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TRUXAW, JOSEPH C. INC. 1-2014
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TRUXAW, JOSEPH C. INC. 1-2014
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Last modified
3/14/2017 11:18:57 AM
Creation date
7/22/2014 11:38:48 AM
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Contracts
Company Name
TRUXAW, JOSEPH C. INC.
Contract #
A-2014-100
Agency
PUBLIC WORKS
Council Approval Date
4/15/2014
Expiration Date
6/30/2016
Insurance Exp Date
10/31/2016
Destruction Year
2021
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r �.. <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMJpplY"Y'YYI <br />7(MMIDD4 <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 policy(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 <br />IOA Insurance Services <br />1307 Vantis, Suite 250 <br />AIISO Viejo', CA 92656 <br />NAMEEA Betty Tran <br />PHONE 949- 297 -5962 FA�re Na: 949- 297 - 5960 <br />4 <br />E -MAIL <br />ADDRESS: _,.betty.tran@ioausa.com <br />IN SU!RER(S) AFFORDING COVERAGE <br />NAIL # <br />INSURER A: RLI Insurance Company <br />13056 <br />1hANW.l0au5a.COm CA License i$OE =6776$ <br />INSURED <br />Joseph C. Truxaw and Associates, Inc. <br />265 S. Anita, Suite 111 <br />INSURER. B.... . <br />INSURER C <br />DAMAGE TO RENTED <br />PREMISES EaaackWrfenc <br />INSURER p <br />Orange CA 92868 <br />''... INSURER E,,. <br />''..... INSURER F <br />COVERAGES CERTIFICATE NUMBER: 20838925 REVISION NUMBER': <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 ADDL SUBR. POLICY EFF POLICY EXP LIMITS <br />LTR TYPE OF INSURANCE POLICY' NUMBER M....MfDDIYYYY MMIDDJYYYY <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE � OCCUR <br />DAMAGE TO RENTED <br />PREMISES EaaackWrfenc <br />$ <br />MEd EXP (Any one person) <br />$ <br />PERSONAL & ADV'INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />POLICY ❑ JECT PRO- [::] LOG <br />PRODUCTS .- COMPIOPAGG <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />CCM�INED SINGLE LIMIT <br />Ea accident! <br />$ <br />PODILY INJURY (Per person) <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS .AUTOS <br />POOILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIREDAUTOS AUTOS <br />PROPERTY DAMAGE <br />fPeracc'd."J <br />$ v <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />ANIpEMPLOYIERS'LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />E L. EACH ACCIDENT <br />$ <br />ANY PROPRIETCRJPARTNERdEXECUTIVE <br />OFF IQR,d,MEMBER EXCLUDED) <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatary in NH) <br />If yes, describe under <br />(DESCRIPTION OF OPERATIONS b0ow <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional I.Jability <br />RDPOO15881 <br />7/612014 <br />71612015 <br />$2,000,000 Per Claire <br />Claims -Made <br />$2,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks schedule, may be attached If more space !Is required) <br />Coverage subject to all policy terms conditions, limitations and exclusions. 30 Day Notice of Cancelf10 Days for Non - Payment In accordance With <br />policy provisions. <br />J0SEPI°i C. TRUXAW ASS CIA�,TES'. AGREEMENT## A. 2(7'14 -100 <br />REVIEWED B�: � � EUNICE HIEREDIA (Pg. 1 of 1� <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />RK Box 1988 <br />20 Civic Center Plaza (M -30) <br />Santa Ana CA 92702 -19188 <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 />(AVC) Alicia K. Igram <br />@ 1988 -2014 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />CERT No.: 208384 25 .atty F"k.'t 1lt:ar "7/8/.2011 11:17 31. PM IiDT) ! ?a.;Ja 1. r,,£ 1. <br />
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