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FLEMING INTERNATIONAL INC. - 2014
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FLEMING INTERNATIONAL INC. - 2014
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Last modified
5/30/2017 4:19:13 PM
Creation date
5/21/2015 12:57:42 PM
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Contracts
Company Name
FLEMING INTERNATIONAL INC.
Contract #
A-2014-273
Agency
FINANCE & MANAGEMENT SERVICES
Council Approval Date
10/21/2014
Insurance Exp Date
9/1/2016
Destruction Year
2021
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Client#: 1266412 <br />305FLEMIENV <br />ACORDn, CERTIFICATE OF LIABILITY INSURANCE <br />DATE 'Mu301'20'15 <br />04/30120yy <br />15 <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(les) 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 />BB&T Insurance Services <br />of Orange County <br />Katella Avenue Ste 1100-.9_.......-_.......-t__._._.........._._—..__........_._.__._..__..—.—..__.__...._....__._.._._._..... <br />Anaheim, CA 92806 <br />N EA Jan Eddy <br />-.—WE "-' -- iSAX----'-`--- <br />AC Ne Ext)_714.941 2956___-_....____-..._1Lq,�; 877-297.1116_ <br />E•Gp __jan _._jan.eddy@bbandt.com_ <br />INSURER(S) AFFORDING COVERAGE NAICN <br />INSURERA: Starr Indemnity & Liability Com <br />38318 <br />INSURED <br />Fleming Environmental Inc. <br />1372 East Valencia Drive <br />Fullerton, CA 92831 <br />_ <br />INSURER B; American States Insurance Co <br />19704 <br />INSURER c: Cypress Insurance Company <br />10655 <br />INSURER D: Travelers Property Casualty Co <br />""—'-- <br />25674 <br />--- <br />INSURER E <br />—_—..._—......_._—.....____r.—_t <br />ELATED <br />����I�EST aoccurrence <br />INSURER F <br />MED EXP( Any me. person) <br />$25,00,_ <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 REOUIREMEN r, TERM OR CONDITION OF ANY CONTRACTOR 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 />IN�ry ADDL SDBR_.___........___................_.._..._..._ ...POI,ay EFF_p'p--hI_�ICY �_g_p....___..._—_.....—......—._.._�...�..__......_. <br />LTR TYPE OF INSURANCE POLICY NUMBER_— fMMlap/YYYY ( FIR'YYVY _ LIMITS <br />A <br />GENERALLIABILITY <br />SISIEIL]0137414 <br />09/0112014 <br />09/01120le <br />EACHOCCURRENCE <br />$1 OOQ OOO <br />X COMMERCIAL GENERAL LIABILITY <br />GIAIMS-MADE 51 OCCUR <br />—_—..._—......_._—.....____r.—_t <br />ELATED <br />����I�EST aoccurrence <br />— <br />$300,000 <br />MED EXP( Any me. person) <br />$25,00,_ <br />PERSONAL &ADV INJURY <br />$1,000,000__ <br />X Pollution Liablilty _ -- <br />X <br />Professional Liab <br />GENERAL AGGREGATE <br />G-EN'L AGGREGATE LIMIT APPLIES PER: <br />PoucY K2 �� Loc <br />G1 <br />_12,000,000 <br />PRODUCTS-COMP/OP ACG_ <br />$2,000,000___ <br />BI/PD Ded: <br />$$5,000 Ded <br />�.. <br />B <br />_ -_._ -- <br />_ AUTOMOBILE LIABILITY <br />" <br />„" <br />„� <br />01 6I7208722 <br />__-- <br />09101/2014 <br />09101/2015 <br />COMBINED SINGLE LIMIT <br />EaALGdeng... <br />'1,0001000 <br />BODILY INJURY(Per parson) <br />----- <br />$ <br />X ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AU rOS <br />FION-OWNED <br />X FARED AUTOS X AUTOS <br />� <br />BODILY INJURY (Per accidenC <br />$ <br />PROPERTY DAMAGE <br />Per aecidanjj_ <br />$ _ <br />/.\ <br />UMBRELLA LIAR ,X OCCUR <br />SISIXNV71067214 <br />09/01/2014 <br />09/01/201 <br />EACI I OCCURRENCE <br />$51000,000 <br />X EXCESS CIAO _ CLAIMS -MADE <br />X RETENTION$O <br />_ <br />AGGREGATE __ _ <br />$5 OOO OOO <br />$ <br />Q <br />WORKERS COMPENSATION <br />ANDEMPLOVERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNER(EXECUTIVE— <br />OFFICETMEMBER EXCLUDED? �� <br />NIA <br />FLWC602152 <br />05/01/2015 <br />05/09/207 <br />X WC BTATU- OTH- <br />- E_L. EACFI ACCIDENT <br />$1 QQD QDQ <br />E.L. DISEASE - CA EMPLOYEE <br />$1000 000 <br />(Mandatory In NH) <br />_ <br />D <br />IF yes, describe under <br />DESCRIPTION OF OP_ERATIONSb_elow <br />Rented/Leased — <br />___-- __— <br />4766066II6M19ATIL14 <br />09/01/2014 <br />_ <br />09101/20.15 <br />$1 <br />EL. DISEASE -POLICY LIMIT 10001900___ <br />$1,000 Deductible <br />Equipment <br />$160,000 Max Per Item <br />DESCRIPTION Or OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more spnce Is required) <br />RE; RFP #13064 Site Improvements for New Propane Fueling Station . Santa Ana Corporate Yard. <br />City of Santa Ana, its officers, agents and employees are named as additional insured as respects general <br />liability, and this Insurance is primary and noncontributory with any other Insurance of the additional <br />Insured as required by written contract, per attached endorsement(s). <br />FLEMING ENVIRONMENTAL A-2014-273 REVIEWED BY:. EUNICE HEREDIA (PG 1 OF 2) <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza M-16 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010105) 1 of 1 <br />#S14'105508/M14105427 <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 />Aifi <br />O 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />KAVON <br />
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