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DEKRA-LITE 7B-2013
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DEKRA-LITE 7B-2013
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Last modified
6/9/2014 1:18:47 PM
Creation date
2/20/2014 1:19:45 PM
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Template:
Contracts
Company Name
DEKRA-LITE
Contract #
N-2011-151-002
Agency
COMMUNITY DEVELOPMENT
Expiration Date
12/31/2014
Insurance Exp Date
4/8/2014
Destruction Year
2019
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:I <br />a L'� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />1 4/9/2013 <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 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Spectrum Risk Management <br />74 Discovery <br />Irvine, CA 92618 <br />www.spectrumrisk.com OC77485 <br />CONTACT NAME: AQcount Manager <br />PHONE IAIC No Exth 949 -755 -5730 AIC No - - <br />E -MAIL ADDRESS: C <br />INSURER(S) AFFORDING COVERAGE <br />NAIC4 <br />INSURER A: Golden Is Insurance Corporation <br />10836 <br />INSURED <br />Dekra -Lite Industries, Inc. <br />3102 W. Alton Ave. <br />Santa Ana CA 92704 <br />INSURER B: - <br />4/8/2013 <br />INSURER C: <br />EACH OCCURRENCE <br />INSURER D: <br />DAMAGE TO ff —E RENT <br />PREM CBS Eae no I nce <br />INSURER E: <br />MEG EXP (Any one person) <br />INSURER F: <br />PERSONAL &ADV INJURY <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />M10L11S YY <br />POLICY EXP <br />MMIOB/YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />✓ COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I✓ OCCUR <br />✓ No Deductibles <br />,/ <br />CBP8903147 <br />4/8/2013 <br />4/6/2914 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO ff —E RENT <br />PREM CBS Eae no I nce <br />5 <br />8 00,000 <br />MEG EXP (Any one person) <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY f �/ PRO- LOG <br />_ <br />PRODUCTS - COMP/OP <br />$ 2,000,000 <br />_AGO <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTO B ✓ AUTOS <br />No Liability Deductible <br />BA8903247 <br />4/8/2013 <br />4/6/2014 <br />COMBINED dED SINGLE LIMIT <br />$ 1,000,000 <br />✓ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />_✓ <br />PROPERTY DAMAGE <br />Peracc!dent <br />$ <br />$ <br />$ <br />A <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />CU8903347 <br />D <br />41812013 <br />To � <br />4/8/2014 <br />�M <br />EACH OCCURRENCE <br />$ 2,000,000 <br />AGGREGATE <br />$ 2,000,000 <br />DED ✓ RETENTION$NIL <br />Prod/Comp OpsA re <br />to 2,000,000 <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERSLIABILITY YIN <br />ANY PROPRIETORIPP.RTNER EYECU "I'dE � <br />OFFICERIMEMSER EXCLUDED? L <br />(Mandatory In NH) <br />byes DESCRIPTION under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />- ///111 <br />e " <br />��y ��X^/� t <br />.�t�)yQ ? <br />t GI <br />" " "-"- <br />v1 n�J <br />TVRVI\ <br />y AttOrne <br />WC STATU- OETH- <br />TORV LIMITS NR <br />c L EPC" 1CCIOEI ?'. <br />S <br />EL. DISEASE- EA EMPLOYEE, <br />__ <br />__ <br />S <br />E.L. DISEASE - POLICY LIMIT <br />§ <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />The Community Redevelopment Agency of Santa Ana is named as additional insured if required by written contract per attached CG2037 0704 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Santa Ana Downtown Development Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />AUTHORIZED REPRESENTATIVE <br />Alfonso Galvez <br />© 1988 -2010 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />CEFT NO.: 1s930sa9 Lea Same 1/1/1r1' a D1 :la AD Pag1 i of 2 <br />
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