TALLER SAN JOSE (5) - 2012 - Laserfiche WebLink

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�1 e ALA ° CERTIFICATE OF LIABILITY INSURANCE INSR LTR page 1 of 1 05/(3 /2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Insurance Services of California, Inc. c/o 26 Century Blvd. P. O. Box 3 TN 3 Nashville, TN 37230 -5191 CONTACT NAME: PHONE AC No, EXT: 877- 945 -7378 p� No: 888- 467 -2378 ADDRESS: ESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURERA:Hartford Accident & Indemnity Company 22357 -003 INSURED Taller San Jose INSURER B: $ and Hope Builders, Inc. 801 N. Broadway INSURERC: INSURER D: $ Santa Ana, CA 92701 INSURER E: $ INSURER F: GENERALAGGREGATE $ - -- -- -" - - -- - "l V 1111v17 Iqu1Vlo Cn. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE DD' NSR SUB WVD POLICY NUMBER POLICYEFF MM/DD YY ) POLICY EXP (MM/DD1YYYY1 LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE 1:1 OCCUR EACH OCCURRENCE $ PREMSET RENTrD $ MED EXP (Anyone person) $ PERSONAL& ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: RO POLICY JPE JECT LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY(Per person) $ BODILY INJU RY(Per accident) $ 15ROPERTYDA RAGE Per accident $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? fMandatory in NH) fyes,describe under DESCRIPTION OF OPERATIONS below N/A 72WNC93300 5 31 / /2012 5/31/2013 WCSTATU- OTH- X T RYLIMITS ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required�)y��yy (� � T��1l�y 'PPP •/ V L� LISA E. STO CK .. _.. Assistant City Attul "ne�� t%CQT1C1/`ATG unl Ml- 1 IVI4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana Work Center AUTHORIZED REPRESENTATIVE 1000 E. Santa Ana Blvd. Suite 2000 Santa Ana, CA 92701 I l N I( ��_ -8 C011:3748285 Tp1:1459912 Cert:1794214 l a ioRn- 9mnArn0nrn00noArlf%Kl All_: