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ACCURATE PERFORMANCE MACHINING INC.-2012
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ACCURATE PERFORMANCE MACHINING INC.-2012
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Last modified
10/21/2013 11:32:55 AM
Creation date
8/6/2012 2:01:19 PM
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Contracts
Company Name
ACCURATE PERFORMANCE MACHINING INC.
Contract #
N-2012-093
Agency
COMMUNITY DEVELOPMENT
Expiration Date
10/19/2012
Insurance Exp Date
6/15/2013
Destruction Year
2017
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??v. ?- <br />AC-ORO® CERTIFICATE OF LIABILITY INSURANCE <br />?? DATE(MMIDD/YYW) <br />TH13 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 13 WAIVED, sub)ect to <br />the terms and conditions of the polfcy, certain policies may require an endorsement. A statement on th{s certificate does not confer rights to the <br />certificate holder In Ileu of such endorsements . <br />PRODUCER RG Business Insurance Agency, inc. coN Acr <br />An Affiliate of United Agencies <br /> PHONE - - 900 c o <br />- - <br />861 S. Oak Park Rd <br />Covlna <br />CA 9'1724 IL ADDRE93: <br />, <br /> INSURE 3 AFFORDING COV ERAOE NAIC/ <br />License ND.. O$$$72g INSVRERA: sualty ?'Qntpa(ly <br />INSURED INSURER B <br />Accurate Performance Machining Inc. <br /> <br />2086 S <br />Grand Avenue INSUaeRC: <br />. <br />Santa Ana CA 92705 INSURER D <br /> INSURER E <br /> INSURER F <br />COVERAGES CERTIFICATE NUMBER: 1'iSd7!iF7 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD <br />INDICAT ED_ 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 UESC RIB EU HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />INSR rypE OF INSURANCE ? pOIICY HUMBER P LICY EFF POLICY EX LIMITS <br />A GENERAL LVIBILITY ,/ M50-C L-0010179-1 6/15/2012 6/15/2013 E <br />UR <br />RENCE <br />ACH O <br />C <br />C S 1,000,000 <br /> COMMERCIAL GENERAL LIABILITY T <br />EE <br />R? <br />p <br />T <br />PR ?I ES Ee oaurtenr? 3 300•DDD <br /> CLAIMS-MADE ? OCCVR MED EXP M one rson S S,DDD <br /> PERSONAL &ADVINJURV 5 1,000,000 <br /> G ENERAL AGGREGATE 5 2,000,OOD <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODVCTS • COMP/OP AGG s Excluded <br /> POLICY PRO- LOC 9 <br /> AUT OMO BRE LIABILITY - <br />ea enl. <br />5 <br /> _ ANy q?0 BODILY INJURY (Par {aerson) S <br /> AAIL?L OOWNEO SA??ULEO B <br />ODILY INJURY [Per acUdenl) S <br /> HIRED AUTOS B q?gR?NEO R <br />Par aoEtlRdanl A E 5 <br /> 5 <br /> S <br /> UMBRELLA LU\B OCCUR EACH OCCURRENCE 5 <br /> E%CESS LU\B ClA1MS-MADE AGGREGATE 5 <br /> DED RETENTIONS _ 5 <br /> S <br /> E <br />A ANDEMPLOYERSEL ABILOIry Y/ N MSOVVK00100661 6!15/2012 6115!2013 TH- <br />? ToravRY LIA[vl T OER <br /> ANY PROPRIETOILPARTNEILE%ECUnVE? <br />N/ A E.L. EACH ACCIDENT S 1.000.000 <br /> OFFICEWMEM BER E%CLUDED? <br />(Mantlatory In NH) -- <br />E.L. DISEASF_ -Fit EMPLOYEE ---- <br />S 1 QQQ QQQ <br /> if Yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E_L. IXSEASE -POLICY LIMIT <br />5 1 OOO DDD <br /> <br />DESCRIPTION OF OPERATONS! LOCATIONS /VEHICLES (Attach ACORD 10'1, Atltlltfonal Remarks SchedVlo, H more space le required) <br />The Clfy of Santa Ana Its officers, employees, agents, and volunteers are named as addltionai insureds In respects to the general liability policy <br />only per the attached dorm. <br />ERTIFICATE HOLDE C CELLATION <br /> <br />The City of Santa Ana ?1p? ? <br />20 Civic Center Plaza ?Lr r?? .L vR <br />Santa Ana CA 92702 <br />_- <br />?v ?I7 P SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE E%PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANC E.WITH THE POLICY PROVISIONS. <br />v, <br />P? <br />A <br />c ? S pRGK <br />LtSA Jet\OCn6Y AUTHORr1EDREPRESENTATIVE . ?? ..??-- <br />? ?/f/h??.- <br />Ga Cham tin <br />p,SSIS?P' •` - - 1/? ©9988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2010!06) The ACORD name nli logo are registered marks of ACORD <br />CERT 90.: 1359365] %a[h¢iine Banh -r/5/]013 3:33:30 P% Page 1 oL e <br />Exhibit C
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