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DEKRA-LITE (3) - 2015
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DEKRA-LITE (3) - 2015
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Last modified
7/8/2016 11:19:49 AM
Creation date
9/28/2015 10:20:53 AM
Metadata
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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
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Acoad CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MNVDD/YYYY) <br />10/512015 <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(les) must be endorsed. If SUBROGRATION 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(s). <br />PRODUCER OnPoinl Underwriting Inc. <br />CONTACT NAME: Steven McComb <br />8390 E Crescent Pkwy. Suite 200 <br />PHONE (A/C No Exq (360) 828 -0644] FAX (A/C, NO): (360) 828.0698 <br />Greenwood Village, CO 80911 <br />-- - - -- <br />EMAILADDRESS: <br />INSURER( S) AFFORDING COVERAGE NAICp <br />IWO <br />INSURER A: ACE American Insurance Company 22887 <br />INSURER B: <br />INSURED <br />Barren Business Services, Inc. LJC /F <br />INSURER C: <br />OEKRA•LTfE INDUSTRIES, INCORPORATED <br />INSURER D: -�- <br />3102 WALTON AVE <br />INSURER E: - <br />SANTA ANA, CA 92704 <br />INSURER R <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 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 />ADOL <br />SUER <br />POLICYNUMOIR <br />POUCYEFP <br />POLICY EXP <br />LIMBS <br />LTR <br />INSH <br />IWO <br />(MMMONM) <br />(MMMONYYY) <br />GENERALUADILRY <br />EACH OCCURRENCE <br />S <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED PREMISES Ism <br />CLAIMSMADE ®OCCUR <br />oavrenoa) <br />S <br />NED EXP(AnyO person) <br />S <br />PERSONAL B ADV IWURY <br />S <br />GENERALAGOREOAIE <br />g <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGO <br />f <br />POLICY PROJ- LOC <br />E <br />17 ECT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Es mctden0 <br />f <br />AL UT05 MSCHEOULEDAUrCkS <br />BODILYIWURYIPr N ) <br />f <br />HIRED AUTOS NON-0YMED AUTC S <br />BODILYIWURY(Pa McIdM ) <br />S <br />PROPERTY DAMAGE <br />E <br />f <br />UM MLA LMB <br />OCCUR <br />EACHOOCURRENCE <br />S <br />EXCESS MAS <br />OCCUR <br />AGGREGATE <br />S <br />DEG I <br />I RETENTIONS <br />S <br />A <br />WORKERS COMPENSATION AND EMPLOYERS' <br />LIABILITY YIN <br />RWC. <br />048533086 <br />101OViS <br />1010112018 <br />WC STATU- <br />TORYUMITS <br />OTH• <br />ER <br />E.L. EACH ACCIDENT <br />$?000,000 <br />ANY PROPRIETOPJPARTNEN EXECUTIVE Y <br />OFFICENMEMSER EXCLUDED? <br />(Ninths" in NH) B yes. dnealba undo, <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />Covered elates: <br />CA <br />BL. DISEASE - EA EMPLOYEE <br />E2,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$Z,p00,000 <br />OESCRPTION OF OPERATIONS /LOCATIONS /VEHICLES (ASedl ACORD 101, Adito.W Ram Sa,edWe, H oboes is regV n <br />In the event of any payment under this policy for B Loss for which the named Insured has waived the right of recovery In a written Contract entered Into prior to <br />the Loss, Insurer hereby agrees to also waive our right or recovery but only with respect to such Loss. !jam <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />EXPIATION DA ONSHEREOF, 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 />C) 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD. <br />
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