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COAST COMPOSITES, INC. 3-2012
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COAST COMPOSITES, INC. 3-2012
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Last modified
10/21/2013 11:35:40 AM
Creation date
12/5/2012 2:48:13 PM
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Contracts
Company Name
COAST COMPOSITES, INC.
Contract #
N-2012-143
Agency
COMMUNITY DEVELOPMENT
Expiration Date
4/25/2013
Insurance Exp Date
3/31/2013
Destruction Year
2018
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<br />ru?.,[e. ?agno <br />t-r A M O l hill <br />i1 f? qr?1p??•.p?y'`p??v <br />f'Y ks®??,v ???.???????? ®? ??I'W L7 ?6 <br />??Y ?Itl ?7?fth'i1tl VS? GATE (I.I r.VDOlYYYY) <br />? 0 5/3 012 0 1 2 <br />THIS GER7IFICATE IS lSSUEb A3 A h1ATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOE R. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PO LICIE3 <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRES EN7ATIVE OR PROPVCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if LILa cert(flcale hoiden Is an ADDITIONAL INSURED, the pollcy(le s) nJDSI bo endorsed. If SUBROGATION IS WAIVEb, sLlbJecl to <br />the terms and con dlllons of the policy, certa(n po7lcfes may require an endorsement A sialemenl on Ihls cerllllca[e does no( confor rl0h(s to the <br />certiflce(e holder hl Ileu of such ondorsomanl(s). _ <br />PROOVCER ? NTAGT <br />WIIIIS of Now Jersoy, IItO, I o Yt , ^" c Ito, <br />)'--- <br />350 Mf. Kemble Avenue E- <br />RI <br />AIL <br /> D <br />D <br />-------- <br />P.O,BOX 1969 P19 VRER 9 AFFORDING COVERAGE: NAICU <br />Morristown, NJ OZ9fi2 INS VRER A, TWllt Clty Flre Ins. Co. 2g45s <br />INaDREO NiSVAERB[AiT)BTICan Zurich Msurance Co. 40142 <br />Coast Composites inc. INSURER c: Zurich American Ins Co 16535 <br />617 Burro(Igh <br /> INSURER Of <br />Irv III B, CA 92618 <br /> INSVRER 8 <br />_ IHSUAER F I <br />(`OVFRGR FR CFRTIF IR ATP NHlARRR. RF VIRIr]N NIIM RER: <br />THIS fS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED eELOSV HAVE BEEN ISSUED TO THE INSURED NA).SED ABOVE FOR THE' POLICY PERIOR <br />INDICATED. NOTWITHSTANOINO ANY RE[tUIREAtE NT. TERhf OR CONDITION OF ANY CONTRAOT OR OTHER DOCUh1ENT VJITH RESPECT TO WHICH THIS <br />CERTIFICATE I,fAY 6E ISSUED OR t.(AV PERTAIN, THE INSURANCE AFFORDED SY 7HE POLICIES DESCRIBED HEREIN IS SVeJECT TO ALL THE TER hI S, <br />E <br />XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LI h11TS SIIOWN 1.(AY HAVE BEEN REDUCED 8Y PAID CLAIh(S. <br />11 <br />R <br />LT{L TYPROFIH6UrlANCE O e POIICYHVN.pER MM(00 15l.IlOD E P LVARS <br />A GENF.RALLIABILITY 13CESOA9021 3!31/2012 03/31/2013 cc <br />uARENCE <br />En <br />c <br />l <br />lo 51 D00000 <br /> X C01.1h1ERCiAL OEIIERAL LIABILITY T <br />^ <br />At <br />^ <br />E <br />REf l E9 ?iENTED <br />a o?vr once <br />s300 000 <br /> CLAI).1 S•I.V\DE ?X OCCVR 1.1ED EXP(Any mape,son) S1O QOO <br /> X BIlPD Doc1:5,000 PERSONAL8ADVINJVRY $i OOO OOO <br /> GENERAL AGO REOATE S2 OOO OOO <br /> _ <br />GENT AGOAEOATE L11.1RAPPLIES PER: PRODUCTS-COi,1P/OP AGO 52000000 <br /> POLICY PEQ LOO $ <br />C AUTOhlOAILa LIABILITY BAP509586200 3!31/2012 03/311201 Eaauia ?91NGLE LIAIlT 1 000000 <br /> X ANY AUTO BODILY INJURY (Porperaow) 3 <br /> ALLOY/NEO <br />T <br />S CIIEOV LEO <br />T <br />D <br />? 60DILY INJURY [POI accident) S <br /> X H R <br />EO <br />AVT09 X O <br />OWNED <br />V <br />AUT03 PROs E I?YI AIJAGE 5 <br /> 5 ___ <br /> UhIBRElLA LIAB OCCUR EACH OCCUARE NCE S _ <br /> EXC ESS LIAD CLAIAIS-I.IADE - _ <br />AGGREGATE $ __ <br /> OEO RETETITIO:i S <br />B \YORKERS COMPENSATION <br />• WC5O9588100 3/31/2092 03/31/2013? X LYC STATV- OTK• <br /> LIAABIILyITY <br />AA +NyO ERlA?PpLgO?YETERS <br />D7 ECVTfVE YN <br />I <br />C <br />O <br />GL <br />O <br />R E <br />E.L. EACH ACC]DENT <br />Si OOO OOO <br /> O <br />FF[ <br />ERR.IE}.I B <br />E <br />% <br />U <br />E <br />(1.landaloryln Nll) 1J)A E.L. DISEASE•FA £/.IPLOYEE $1 OOO OOO <br /> Iry os, dasulbo under <br />DESCRIPTION OF OPERATIONS bNoly <br />E.L. DISEASE•POLIGYLII.IIT <br />51 O9O QO <br />O <br /> g? <br />?N <br />Y??L?L`IJ- <br />.F <br />l`? <br />DESCRIPTION OP OPERATIONS! LOCATION9l VEf11CLE3(AtlachACORD(0/, Adtllllopal Rama[ks 9chedulq if more apace rs requfrad) V? <br />???? 4- <br />EVIOEP)CE OF COVERAGE. }? - <br />"" g-? ORCK <br />1,1SA ?• itY gttorneY J r ? <br />Assistant C '7 <br />(:CR I IFIL:A t E HULV t i VANL:CLlP11IVN <br />cllyofsantaAna TIEVEXPIRA710NHDA7EVTHEREOP,EN? ICE! W(LLOBEODELIVEREDORi <br />Finance & Mgmt Services Agency ACCORDAI(CE WITH THE POLICY PROVISIONS. <br />Purchasing DlYtstolt <br />2O (?.IVtO CStllei PtaZB M-16 AUTHORIZED REPRESENTATIVE <br />P.O. BOX 1988 <br />C 9 702 ?.a(?g,` ? >?° ?_ .e.? <br />CcA 19fl R•2010 AC OR CORPORATION. All rin tits roserved. <br />gCORO 25 (2010(06 1 Of 1 TI1o ACORD name and logo aro registered marks of ACORb <br />NS211717/M?11386 HZB
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