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TRANSDYN, INC. 5 - 2012
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TRANSDYN, INC. 5 - 2012
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Last modified
9/19/2012 7:34:19 AM
Creation date
9/19/2012 7:22:54 AM
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Contracts
Company Name
TRANSDYN, INC.
Contract #
N-2012-105
Agency
PUBLIC WORKS
Insurance Exp Date
7/1/2013
Destruction Year
0
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.a?coRO- CERTIFICATE OF LIABILITY INSURANCE <br />? DATE (MM/DD/YYYY) <br />? 7/1/2013 6/28/2012 <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 LOCKTON COMPANIES, LLC N MEA <br />5847 SAN FELIPE <br />SUITE 320 <br />, <br />HOUSTON <br />X ac No EXt : ac No - <br />T <br />77057 <br />866-260-3538 E-MAIL <br />A DRE <br /> I F RDIN C VE NAIC # <br /> INSURER A : Starr $U lus Lines Insurance Com an 13604 <br />INSURED Transdyn, InC. INSURER B : Commerce and Indus Insurance Com an <br />1941 O <br />13 17025 2855 Premier Parkway, Suite F <br />Duluth GA 30097 INSURER c : Chubb 7ndemni Insurance Com an 127'7'7 <br /> D : Starr Indemni 8c Liabili Com an 38318 <br /> RE E' <br /> IN RF? <br />COVERAGES A6 CERTIFICATE NtJMBF_R- 1 n94n 774 RFVIRInN NI IMRFR- XXXXXXX <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 />INSR <br />LTR <br />TYPE OF INSURANCE ADDL <br />IN R SUBR <br />yryp <br />POLICY NUMBER POLICY EFF <br />M/DD POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A GENERAL LIABILITY N N SLSLNRG02026512 7/1/2012 7/1/2013 EACH OCCURRENCE 1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMI E Ea occurrence 1 OOO OOO <br /> CLAIMS-MADE ? OCCUR MED EXP An one erson 10 000 <br /> X XCU 1NCLiTDED PERSONAL & ADV INJURY $ 1 OOO OOO <br /> X C?1V 1-R/ILC'1'UAl, L1AB. GENERAL AGGREGATE $ 2 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 OOO OOO <br /> POLICY X JE COT LO $ <br />1J AUTOMOBILE LIABILITY N N $I$IPCAO$237012 7/1/2012 7/1/2013 COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1 000 ??0 <br /> X ANY AUTO BODILY INJURY (Per parson) $ X <br /> ALL OWNED <br />AUTOS SCHEDVLED <br />AUTOS <br />BODILY INJURY (Per accident <br />$ .St?.S{XXx}?{ <br /> HIRED AUTOS AUOTOSWNED PerOacaCen DAMAGE $ ;k??F?:4:XXXX <br /> X Comp/Coll X $1,000 Ded $ 7{?K.X7??XX <br />$ ?{ UMBRELLA LIAR X OCCUR N N BE 15069743 7/1/2012 7/1/2013 EACH OCCURRENCE $ 5 000 000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ S 000 000 <br /> DED RETENTION $ $ ?S!.?Si'xXX3?? <br />C AND EMPLOYERS' LIABILOITY ?. / N N 004 4727346 7/1/2012 7/1/2013 X TORY LIMIT OTH- <br /> ANY PROPRIETOR/PARTNER/E%ECUTIVE l.T <br />OFFICER/MEMBER EXCLUDED? 1V N / A <br />EL EACH ACCIDENT $ 1 000 000 <br /> (Mantlarory in NHJ <br />1/ <br />tl <br />lb <br />i E.L. DISEASE - EA EMPLOYEE 1 OOO OOO <br /> yes, <br />csu <br />a unt <br />¢r <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 000 000 <br /> <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /(Attach AGORD 'IOt, Additional Remadrs Schedule, if more space is required) <br />p,pPRO v biz AS TO FORM <br />-i `i 1I L ( `, •_(?y I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />-?.1u ? THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />AssLSLti 1L L,]I-Y Au.orney gCCORDANCE WITH THE POLICY PROVISIONS. <br />X0940774 <br />Public Works Agency-Water Division <br />City of Santa Ana <br />Attn: Nabil Saba <br />220 South Daisy Avenue <br />Santa Ana CA 92703 ?- <br />©'1988-20'10 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD
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