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ACE CD, Inc. (EL SALVADOR PARK IMPROVEMENTS)
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ACE CD, Inc. (EL SALVADOR PARK IMPROVEMENTS)
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Last modified
10/10/2024 11:13:12 AM
Creation date
9/21/2015 3:49:44 PM
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Contracts
Company Name
ACE CD, Inc. (EL SALVADOR PARK IMPROVEMENTS)
Contract #
14-7540
Agency
Public Works
Council Approval Date
7/7/2015
Expiration Date
3/4/2016
Insurance Exp Date
1/3/2016
Destruction Year
2020
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A� o® CERTIFICATE OF LIABILITY INSURANCE <br />7/1 TE(MMI DNYYY) <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 />Brown & Brown Insurance Brokers of Sacramento, Inc <br />P. s Box 61904356 -9043 38004 <br />Roseville CA 95661-9043 <br />CONTACT <br />NAME:PHONE <br />egl. 916-630-8643 F"c . 800-783-0083 <br />EMAIL <br />INSURERS AFFORDING COVERAGE <br />NAIC N <br />1/30/2015 <br />INSURERA:Starr Surplus Lines Ins. Co. <br />13604 <br />DAMAGETORE RIrD <br />PREMISES Ea occurrence $100,000 <br />INSURED DDSYS-1 <br />INSURER B <br />D D Systems Inc. <br />dba: Ace CD Inc. <br />INSURER C: <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS- COMP/OP AGG $2,000,000 <br />$ <br />1199 Englewild Dr <br />INSURER D: <br />LIABILITY <br />ANY AUTO <br />AU OS SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />NSURER E: <br />Glendora CA 91741 <br />NSURER F: <br />EM$a <br />COVERAGES CERTIFICATE NUMBER: 964626688 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 />rypE OF INSURANCEADDLSUBR <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYYJ <br />LIMITS <br />A <br />1,C70MMERCIAL <br />GENERAL LIABILITY <br />CLAIMS-MADEOCCUR <br />Y <br />Y <br />SLPGGL0313500 <br />1/30/2015 <br />1/30/2016EACH <br />OCCURRENCE $1,000,000 <br />DAMAGETORE RIrD <br />PREMISES Ea occurrence $100,000 <br />GEN'L <br />X <br />MED EXP (Any one person) $5,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />PNOLICY E JECT I� PRO- ILOC <br />OTHER', <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS- COMP/OP AGG $2,000,000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />AU OS SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />EM$a <br />BODILY INJURY (Per person) $ <br />BOD LY INJURY Per accltlent $ <br />( ) <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />H <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED <br />RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y 1 N <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFIC ERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />STATUTE ER <br />E, L. EACH ACCIDENT $ <br />E. L. DISEASE - EA EMPLOYEE $ <br />EL. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additions Remarks Schedule, may be attached if more space is required) <br />Certificate holder is included as an Additional Insured under Commercial General Liability policy per endorsements CG 20 10 10 01 & CG 20 <br />37 1001, <br />Re: Project No: 14-7540- EI Salvador Park Improvements <br />CERTIFICATE HOLDER CANCELLATION <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />PO Box 1988 M-22 <br />Santa Ana CA 92702 <br />AUTHOOZED REPRESENTATIVE <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
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