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PCR SERVICES CORPORATION 2 - 2012
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PCR SERVICES CORPORATION 2 - 2012
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Last modified
9/27/2012 8:09:31 AM
Creation date
9/18/2012 4:58:32 PM
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Contracts
Company Name
PCR SERVICES CORPORATION
Contract #
N-2012-106
Agency
PLANNING & BUILDING
Insurance Exp Date
4/27/2013
Destruction Year
0
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<br /> <br /> <br /> <br /> '46O CERTIFICATE OF LIABILITY INSURANCE 8/9i2012m`) <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 /> REPRESENTA7IVE 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 CONTACT Julie Wright <br /> NAME: <br /> Arroyo Insurance Services PHONE Ext: (818) $81-3000 Ali No: (@18)881-3005 <br /> WC, No. <br /> 6345 Balboa Blvd. Suite 145 E-MAIL <br /> JADDRESS'JulieW@Arroyo <br /> License # 0735912 INSURER(S) AFFORDING COVERAGE NAIC # <br /> Encino CA 91316 INSURER A:Philadel hia Insurance 8058 <br /> INSURED <br /> INSURERB <br /> PCR Services Corporation INSURERC: <br /> 1 Venture, Ste 150 INSURERD: <br /> INSURER E : <br /> Irvine CA 92618 INSURER F <br /> COVERAGES CERTIFICATE NUMBER E&02012 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBIR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY <br /> GENERAL LIABILITY - EACH OCCURRENCE $ <br /> LIAI,E COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS-MADE El OCCUR X MED EXP (.Any one person) $ <br /> PERSONAL & A.DV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OF AGG <br /> POLICY PP,~ <br /> „ CT LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJUR'! (Per accident) $ <br /> (ZCOHOOGIE Ea acadant <br /> NON-OWNED PROPERTY DAMAGE $ <br /> I P I HIREDAUTOS AUTOS Peraccident) <br /> $ <br /> UMBRELLA LIAB HOCCUR t CRY Morn Y EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE \ AGGREGATE $ <br /> DED RETENTION $ <br /> WORKERS COMPENSATION V4C STATU- OTH- <br /> AND EMPLOYERS' LIABILITY Y/ N T "I'D- IT' R <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ? E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below EL -DISEASE - POLICY LIMIT $ <br /> A PROFESSIONAL CLAIMS MADE HSD734213 /19/2012 /19/2013 $3,000,000EACHCLAIM DEDUCTIBLE <br /> LIABILITY (E&0) $3,000,000 AGGREGATE $25,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br /> Environmental Consultants Retro Date: 4/19/1996 *30 Days notice of cancellation, except 10 days <br /> notice of cancellation for nonpayment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City Clerk <br /> 20 Civic Enter Plaza AUTHORIZED REPRESENTATIVE <br /> Santa Ana, CA 92701 <br /> B Maxwell CPCU/JULWRI <br /> ACORD 25 (2010105) O 1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD <br />
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