Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE <br />KCAL INSURANCE AGENCY <br />2048 S. HACIENDA BLVD. <br />HACIENDA HEIGHTS, CA 91745 <br />AMERIPACIFIC INDUSTRIAL CORP. <br />1509 E. MC FADDEN AVE. <br />SANTA ANA CA 92705 <br />COVERAGES <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />INSURERS AFFORDING COVERAGE <br />u: <br />0211412014 <br />NAIC A <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD MDICAI'ED. NOTWITHSTANDING <br />ANY REOUIREMCNT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO'WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 1'0 AI.L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR', <br />LM <br />10D't <br />INSR <br />TYPECr INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIOORY <br />POLICY EXPIRATION <br />2 MA4OOMY <br />LIMITS <br />GENERAL I-Ri TV <br />VBA28797400 <br />02105114 <br />02105115 <br />EACH OCCURRENCE <br />S 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS FIX OCCUR <br />,TMNOE TO FifNTEO <br />PREMI.pFS Ea onaymm�el <br />S 100,000 <br />MED. EXII (Any nne person) <br />$ 5,000 <br />A <br />X oaldnddN: 6500per Clam <br />PERSONAL &NOV INJURY <br />j 1,000,009 <br />GENERAL AGGREGATE <br />2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY 7 'U'T' LOG <br />PRODUCTS - COMPIOP AGO <br />S EXCLUDED <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(E.."'J"ne <br />S <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AU 108 <br />(PorpernclV <br />S <br />HIRED AIJ HDS <br />BODILY @MURY <br />NON-OWNED AUTOS <br />(Pereccd "t) <br />PROPERTY DAMAGE <br />(Par uccltlyn0 <br />T <br />GARAGE LIABILITY <br />ANY AUTO <br />LC•.— YC�' <br />AD ONLY - EA ACCIDENT <br />S <br />OTIIER THAN EA ACC <br />5 <br />AUTO ONLY AGO <br />S <br />EXCESS I UMBRELLA LIABILIT Y <br />YY <br />A <br />y' { <br />EACH OCCURRENCE <br />S <br />OCCUR ❑ CLAIMS MADE <br />W{ <br />psis <br />{ {Drn <br />ant CAY <br />�, <br />AGGREGATE <br />S <br />S <br />DEDUCTIBLE <br />RETENTION S <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YIN <br />ANY <br />=V1" iT'�TU m'Hen <br />TORY OMITS <br />E.L. EAEASE <br />-EDEM <br />E.L.DSEAS "c EA EMPLOYEE <br />5 <br />LIAMIRIEXCLUDE/EXECUTIVE ❑ <br />OWIOERIM in NH) EXCLUDED? <br />(MvnYabry In NH) <br />it voe, art ayjm r <br />SPECIAL PROVISIONS ra cyv <br />PL DISEASE-POLICY LIMIT <br />Is <br />OTHER <br />DESCRIPTION OF OPE RATIO NSILOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />The City of Santa Ana, Its officers, employees, agents, and representative are named as additional insured in respect for <br />general liability as per written contract per CG2010 attached. <br />Importer & Wholesaler of geotextile engineered fabrics use for waterproofing roof uneriayment and house wrap. No Installation, <br />Premises Location: 1509 E Me Fadden Ave., Santa Ana, CA 92705 <br />CERTIFICATE HOLDER CANCELLATION <br />The City of Santa Ana <br />20 Civic Center Plaza M-16 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BF:FORETHE <br />EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL MAIL 10 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />Santa Ana, CA 92701 <br />Attention: <br />AUTHORIZED REPRESENTATIVE {�y <br />ACORD 25 (2009/01) Certificate # 19760 ©1988.2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Exhibit C <br />