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COAST COMPOSITIES, INC.-2012
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COAST COMPOSITIES, INC.-2012
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Last modified
10/21/2013 11:35:40 AM
Creation date
11/19/2012 3:34:14 PM
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Contracts
Company Name
COAST COMPOSITIES, INC.
Contract #
N-2012-135
Agency
COMMUNITY DEVELOPMENT
Expiration Date
4/25/2013
Insurance Exp Date
3/31/2013
Destruction Year
2018
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<br />rN.,.,ate. ?nza? <br />NA MPPubII <br />DATE (Lt M1VDDfYYYY) <br />,?IIC®R?+? ??R'T'1F1?/??? ®?' L <br />I.?E311 <br />I'T'Y If??IJRP?RI?? <br />® <br />e <br />0 5/3 012 0 1 2 <br />THlS CERTIFICATE IS ISSUED AS A h1ATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOE R. THIS <br />CERTi FICATE bOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORbED BY THE PO LIGIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSVRER(S), AUTHORIZED <br />REPRESENTATIVE OR PROPVCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if IITa certillcale holder Is an ADDITtO NAL INSURED, the Po11cy(ie s) must bo endorsed. If SUBROGATfON IS WAIVEb, sLlbJecl to <br />lhelerms and con dlNons of the policy, carlahT pollcfes may require an endorsemenf. A slalemenl on Ill is cerliflca[o does no( confor AOh[s to Iho <br />certificate holder In Ilev of such orJdorsomenl(s}. <br /> <br />PRODUCER H <br />li€ACT <br />--- <br />Willis of NOYJ' Jersey, Ino. ?) e <br />----- <br /> Ext)`_ _ A/C Ilo <br />350 Mt. Kemble Avenuo E•h1AIL <br /> 00 <br />P.O.BO>: 4969 <br /> INSURER 9 AFFORDING COVERAGE NAIC Ji <br />Morristown, NJ 07962 1NSVAER A, Tw11T Clty Flre fns. Co. 29459 <br />wsuRe° IJTSURea BrAmerlcan Zurich Insurance Co. 40442 <br />Coast Composites Inc. INSURER c: Zurich Arnerlcan Ins Co 16535 <br />5/7 Burrougl7 - <br /> N+sunER o: <br />Irvine, CA 02018 <br /> INSURER E <br /> INSURER F : <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 8EL04Y HAVE BEEN ISSUED TO THE INSURED NA/.1ED ABOVE FOR THE'POLICY PERI00 <br />INDiCAT ED. NOTWITHSTANOINO ANY REALIREAIE NT, 7ERAL OR CONDITION OP ANY CONTRACTOR OTHER DOCUh1ENT V.'ITH RESPECT TO WHICH THIS <br />CERTIFICATE fh'AV BE ISSVED OR t.SAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERhI S. <br />E <br />%CLUSIONS RND CONDITIONS OF SUCH POLL C1ES. LIMITS SHOWN AlAY HAVE BEEN REDUCED BY PAID CLA1fif S. <br />?J <br />R <br />LTSJt TYPE OFItfSURAHCE AD ER POLICY NV MBER !A / O iANf00 E P LI/A R3 <br />A GENERAL LIABILITY 13CESOA9021 3/31/2092 03/31/2013 Enc <br />UR <br />RENCE <br />H <br />O <br />C <br />C 51 000 D00 <br /> <br />X <br />COt.1\tERC1Al GENERAL LIABILITY ? <br />AG <br />? <br />r <br />E <br />H <br />? /1.113E3 EaEO aE,a nce _ <br />53000D0 <br /> CLAN.eS•I.V10E ?X OCCVR l.IEDEXPiAnyoneperson) $iD OOD <br /> X BI/PD DVd:5.000 PERSOrIAL8AOVINJURY $1000000 <br /> GENERALAGOREOATE 32 000 OOO <br /> _ <br />OENT_AG OREGATE lI1.eRAPP LIES PER: PROD VCTS _CO1.1 P/OP AGO $2 DOD 000 <br /> POLICY PEC LOC S <br />C AUT OhlORILE LIABIL I7Y <br />BAP5095S620D <br />3/31/2012 <br />03/31!2013 C LIBINE?SINGLE LlA1R <br />EoaWa nit <br />i 000000 <br /> X ANY AUTO BODILY INJURY (POf parson) 5 <br /> All OYJNEO <br />AVTOS CI{FOULED <br />? BOOIW INJURY (POl eCCfdenl) $ <br /> <br />X <br />HIRED AVT03 <br />X O 1?01YNED <br />AlJTOS ROPERTY AIfAGE <br />Pare Ida 1 S <br /> $ ___ <br /> U/.IBRElLA L1A6 OCCUR EACH OCC URRETtCE __ $ _ <br /> EXCESS LIAD CLAI AIS?I.rADE ? AGGREGATE $ __ <br /> OEO RETEeITION S <br />B \YORKERS COMPENSATION <br />A <br />O <br />ElA <br />P <br />L <br />O <br />E <br />3'LI <br />BIL <br />N <br />Y W0509588100 3/31/2012 03/31/2013 X WC S7ATV• OTR• <br /> ' <br />ITY Y/tJ <br />TTR <br />rr <br />?? <br />PP <br />gq <br />?? <br />?g <br />AI1?? <br />?LI <br />t1 yy <br />Dj ECVTIVE <br />CE <br />EREX <br />LUD <br />E.L_EACHACCIDENi <br />S4 OOO 000 <br /> ? <br />OFFI <br />RR.IEIdB <br />C <br />E <br />(I. <br />tandalory In NH) NrA E.L. DISEASE•EA EI.IPLOVEE $1 000000 <br /> } <br />DE3CRIP?NOF OPERATIONS bN.ovr E.L. DISEJISE•POLICYLII.IIT 0 <br />00000 <br />S1 <br /> y <br />i <br />F ??? <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEFI(CLE9(AneehACDRD SDI, AdtllUonal Remarks SChedulq if more apace la repufred) ??, - ' <br />EVIDENCE OF COVERAGE. ????? ,. 4- <br />LISA E-• t{ Attorney J//` ? <br />Assistant G y 7 <br />UCK t IYIIiA 1 t HULUtIi 4'AN CEL LHI IVN <br />Clly of Santa Ana THE V EXPIeRATIONH DATE V THEREOF, E N0701CE1 WIBLL CaE CDELIVEREOOIRN <br />Finance & Mgmt Servloes Agency ACCORDANCE WITH THE POLICY PROVlSfONS. <br />Purchaslnp DWlsfon <br />20 Glvlc Center Plaza M-10 AVTNORI2ED REPRESe NTATIVE <br />P.O. Box 1988 {' <br />S C 9 ?Jts3.' ? ,.. ?? ??_ •ein <br />©1986.2010 ACORD CORPORATION. All rlOltls roserved. <br />ACORb 28 2010!06) i of 1 Tho ACORD name and logo aro regisle red marks ai ACORD <br />t/S21 717lM211388 H2B <br />Exhibit C
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