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COAST COMPOSITES, INC. 2-2012
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COAST COMPOSITES, INC. 2-2012
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Last modified
10/21/2013 11:35:39 AM
Creation date
8/10/2012 9:25:31 AM
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Contracts
Company Name
COAST COMPOSITES, INC.
Contract #
N-2012-098
Agency
COMMUNITY DEVELOPMENT
Expiration Date
12/31/2012
Insurance Exp Date
3/31/2013
Destruction Year
2017
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<br />r u....oN. ncn nn <br />u Awwolwlr? <br />ITY IIV?IJRANC? DATE P?hDDDrrrYh <br />i"IV®l?rJw ??RTIFICA°fE ®?' I <br />lAF3ll <br />a <br />m <br />O6f30f2012 <br />7H13 CERTIFICATE 13 l35UEb A3 A R7ATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER.TH15 <br />CER7I FICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENU, EXTEND OR ALTER THE COVERAGE AFFORDED OY THE PO LIGIE3 <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE 133UIN0 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PROPVCER, AND THE CBRTIFICATE HOLDER. <br />IMPORTANT: If lire cerNlloale holder Is an ADDITIONAL INSURED, the pollcy(les) must ho endorsed. If SUBROGATION IS WAIVEb, sLlbJecl to <br />the terms and con dlNons of the policy, cattalo policies may raqulre an endorsement. A slalemenl on Ihls cerltflcala does nol confor rl0h[s to the <br />certlflcele holder Ilr Ileu of such DJldorsorslenl(s). <br />PRODUCER ? ?iAGT <br />Wlllls of NOY? JDrsoy, Ino, 1 o x, , _ ^^ _ c No [ <br />)? <br />360 Mf. Kemble Avenue EO <br />AIL <br /> D <br />--- <br />- <br />P.O,Box 1988 --- <br />- <br />INS VRER9 AFFGRDING COVERAGE NAIGa <br />Morristown,NJ 07982 INSVAER A, Twltr City FIrD fns. Co. 29459 <br />RtsuRED IRSDReRB.Amarlcan Zurich hrsurance Co. 40142 <br />Coast COmposltes Inc, INSURERC• Zurich Arnerfcan Ins Co 18536 <br />617 Burrough <br />? <br /> ItFB VR ER OJ <br />Irvin B, CA 9261$ <br /> IRSVAER E <br /> IRSVAER F [ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LtSTEO SElO(V HAVE BEEN ISSUED TO THE INSURED NN.SED ABOVE FOR THE'POLICY PERIOD <br />INDICATED. NOTV4ITHSTANOINO ANY REAUIREAIENT. TERh1 OR CONDITION OF ANY CONTRACTOR OTHER DOCUh1ENT YJITH RESPECT TO WHICH THIS <br />CERTIFICATE f.fAV BE ISSUED OR t.SAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERh1 S. <br />XCLUSION8 RND CONDITIONS OF SUCH POLICIES. LI h11TS SIIOWN h1AY HAVE BEEN REDUCED BY PAID CLAIMS. <br />E <br />?J <br />R <br />L-(SR TYPE OF I/fSUftANCE B POLICY NV MBER lAMIOD MMfO E CI)ARS <br />q GENERnl.ltpelLlTY 13CESOA9021 3!31/2012 03f3112013 ? EA <br />CC <br />UR <br />RENCE <br />C <br />N <br />O $1 000 000 _-_ <br /> X CO/AMERCIAL GENERAL LIABILITY I1 <br />AA <br />AA <br />E <br />T <br />g <br />R?fi ES Bao?Eience $300900 <br /> CLAIl,7S•I.IADE OX OCCVR LIED EXP?Any rx[e person) $10 999 <br /> X Bl/PD DDCI:6,000 PERSOItAlBAOVINJVRY $1 000 000 <br /> GENERAL AQOREOAIE $2 OOO OOO <br /> OENLAOGREOATE L11.1RAPPLIE3 PER: PRODUCTS-CO/.f P/OP AGO $2000000 <br /> POLICY PRO- LOC $ <br />(,` AVTDMOBILa LIAOILI7Y <br />X ANY AUTO BAP609586200 3!31/2012 03/31!2013 c hI BINEDi IN LE LIA+ <br />BODILY INJURY (Per pefson) i 000 000 <br />5 <br /> AV 708 NEO SVIt?E$V LEO <br />A e0O1LY INJURY (POr ecctd¢n1) $ <br /> X VIREO AUT03 X ANOS YNEO PROeE ? I AIlAGE $ <br /> $ ?. <br /> UhIBRELLA DAB OCCUR EACH OCC VRREfJCE 6 <br /> EXCESS LIAV GLAIAIS-I.IADE ? _ <br />AGG REOATE $ __ <br /> OEO RETENTIO:J S <br />B rYORKER3 COMPEN9RTIOH <br />` WC608588100 3f3iJ2012 03/31/201 X rYC STATV- OTK• <br /> L??IrrAflIrrL?tITY <br />,,rAr11tNtyyO E??yMy??PppLgqO??YEEETTROoSRR <br />Dj ECVTJVE YN <br />C <br />E <br />CL <br />? <br />E.L. EACH ACCIDENT <br />Si OOO OOO <br /> OFFI <br />ERR.IEMBER <br />X <br />U <br />E <br />(IJlandwlory In HH) N/A E.L. DISEASE • FA EI.IPLOYEE 1 090 000 <br /> If ?os, de scAbp under <br />D?SC RIPTION OF OPERATIONS be!oW <br />E.L. DISEASE. POLICY LI LIIT <br />$1 099 09 <br />0 <br /> ? <br />q <br />.ta ??LV Y <br />F <br />i?? <br />DESCRIPTION OP OPERATIORS/LOCA710HatVEF11CLES (AJlech ACOftD fat, Addllional Ramalks 9chedWa, Ifmoro apace is reQOLeE) _ ?+S PtiV r R <br />EVIDENCE OF COVERAGE. iLa'?O i?V 4_ <br />1.1SA S• STORCK J / <br />Assistant C?t`l pttorrrey f/r9 <br />CERTIRCATE HOLDE CAN CEL IAItVN <br />City of Santa Alla T IE V EXP RATIONH DA7L V THEREOF, E N07 CIEI WIBLL CBE COE LIVER EOFOR+ <br />Flnanoa & Mgmt Services AgOncy ACCOR DAItCE WITH THE POLICY PROVISIONS. <br />PurchasMg Dlvlafon <br />20 Civic Cerrler Plaza M-16 AVTHORI2EO REPRESe N7ATlVE <br />P.O. Box 1988 (? _ /L <br />©1988.2010 ACOR CORPORATION. All rI01Jis reserved. <br />ACORO 26 (2010/06) 1 Of 1 Tlro ACORD na nra and logo aro re9lsle red marks of ACORD <br />HS21?1717/M?11386 H2B <br />Exhibit C
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