ORANGE COUNTY PUMP CORPORATION 1A

Home Browse Search

Client#: 1376991 3050CPUM ACORM CERTIFICATE OF LIABILITY INSURANCE DATE (MMI)DNYYY) 12/15/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER BB&T InsurN.ance Services CONTACNAME:. Kimberly Elfring ONE 714 578-7022 a�ic N Ext : uc Ne ; $77-297-9247 of Orange County 680 LangSdorf Drive Suite 100 Fullerton, CA 92831 ADDRESS: IL kelfring@bbandt.com INSURERS AFFORDING COVERAGE NAICI INSURERA: Admiral Insurance Company 24856 INSURED Orange County Pump Corporation INSURERB: Everest National Insurance Co 10120 INSURERC: Golden Eagle Insurance Corporat 10836 1627 Boyd Street Santa Ana, CA 92705 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPEOFINSURANCE ADDLSUB POL(CYNUMBER MhOVLDID EFF IP8(_EUYEXP LIMITS A GENERAL LIABILITY CA00001372304 12/19/2011 12/19/2012 EACH OCCURRENCE s1,000,000 PREh71 ES EaE a $50000 X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE OCCUR MEOEXP (Any oneperson) $EXCLUDED PERSONAL &ADV INJURY $1 00O 000 GENERAL AGGREGATE s2,000,000 GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG s2,000,000 $ POLICY X PRO- LOC C AUTOMOBILE LIABILITY BA8827101 2/10/2011 12/1912012 le.,coCOMIIINCDdsntSINGLE LIMIT 1,000,000 _ BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Pot aWdent) $ ALL OWNED . AUTOS X HIREDAUTOS PR DAMAGE $ S MCLAIMS-MAOE UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR - - - DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y � N OIEEECLUD?ECUTNE FFCWMMBRREXDE❑NIA (MandatorylnNH) if yes, describe under DESCRIPTIONOFOPERATIONSbelow 7600008312111 ... 1PI`ROV'2i) AS 12/19/2011 O i'011J4 12H91201 WC STATU-s ER OTH• X $1000000 E.L.EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $1 000000 E.L. DISEASE -POLICY LIMIT $1 000,000 Laura Stitt S ;.Cedy , s s,'fan1 City ' t(F7l'11CY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: Job #07.033 8, 6th Street and Flower Certificate Holders name Is amende to read: City of Santa Ana, its officers, employees, agents, volunteers and representatives and BIII O'Connor. Certlficate Holder Is/are named as Additional Insured with respect to the General Liability, per form #CG2010(07104) attached. Primary Non Contributing wording with respect to the General Liability, per form #AD0657(12103) attached. All above applies only when a written signed contract is In place prior to a loss. City of Santa Ana PWA Water Resources 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE &)z 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 #S7864989/M7864984 The ACORD name and logo are registered marks of ACORD KSELF