Last modified
10/21/2013 11:35:16 AM
Creation date
3/28/2012 2:01:51 PM
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Contracts
Company Name
CALIFORNIA WATERS, LLC
Contract #
N-2012-031
Agency
COMMUNITY DEVELOPMENT
Expiration Date
6/22/2012
Insurance Exp Date
4/9/2012
Destruction Year
2017
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />? DATE (MM/DD/YWY) <br />? 03/08/2012 <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 pollcy(les) 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 Ileu of such endorsements . <br />PRODUCER <br />MPX I NTA <br />Paula Pepe <br />nsurance Services, Inc• PHONE <br />Fnx <br /> <br />27121 A 949 334-5330 ac No : 949 287-2877 <br />liso Creek Road, Suite 130 EJUTAIL <br />Ali <br />Vi <br />CA ADDRE servlc m xinsurance.com <br />sa <br />ejo, <br />92656 <br />Li <br />• INSURE 3 AFFORDING COVERAGE NAIC # <br />cense # <br />OH49306 <br />• <br /> INSURERA: W rl Wi F iii i n 1 <br />INSURED INSURERS: Alli In rant Com an 2 787 <br />California Waters LLC.8r <br /> INSURERC: NOrG ARD In urance Com an 25232 <br />California Waters Development, Inc. <br />2909 W Warner Ave iNSUREre D_-__-- _ _ - _- -_-_._.------- --- -- _-- - - - <br /> wsuRERE: <br />Santa Ana, CA 92704-5332 <br /> INSURER F <br />GUVCKAl9t5 CERTI FICATF NIIMRFR• OflnOOr.06_n RFVIRIrIM NI IMRF?- an <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 />ILTq TYPE OF INSURANCE A POLICY NUMBER M?D?Y/`lYYY MM/DD/YYYY LIMIT$ <br />A GENERAL LIABILITY Y N 000310063 04/09/2011 04/09/2072 EACH OCCURRENCE $ 1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY PREMI E Ee o?un-ante $ 50 000 <br /> CLAIMS-MADE ? OCCUR MED E%P (Any one rson) $ <br /> PERSONAL S ADV INJURY $ 1 OOO OOO <br /> _..._ _____. - -_ ________ GENERAL AGGREGATE - _ $_ - - 2,000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 OOO OOO <br /> POLICY X PRO LOC $ <br />B AU T OMOBILE LIABILITY Y N AC P7804592142 7'1/20/20'1'1 1'1/20/20'12 Ee aBu aD SIN LE LIMIT ,1 OOO OOO <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> <br />X ALL OWNED <br />AUTOS <br />X SCHEDULED <br />AUTOS BODILY INJVRY Per eccitlenry <br />( $ <br /> NON-0VNJED PROPERTY DAMAGE <br /> X HIRED AUTOS <br />AUTOS <br />Par ec?itlent $ <br /> <br /> $ <br />A ?( UMBRELLALWB OCCUR Y N BE033077324 04/09/2077 04/09/2012 EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAR X CLAIMS-MADE AGGREGATE $ S,000,OOO <br /> DED RETENTION $ $ <br />`+ WORKERS COMPENSATON <br />AND EMPLOYERS' LIABILITY N CAWC240190 04/09/2017 04/09/2072 X v? sraru- OTH- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N <br />' <br />? N/A EL EACH ACCIDENT $ 1,000,000 <br /> ! <br />ntletory In NH) EXCLUDED <br />M E.L. DISEASE - EA EMPLOYE _ <br />$ 1 OOO OOO <br /> y <br />DESCRIPTIION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 OOO <br /> ?? ?' i> <br />DESCRIPTON OF OPERATONS / LOCATONS /VEHICLES IAtteeb ACORD 101, Atltlklonel Remarks Sehetlule, 1} moro specs Is raqulrotl) <br />(a <br />? <br />Certificate holder is named additional insured regarding general liability. ?9 - <br />'V <br />?4R? <br />RGK <br />,LOrrey <br />E <br />\SP' <br />y ?? <br />•c <br />\ <br />t <br />`Sta? <br />PSS <br />?.cR 1 Ir•IIiA 1 C 1"IVLUCR GAryI:CLLA I IVIV <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> <br />Cit <br />of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />y ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AUTH <br />R <br />IZ <br />ED REPRESENTATVE <br /> O <br />J <br />/? <br />l <br />I (PAP) <br />© 1988-2070 ACORD CORPORATION. All risthts reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />Printed by PAP on March 08, 20'12 at 05:5'1 PM
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