TSJ ELECTRICAL & COMMUNICATIONS, Inc. DBA MASTERS ELECTRIC 8 - 2014

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Client #: 458248 MASTELEC5 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 4/21/2015 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 HUB Int'I Insurance Serv. Inc. License #0757776 4371 Latham St, Ste #101 Riverside, CA 92501 NAME: Kristie Koehrer PHONE 877 825.2681 FAX 951 231 -2572 A/C No x Et : A/C, No ; E-MAIL Cal.CPU @hubinternational.com . INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Ohio Security Insurance Company 24082 INSURED TSJ Electrical le Communications, Inc. 749 0 Jurupa Avenue Masters Electric 749 Riverside, CA 92504 INSURERS: American Fire and Casualty Comp 24066 INSURER C; State Comp Insurance Fund of CA 35076 INSURER D: West American Insurance Company 44393 INSURER E: $1,000,000 GENERAL AGGREGATE INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- D LOC L;UVCKAI. It6 L:l--H I II -iGAIIf! NUMI3t K: PF-VIRIr1N NI IMRFR. 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. LTRR TYPE OF INSURANCE I SR WVD POLICY NUMBER MM /DDY EFF MMIDIDY� LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PD Ded: $2,000 BKS56073610 04/20/2015 04120/201 EACH OCCURRENCE $11,000,000 pq�ygGE7 RENTED PREMISES Ea occurrence $5Oo OOO MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- D LOC PRODUCTS - COMP /OPAGG $2,000,000 $ D D AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BAW56073610 04/20/2015 04/201201 — COMB ld.nt SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ PROPERTYDAMAGE Per accident $ B X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE ESA56073610 4/20/2015 04120/201 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED RETENTION $ $ G WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A ' 90761452014 10/18/2014 10/18 /201 X WC STATU- OTH- - E.L. EACH ACCIDENT $1,000j000 - -- E.L. DISEASE- EA EMPLOYEE -- $1,000,000 E.L, DISEASE- POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) The City of Santa Ana is Additional Insured in regards to the General Liability policy per attached form CG8810 04113. TSJ ELECTRICAL & COMMUNICATIONS INC N- 2014 -067 REVIEWED BY EUNICE HEREDIA (PG 1 OF 9 The Depot at Santa Ana 1000 E. Santa Ana Blvd., Suite 108 Santa Ana, CA 92701 ACORD 25 (2010/05) 1 of 1 #S3462160/M3462097 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD S G42