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OP ID: DS
<br />`At`°f'O} CERTIFICATE OF LIABILITY INSURANCE
<br />Onre(27 /201vY)
<br />08127/2014
<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 />Elkins Jones Insurance Agency
<br />Inc
<br />12100 Wilshire Blvd., #300
<br />Los Angeles, CA 9002$
<br />Walt Storch
<br />CONTACT Dana Scott
<br />PHONE 310 - 207 -9798 FAX
<br />1C Na, E.t: A/C No):
<br />E-MAIL
<br />SS: dscott @elikinsjones.com
<br />PRODUCER
<br />CUSTOMER ID n: CALIFBI
<br />_
<br />INSURERS AFFORDING COVERAGE
<br />NAICI
<br />_
<br />INSURED California Barricade Rentals,
<br />_
<br />INSURER A:Ironshore Specialty Ins Co.
<br />EACH OCCURRENCE
<br />Inc.
<br />Att: Hurst
<br />155 0 East St. Gertrude
<br />155 East
<br />Santa Ana, CA 92705
<br />INSURERB:AMCO Insurance Co
<br />19100
<br />_
<br />INSURERC:RSUIIndemni Company
<br />22314
<br />—
<br />INSURERD:State_Compensation Ins. Fund
<br />07/01/2014
<br />INSURER E:
<br />_
<br />$ 106,000
<br />INSURER F :
<br />$ 10,000
<br />_
<br />PERSONAL$ ADV INJURY
<br />COVERAGES CERTIFICATE NUMBER: 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
<br />LTR
<br />TYPE OF INSURANCE
<br />NSR
<br />SUD
<br />POLICY NUMBER
<br />MMIDDY�
<br />MM/DDf/YXVY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />Xi COMMERCIAL GENERAL LIABILITY
<br />-MADE L OCCUR
<br />X
<br />AGS0047501
<br />07/01/2014
<br />07/01/2015
<br />PREMISES (Ee occurrence)
<br />$ 106,000
<br />MED EXP(Any and person)
<br />$ 10,000
<br />_
<br />PERSONAL$ ADV INJURY
<br />S 1,000,000
<br />5CLAIMS
<br />X I311PD Deict 5006 _
<br />I
<br />GENERAL AGGREGATE
<br />2,666,666
<br />COM�$
<br />PRODUCTS
<br />$ 2,666,666
<br />GENL AGG RELATE LIMIT APPLIESPER:
<br />POLICY X PE O1 LOC
<br />j $
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY ', X
<br />ANY AUTO
<br />-.
<br />ACP3006735836
<br />07/01/2014
<br />07/01/2015
<br />COMBINED SINGLE LIMIT
<br />E. accidenq
<br />'!$ 1,666,666
<br />BODILY INJURY (Per person) $
<br />ALL OWNED AUTOS _
<br />IDW
<br />BODILY INJURY(Per accident) $
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />I - %ip'
<br />TO
<br />�r T
<br />"—
<br />-PROPERTY DAMAGE
<br />(PER ACCIDENT)
<br />$
<br />NON -OWNED AUTOS
<br />6/VV
<br />I _
<br />K
<br />5
<br />C
<br />X
<br />X OCCUR
<br />E %CESS LIABAB OCCUR
<br />DEDUCTIBLE
<br />X -
<br />C
<br />`
<br />NHA235891 �c515tr?ll t
<br />n
<br />n FttOf
<br />Clt`1
<br />07/0112014
<br />B
<br />07/01/2015
<br />EACH OCCURRENCE
<br />$ 5,666,666
<br />_
<br />AGGREGATE
<br />$ 5,000,600
<br />__
<br />-
<br />_
<br />g
<br />$
<br />RETENTION $
<br />I
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />A" PROPRIETORIPARTNEWEXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />',.
<br />NIA
<br />906360814
<br />07/01/2014
<br />07/01/2015
<br />„ \
<br />X WC STATU- OTH-
<br />TORY LIMITS ER
<br />__ _
<br />$ 1,006,666
<br />_
<br />E. L. EACH ACCIDENT
<br />E. L. DISEASE - EA EMPLOYEE
<br />$ 1,666,666
<br />f yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />l
<br />E, L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AHaah ACORD 101, Additional Remarks Schedule, if more space Is required)
<br />certificate holder is included as additional insured.
<br />CERTIFICATE HOLDER CANCELLATION
<br />©1988 -2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Parks, Recreation & Community
<br />tY
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Services Agency - M23
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />.•rf.0 "�,��'� "'�
<br />P.O. BOX
<br />Santa Ana, , CA CA 92702
<br />©1988 -2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />
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