Laserfiche WebLink
Client#: 458248 <br />MASTELECS <br />ACORDra CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />0411412011YYY} <br />a4/19nat3 <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 COqS: UE� T A OINTRAFT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATEYIbD <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(10S) must be endorsed. if SUBROGATION IS WAIVED, Subleetto <br />the terms and conditions of the policy, pertain policies may require an endorsement. Astatement on this certificate does not confer rights to the <br />certificate holder In lieu GF such endorsomem(s). - - - <br />PRODUCER - <br />Hub International <br />HUB Intl Insurance Serv. Inc. <br />4371 Latham t, Ste <br />4371 Latham St, Ste #101 <br />VOT-lor Kr 9 '1* Koehrer <br />ac °N Ed, 877825 -2681 FAX r <br />/ �iac,N�:9a1231.2572 <br />RMAIL <br />ADDRESS: Cal.CPU @hubinternatienal.com <br />NSUREWS) AFFORDING COVERAGE <br />I HAIC0 <br />_.._ ._. <br />WSUPGRA: Travelers Indemnity Company of <br />125682 <br />INSURED <br />TSJ Electrical & Communications, Inc. <br />dba Masters Electric <br />7496Jurupa Avenue <br />Riverside, CA 92504 <br />INSURER 8: Travelers Property Casualty co <br />25674 <br />WSURGRC: Companion Prop and Cas Ins Cc <br />12157 <br />— <br />NSURER: <br />04/201201 <br />NSURErs eI <br />$1 060000 <br />INSURER F! --- <br />X COMMERCIAL GENCRALLIABILITY <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 FORTHE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />FN—SR <br />LTR <br />TYPE OF INSURANCE <br />A004 <br />VOR <br />POLICY NUMBER <br />POLIC EFF <br />MN YY <br />POL�IC EXXP <br />(M11640WYYWI <br />LIMITS <br />• <br />GErvERALLIAeILITY <br />4T22CO9011PO41TCT1 <br />4/20/2013 <br />04/201201 <br />EACH OCCURRENCE <br />$1 060000 <br />X COMMERCIAL GENCRALLIABILITY <br />PREMISES feaoedrtDi„ <br />$300,,,000______ <br />CLAIMS-MADE OCCUR <br />LAEDEXPAnnna mon <br />$5000 <br />PERSONAL It ADV INJURY <br />$1,Q0Q000 <br />X PDDed: $2,500 <br />GENERAL AGGREGATE <br />12,000.000 <br />GEN'LAGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMPoP AUG <br />$2000000 <br />PODCV <br />PRO- LOO <br />$. <br />• <br />AWOMOBILe <br />LIABILITY <br />BACB98218313CN5 <br />/20/2013 <br />041201201 <br />COMBINED SINGLE LIMN <br />1 OOQ,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Pat Lamm,} <br />$ <br />X <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />RON OVrtJED <br />HIRED AUr05 X AUTOS <br />BODILY INJURY (Pnreaideni} <br />S�- <br />$ <br />ROPERTY DAMAGE <br />oraaldent <br />s <br />If <br />B <br />X <br />UMBRELLA LIAB <br />X <br />oecun <br />DTSMCUP9011P041TIL <br />01412012013 <br />0412012014 <br />EACH OCCURRENCE <br />$5000000 <br />AGGREGATE <br />FF $5 000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />_Lt)FDI X REf NrION $10 000 <br />g <br />D <br />WORKERS COMPENSATION YIN <br />AND EMPLOYERS' LABILITY <br />rFIPROPRICTORIPARTNERIEXECWVE <br />OEFICER/MEMGER EXCLUDED? -] <br />N}A <br />CPCA16337 <br />a/1 d/2Q12 <br />10/10/201. <br />X WORTH IT OTtI- <br />E.L, EACH ACCIDENT <br />$1000000 <br />E.L. DI9PASE -EA EMPLOYEE <br />$1 000,000.... <br />(MandotnrY In NH) _ <br />wNw.desctBteumm , ... _ ,. <br />QRSCI I�QN Or OPERATIO�18_hobw <br />.. _ <br />E. L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONSI LOCATIONS r VEHICLE$ (Attach ACORD 101, Addi$onal ROMPIRs SchodUla, If mom spaco Is mRulred} <br />The City of Santa Ana Is an additional insured in regards to the General Liability policy per attached <br />form 0GO246 08105, <br />APPROVED AS TO FORM <br />The Depot at Santa Ana <br />1000 E, Santa Ana Blvd., <br />Suite 108 <br />Santa Ana, CA 92701 <br />Attorney I -- - -- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />nEPRESENTATNE <br />0 1888 -2010 ACORD CORPORATION. All dams reserved <br />ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S2207548/M2207344 JM43 <br />