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AMERICAN WRECKING A,-2012.-090 REVIEWED BY
<br />�.W EUNICE HEREDIIA, (PG 1 OF 10)
<br />AMERI52 OP ID: WC
<br />1411c" ' CERTIFICATE ►F LIABILITY INSURANCE
<br />fATE1,MMIDDNYYYj
<br />06/2015
<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
<br />Orr and Associates Ins. Serv.
<br />CALIC#OE63493 PH(951)506-5859
<br />28780 Single Oak Drive #255
<br />Temecula, CA 92590
<br />CONTACT
<br />NAME:
<br />AICD No Ext : Ar rvo
<br />E-MAIL
<br />ADDRESS:
<br />INSURERS) AFFORDING COVERAGE MAIC N
<br />COMMERCIAL GENERAL .LIABILITY
<br />CLAIMS -MADE A OCCUR
<br />INSURER A: ASSOCIATED INDUSTRIES INS CO 231'.4,0
<br />X
<br />INSURED American. Wrecking Inc.
<br />2459 Lee Ave.
<br />South EI Monte, CA 51733
<br />INSURER B : LIBERTY MUTUAL.. FIRE. INSURANCE
<br />INSURER C: RSUI INDEMNITY COMPANY
<br />INSURER D: STATE COMPENSATION INS, FUND 35076
<br />INSURER E , WESTCHESTER SURPLUS LINES INS. 10172
<br />INSURER F: TRAVELERS PROP CASUALTY CO OF 25674
<br />COVERAGES CERTIFICATE NUMBER: 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />(LTR
<br />TYPE OF INSURANCE
<br />IN SD
<br />WVD
<br />POLICY NUMBER
<br />hpflMIDIDIYYYY
<br />MMODlYWY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL .LIABILITY
<br />CLAIMS -MADE A OCCUR
<br />X
<br />X
<br />AES1034672
<br />04128/201510412812016
<br />EACH OCCURRENCE $ ...1,000,000
<br />PREMISES Ea occurrence $ 50,000
<br />MED EXP (Any one person) $ 5,00
<br />_
<br />PERSONAL & ADV INJURY $ 1,000,010
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY F JPE.GT 7 LC'C
<br />GENERAL AGGREGATE $ 2,000,00
<br />PRODUCTS-COMPIOPAGG... $ 2,000,00
<br />$
<br />OTHFR:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEDSINGLELIMIT
<br />Ea accident $ 1,000,000
<br />IS
<br />X
<br />ANY AUTO
<br />AS2Z91457618014
<br />09110112014
<br />' 0910112015
<br />BODILY INJURY (Per person) $ 20,000
<br />ALL OWNED SCHEDULED
<br />'. AUTOS AUTOSBODP�LY
<br />INJURY (Per accident) $ 40,000
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE $
<br />Per accader
<br />$
<br />UMBRELLA LIAR
<br />X
<br />OCCUR.
<br />EACH OCCURRENCE $ 10,000,00'0
<br />C
<br />X
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />NHA237858
<br />0412812015
<br />04/2812016
<br />AGGREGATE $ 10,000,000
<br />DED I I RETENTION $
<br />1$
<br />D
<br />WORKERS COMPENSATI.ONPER
<br />AND EMPLOYERS' LIABILITY
<br />ANwYPROPRIETORPPARTNER!EXECUTIVE YIN
<br />OFFICERIMEM,IIiBER EXCLUDED? ❑NAA
<br />IMandatory in Ni
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />X
<br />91113676-14
<br />1010112014
<br />1010112015
<br />0TH -
<br />° STAT LUTE ER
<br />F. L. EACH ACCIDENT $ 1,000,000
<br />Eli DISEASE - EA EMPLOYEE $ 1,000,000
<br />1 000000,
<br />E L, DISEASE - POLICY LIMIT $ ,
<br />E
<br />Pollution Liabilit
<br />627562048001
<br />0211812015
<br />0211812016
<br />GA/POL LI 5,000,000
<br />F
<br />PROPERTY "SEE NOTE,
<br />CIT6609A147581TIL
<br />04/2812015
<br />0412812016
<br />SEE NOTES
<br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES ACORD 101'., Additional Remarks Sci may be attached !if more space is required)
<br />COUNSELCITY OF SANTA AREPRANA IESENTATIVES,ARE NAMED AS ADDIfl AL INSURED PETS OFFICERSAGENTS EMPLOYEES CONSULTANTS R ATTACHED
<br />ENDORSEMENT FORM'S.
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2014101)
<br />1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD n,,ame and logo are registered marks of ACORD
<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
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC CENTER PLAZA M-93
<br />EEPRESENTATIVE
<br />AUTHORIZEDR
<br />SANTA ANA, CA 92702
<br />ACORD 25 (2014101)
<br />1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD n,,ame and logo are registered marks of ACORD
<br />
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