INTERNATIONAL LINE BUILDERS, INC.-2011

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L- NRO °® CERTIFICATE OF LIABILITY INSURANCE DATE ,21311 "riYl L -= O�OSi231 t 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 (:UN I At; I Marsh •JSA Inc. NAME: 333 South 7th Street. Suite 16(X) PHONE FAX IAlC, NQ. EIA): (Alt:, No): Minneapolis MN 55402 -2400 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 J43750-INT- GAVdX -11 -12 2010 2037 2048 A P Y INSURER A: Liberty Mutual Fie ins Co 23035 INSURED INSURER 8: WA N:A Inlemationai Line Builders - 2520 Rubici Blvd INSURER C: Liberty Mutual Insurance Company 23043 Riverside CA 92519 INSURER D INSURER E: INSURER F: COVERAGES CFRTIFII^_ATF 1d11W11APP. rl4i!`d1d97AAr5A -i1 ccvlclnu ulIuQCO. 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 TYPE OF INSURANCE SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYri MMIDOlYYYY LIMITS A GENERAL LIABILITY TB2641005097 -ik11 01•,01,Kl l 01 ,0112012 EACH CCCURRENCE S 2 X14 000 X COMMERCLAL GENERAL LIABILITY DAMAGE TO RENtED PREMISES IEa occurrence) 5 560,E CLAIMS MADE X OCCUR MED EXP IAny one person...... 5... ,�. X PER PROJECT AGGREGATE 2,090,(100 PERSONAL & ADV iNJLIRY g ._ GENERAL. AGGREGATE S 4,(yJi;.'J00 SF NI L AGGREGATE JWT APPLIES PER PRODUCTS - COMPIOP AGG S PR.'3- POLICV - I lOC S A AUTOMOBILE LIABILITY AS2 641 1+)5097 61 (i', 112011 0''f 1i201 12 C M8lNE0 SINGLE LIMIT 2,00C 0�,� Ea acpderw.; S X ANY AUTO BODILY INJURY (Per person) S ALL 0V`iNEO SCHEDULED AUTOS AUTOS BODILY INJURY IPer aceu7enti S X ,. HIRED AUTOS X AUNSV,fvF is iPera ciaeolI GE S S UMBRELLA LIAR Ck. CUR EACH OCCURRENCE EXCESS LAB CLAIMS - MADE.. AGGREGATE S - DED ! RETENTIONS g WORKERS COMPENSATION WC7-641 06509 021 (('ajar cos ;) 0110'.'rO1 t O1 01'2012 X 1RK STATU- OTH- AND EMPLOYERS' LIABILITY Y. N .'CRY LIMITS_ ER ..... _ rC W.A7 14�,W -5CA .011 (AOSi (11,;2011 01 Or'2012 YEC.UTS'vE r'' 1 G009C E EACH ACCIDENT 5 OFFICER'MEMBER EXRTNCE[ NIA C (Mandatory in NH) W03-64, 001569/ 031 f.CR.W+) 01,�) 1%201) 01101 ., 2012 _ E L DISEASE - EA EMPLOYEE S 1000,000 if yes describe under r DESCRIPTION OF OPERATIONS NS below .n6udeS'S!o;o Gaj.`' _.... E L. DISEASE - POLICY LIMIT S 7,fXJ0 C}'JU DESCRIPTION OF OPERATIONS r LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) e'. Coba;t 12Kv ' f amden S ;ibstation @ Warner Ave and Bristol Street The Gry of Santa -n-3 d'r, e ?ejM Cffiicial., officers. agents employees and volunteers is,are nciuded as additroral insured per the attached CG 2010 and CG 2137 endorserlents and does riot iri&,de p,,,fes ;iooal ability coverage. Blanket Additional insured for Automobile Liability is included per attached designated Insured Endorsement CA 20 48 Primary and Non Contribution, applies for General Lability per LN 20 Ot attached %,MF'1%,II I IUIV City of Santa Ana ?uci•c'dticrks A.cency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Sour. Amlr: ;nll THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2u Gvic Center' °iaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 9,172 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashl Mukherlee _MaLtinpa�: .1+4� e.c_a�a�.a e L n 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD