My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
DEKRA-LITE (3) - 2015
Clerk
>
Contracts / Agreements
>
D
>
DEKRA-LITE (3) - 2015
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/8/2016 11:19:49 AM
Creation date
9/28/2015 10:20:53 AM
Metadata
Fields
Template:
Contracts
Company Name
DEKRA-LITE
Contract #
N-2015-155
Agency
Community Development
Expiration Date
8/31/2015
Insurance Exp Date
4/8/2017
Destruction Year
2020
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
67
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
CERTIFICATE OF LIABILITY INSURANCE <br />L � <br />DATE (MMIODIYYYY) <br />10/6/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed, If SU13ROGRATION IS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br />not confer rights to the certificate holder In lieu of such endorsement($). <br />PRODUCER OnPolnt Underwriting Inc. <br />CONTACT NAME: Steven McComb <br />8390 E Crescent Pkwy, Suite 200 <br />- - <br />PHONE (A/C, No FA): (360) 828.0644 � FAX (AIC, NO): {360) 828.0699 <br />Greenwood Village, CO 80111 <br />------ m �_ ._.._..... -- ... - ...._. <br />EMAIL ADDRESS: <br />1W0 <br />OER � <br />. . INSURER (S) AFF RDING COVERAGE NAIC # <br />(MWDDNYYY) <br />• ., r ....... ......- - --- -- ...... ... ....... ,._ <br />INSURER A ACE American Insurance Company 22667 <br />INSURER B: <br />INSURED <br />Barrett Business Services, Inc, L10F <br />INSURER C: <br />._ -- -- <br />DEKRA -LITE INDUSTRIES, INCORPORATED <br />INSURER. D: <br />3102 W ALTON AVE <br />INSURER E: <br />SANTA ANA, CA 92704 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUES OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICYKUMBER <br />POLICYEFF <br />POLICY9XP <br />LIMITS <br />LTR <br />INSR <br />1W0 <br />(MWDDNYYY) <br />(MMlDOMW) <br />DENERAL LIABILITY <br />EACH 000URRENCE <br />5 <br />COMMERCIAL GENERAL. LIABILITY <br />DAMAGE TO RENTEO PREWOSES (FA <br />CLAIMS-MADE E] OCCUR <br />oocutence) <br />S <br />MEDEXP(Anywwlorson) <br />S <br />PERSONAL &ADVINJURY <br />$ <br />GENERALA4GREGATE <br />S <br />GEN'L AGGREGATE. LIMIT APPUESPER; <br />PRODUCTS • COMPIOP AGO <br />$ <br />POLICY PRU!• LOC <br />S <br />ECT <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />5 <br />BODILY INJURY (Par person) <br />S <br />ALL OWNED AUTOS SCHEDULED AUTOS <br />BODILY INJURY (Per occkknt) <br />S <br />HIRED AUTOS NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />S <br />5 <br />UMBRELLA I" <br />OCCUR <br />EACHOCCURRENCE <br />; <br />EXCESS LUIB <br />OCCUR <br />AGGREGATE <br />S <br />OED <br />RETENTIONS <br />5 <br />A <br />WORKERSCOMPENSATION AND EMPLOYERS' <br />LIABILITY YIN <br />RWC <br />048533085 <br />10101116 <br />10101/2016 <br />wCSTATU <br />TORYUES_J <br />OTH• <br />ER <br />E.L. EACH ACCIDENT <br />S2,000,0m <br />ANY PROPRIETO"ARTNERI EXECUTIVE Y <br />OFFICERIMEMBEREXCLUDED? <br />�MAndatay In NH) If ya% desedba under <br />ESCRWTICHOF OPERATIONS betow <br />N 1 A <br />Covered stales: <br />CA <br />E,L. DISEASE .EAEMPLOYEE <br />$2,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />S2,000,000 <br />CESCRHMTION OF OPERATIONS I LOCATIONSI VEHICLES (Allach ACORD 101, Addiiianal Remarks fto* 0, if more space Is rug4AM41 <br />In the event of any payment under this policy for a Lass for which the named Insured has waived the right of recovery in a Wrgeen contrail �r�(ered In- to prior to <br />the Loss, Insurer hereby agrees to also waive our right of recovery but only with respect to such Loss.�r,�� <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City Of Santa Ana <br />EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY <br />20 CIVIC Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />Richard Poling <br />ACORD 25 (2010105) <br />c) 1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD namo and logo are registered marks of ACORD. <br />
The URL can be used to link to this page
Your browser does not support the video tag.