9NSURt RiSS A4'8 "tiT4IDING COVERAGE NMC' Mk
<br />NSURER I(tc cIal T TtI,. 1453
<br />6NSURERE .
<br />•
<br />4:tRkD BA tl i'pp
<br />E eDC19'iEDECLIYI .C1gineei"E+ Constructors
<br />y
<br />MURER C
<br />Corporation
<br />R0, Box 16599
<br />tNSURFR D,
<br />I�EIv dy Hills CA 90209-2352
<br />ME I RE z e;
<br />_�_O_V A__GES CERTIFICATE NUMB, E W REVISION hd4Jl :
<br />TIOS !CY TO CERi FY THAT THE"? (""(" ?6,IUE.s OF ENSUi•AivCE LISTED BEi < %M HAVE BEEN 4, SC4ED TO "HE, MG1RED hiAPviED ABOVE +'OR THE, P i.Cf. T r��k!:4"�:EC:� ",
<br />INUCAIrED, NOY 'r1r8T8°VSTdLNDMCI ANY RFa „Y AREM mN
<br />TEaRIVI OR t:;t:1NEAT'ION OF ANY (,FriFAC; v OR i THE'R DOCUMENT WITH RESPECT TO M@CF1 THIS
<br />CE RIDFICA.? E'. fAA"Y BE 6SUE,0 OR MA)” r'ks" R 1 "AK
<br />THE M iURAN E" AFFORDED BY TEE, I "C,iG,.l+w ES f.IP!iSC 4YB :9 HEREIN is suBjEnc r V) AU, THE l E"E' MS
<br />K: XCL.W.BCaFC3C S AND C.;f: N l[T°3eJNS C)F „NE.CH POUCHES.
<br />6.E1'w)H S lI tCiiTN MAY HAVT B9 _`E..N RhE:[EU A D BY PAA0 C L.e"A6PA9S.
<br />MR -.. ADOL SURA
<br />TYPE Cif" IhdStbNdRA.hNC.E IMORk '4' VCt
<br />..
<br />POUC.Y EF €- POI 6C'E EX LI Mk TS
<br />.............._.�.�___PCkW. 6C"f N33t! C4f eC.._. _ ....m_L4+fiAA6C12Lyi n '2Mfat Cl yLy]fY%.,.._.w._. ...,.,,.._,._._ ,....,_............_._.,_,...........,.,.__ .,.,_,._.__.........,.„....,._.
<br />A GENERALUAk3UTY V
<br />883- 1464 "Ii /112014 11 /Y1201w EACH 0,1,,,CuRRENCE S1,0C)('e.t'00
<br />f`ONI,M R6.,P L GENERAL w4AB4,J( Y
<br />DAMAGE 10 KF 41
<br />PREMISES (Fa. wrrdwm,
<br />i.EI.:nNlr'l -MAI����F A 0<I ,f. R
<br />Ar9asD d.XP (Ap,y o per o,,Y E b,C,)0p )
<br />_
<br />PERSONAL &ACA, trva V,0' ,S,000,t010
<br />fFE Pdf A,taF'A i,_GAIC ,.,EMe eA. #PUE1,,i PHR
<br />14kt, "/ J,7 s `, „; 1C 4b <1a "Ih €�;e A;,C00,COO
<br />'` 4 ai f "Y 1 1MR
<br />_„ �E
<br />��..Y(I Ty
<br />1�,Aw,
<br />R....
<br />AMETO MOBILE LBABILtTY
<br />IE fA;Ar fi VI f2(1, 14 1 1'12CY 5 ac tL <t E)ClC).C),7fI
<br />_ A t ,,"Y'0M, "..,ID t;H EPAi A P 1)
<br />bOMLY t 4.,uff /`a u, 1
<br />E.1714 T "L A07 OO
<br />f
<br />A A UMBRELLA U AB N LC C Y Y
<br />88314647 1 'f. !,,2014 11"V-01fi A1. GC, . , k�Ra VA 'S5,000,000
<br />EXCESS LIAS CL, W 4%h AIX`
<br />4- d,.,(. r�t, .`re'a1rya ya ixm (xCc
<br />D,ED f lE= N T h,f.
<br />...,.....,., � .... .,._ ................ __,m.,
<br />"r
<br />_
<br />WORKERS COMPENSAT4 N
<br />x
<br />TEO r t� Arf
<br />AND EMPLOYE R ' LIAEUY Ce
<br />fI.4 { P(!E %Rf e }E^ /W `FARM YIe Yd i d ...; "G1 Y!✓4 (..,
<br />R' / A,
<br />i -.. �. t ?� l3 )1t;,�;:Y''1 L.,r`0'7 S
<br />QMandatory In Niid .. ..
<br />._ @. ,tP :I ra(eL .Y P •V, ;)1 C e @`,
<br />r
<br />t'7i Pt.FAr! "ION OV 4 1°E A t, N +,r;€ ).
<br />IB P e f� t r tl _ ' I P
<br />E✓ESCREG 1 EoP'q OF OP:. Pr$niE$ NS I E_OrE:,+"+u�I•MYINS iVEHICL ES EAtt IX"h
<br />A,Cf"&RD 101, Add',Iifl #ona l I4'a*RRark%..rvt,Elti.f ukA i� mar ,I" ac" N kw "quil'lmfi
<br />L,ertificaTte PTolcici is iltckLrdM -d as an Additional Insured wider (,or rLnescia Gr,r ea n,,,d Llaoikty pcAi(;y per endorsement +: G 2(1 '100 'Q 11, attad'Ie d
<br />' *&ibge E to eETmipany appmai,
<br />§ART: Driveway or Sft$E:"a"•_alk work 3E€"M"fQ',irined for 2014-2015 Ortii'9Vi;us CC1tl`1f, etC replzwenB ent Contract, job #1 5- 6824
<br />'This is <.6. CIi'E9, A„Eto r(.?i i1I;;PE„r 'ri9Yf.3 supersedes es 4E" e One
<br />is%jr;:' d 1OK31 /2014'.
<br />EANl AOL)N ENGIREERS'
<br />ORP. PROJECT 156824
<br />7CNS'TRUCTORS
<br />REVIEWED ESP
<br />EUNIC;E HEREDIA (PG. 1 of 3)
<br />RTtFICA TE HOLDER
<br />CANCELLATION
<br />fARE
<br />SIICEULD, ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE 4:MRAIlOrk DATE. THEREOF, NOME WILL BE EAELAIERED 6N
<br />I., >y of Santa fA, €'1„)
<br />ACCORDANCE Ml H "P"H POLICY PROVISIONS,
<br />20 Civic Plaza-Russ
<br />Jm
<br />Yu "d EPI,a Aria t.,yy 92 701
<br />19882010 ACORD CORPORATION, AiR rights rrYservEdrt.
<br />A,C ORD a (2010/0 5) The ACORi:D
<br />W "ir' rie and IC%a:Io are reg¢ steredt marks of A"4CORD
<br />
|