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ACCURATE CIRCUIT ENGINEERING, INC. 1-2012
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ACCURATE CIRCUIT ENGINEERING, INC. 1-2012
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Last modified
10/21/2013 11:32:54 AM
Creation date
4/24/2012 3:48:34 PM
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Contracts
Company Name
ACCURATE CIRCUIT ENGINEERING, INC.
Contract #
N-2012-033
Agency
COMMUNITY DEVELOPMENT
Expiration Date
6/22/2012
Insurance Exp Date
12/1/2012
Destruction Year
2017
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ACOROr? <br />?? CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYV) <br />3/26/2012 <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 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 />NAME: <br />Tutton 2nsurance $erVi C05 PHONE (949) 261-5335 q/C No: (999)261-1911 <br />2913 S. Pullman St. E-MAIL <br />ADDRESS: <br /> PRODUCER 00013930 <br />Santa Ana CA 92705 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A:TraVE:10r8 Inclemnit CO an /DS 5659 <br /> INSURER B :Everest National Ins . Co . /DS 10120 <br />Accurate Circuit Engineering INSURER C: <br />3019 S. Ki150n Drive INSURER D: <br /> INSURER E <br />Santa Ana CA 92707 INSURER F: <br />COVERAGES CERTIFICATE NUMBER:11/12 Liab. 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 />ILTR TYPE OF INSURANCE <br />I <br />POLICY NUMBER POLICY EFF <br />MM/DDNWY POLICY EXP <br />MM/DD/Y WY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300 , 000 <br />A CLAIMSMADE ? OCCUR BO BA413251 12/1/2011 12/1/2012 MED EXP (Any one parson) $ 5 , 000 <br /> PERSONAL 8 ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $ 2 , 000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , 000 , 000 <br /> X POLICY PRO LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ 1 , 000 , 000 <br /> X (Ea aocidanq <br /> ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br /> A01955A 12/1/2011 12/1/2012 <br />A ALL OWNED AUTOS BODILY INJURY (Per accident) $ <br /> SCHEDULED AUTOS <br />' <br />??1 <br />PROPERTY DAMAGE <br /> <br />HIRED AUTOS <br />As ? F <br />.-- <br />(Per accidanQ $ <br /> NON-OWNED AUTOS pRpV <br />, ninsured motorist combinatl $ 1 , 000 , 000 <br /> A <br />p `-- ?l Metlical payments S 5 , 000 <br /> X UMBRELLA LIAR X OCCUR ST R EACH OGCU RRENGE $ 1 , 000 , 000 <br /> EXCESS LIAR CLAIMSMADE L? a E G\ty v <br />ttOr?e AGGREGATE $ 1 , 000 , 000 <br /> / <br />` <br /> DEDUCTIBLE ASS[ 4 $ <br />A RETENTION $ VPOOBA415477 12/1/2011 12/1/2012 $ <br />B WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY X WC STATU? OTH- <br /> Y / N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE? <br />F <br />N/'4 E.L-EACH ACCIDENT $ _100 ODD <br /> ICER/MEMBER EXCLUDED? <br />OF <br />(Mantlatory In NH) A10001301121 1/1/2012 1/1/2013 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1 000 000 <br /> It yes, tlescribe untler <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 000 <br /> <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Atldltlonal Remarks Schetlule, If more space Is requlretl) <br />RE. A11 OPeratiOR9 <br />City o£ Santa Ana, its o££icers, agents, and employees are named additional insured per attached CGD417(07-OB) as <br />requried by written contract- <br />City o£ Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />$taIllelr TLltt011/AT.F.Y G? _y-i "?' ?? <br />©1988-2009 ACORD CORPORATION. All rights reservetl. <br />INSUZD (200909) , ne •aa.vrev name env logo are reyrsrerev mars or rta..a?rc? <br />Exhibit C
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