ALL AMERICAN ASPHALT (3) - Laserfiche WebLink

Home Browse Search

ACORO® CERTIFICATE OF LIABILITY INSURANCE °OATS 1(072o19y THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(fes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CA LIC OB29370 1-925-244-7700 Edgewood Partnere Insurance Centers (EPIC) [Inland Empire - Branch IO 145421 P.O. Box 5003 NCONTACT AME' Certificates Department PHONE FAX . (925) 244-7700 AIC No: (925) 901-0671 EDOAIL S' EPICcerts@epicbrokers.com INSURERS AFFORDING COVERAGE MAIC s INSURER ARCH SPECIALTY INS CO 21199 San Ramon, CA 94583 INSURED INSURER ZURICH AVER INS CO 16535 All American Asphalt INSURER NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURER O. P.O. Box 2229 INSURER E 1 INSURER F: Corona, CA 92878-2229 COVERAGES CERTIFICATE NUMBER: 44516150 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADEL INAD SUBR MO POLICYNUMBER POLICY EFF MMIDDA'YYY POLICY EXP MMIODNWY LIMITS A % COMMERCIAL G1115ML LIABILITY GPPOO2265807 08/01/15 08/01/16 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE T OCCUR DAM GE TO RENTED 100,000 PREMISES Ea Occurrence $ MED EXP (Anyone person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY [�] JECT LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER B AUTOMOBILE LIABILITY BAP557108803 08/01/15 08/01/16 COMBINED SI NGLE LI MIT $ 2,000,000 Ee accident X ANY AUTO I BODILY INJURY (Per person) $ ALL OWNED F7SCHEDULED AUTOS AUTOS 'BODILY INJURY (Per acotlen0 $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE $ Per domin nt $ C UMBRELLA LIAR X OCCUR BE11665655 08/01/15 08/01/16 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE 'AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 IFollowing-Form $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERTXECUTME VIN OFFICERIMEMBER EXCLUDED'F NIA NC593205702 08/01/15 OB/O1/16 X PER ETH EL EACH ACCIDENT $ 11000,000 (Mandatory In NH) EL DISEASE - EA EMPLOYE $ 1,000,000 , describe under if "kDESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached a more space Is required) Project 015-6839 / RE: Local Street Slurry Seal 2014-15 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014101) sleles-ont 44515150 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Rose Annex (V-22) Banta Ana, CA 92701 TI{;��•_— USA ACORD 25 (2014101) sleles-ont 44515150 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD