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B&R BIRCHLER INVESTMENT CORP. DBA EDINGER 76-2016
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B&R BIRCHLER INVESTMENT CORP. DBA EDINGER 76-2016
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Last modified
2/4/2016 2:27:16 PM
Creation date
2/4/2016 2:26:24 PM
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Contracts
Company Name
B&R BIRCHLER INVESTMENT CORP. DBA EDINGER 76
Contract #
N-2016-011
Agency
COMMUNITY DEVELOPMENT
Expiration Date
5/6/2016
Insurance Exp Date
4/16/2016
Destruction Year
2021
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B&RBI-1 OP ID: J1 <br />m CERTIFICATE OF LIABILITY INSURANCE aA12124115 I <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Wan ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />PRODUCER 949 - <br />Roger Stone Insurance Agency 949- <br />5015 Birch Street <br />Newport Beach, CA 92660 <br />INSURED B&R Birchior Investment Corp. <br />DBA: Edinger 76 <br />1502 E. Edinger AVG. <br />Santa Ana, CA 92705 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />_ _ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INT -- ADD -- POLWYE F I YEXP <br />LTR TYPE OF INSURANCE POLICY NUMBER MM1061YYYY LMM1DDtYYYY LIMITS <br />_ <br />GENERAL LIABILITY EACH OCCURRENCE S <br />1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY X CP6006626207 04116115 04116/16 OAWAJiES Ea <br />300,04 <br />onoccsarrernm '$. <br />CLAIMS -MADE OCCUR MED END(Anye person} J$ <br />5,00 <br />PERSONAL &ADV INJURY $ <br />.1,000,00 <br />GENERAL AGGREGATE $ <br />2,000,000 <br />GENLAGGREGATE LIMITAPPLIES PER, PRODUCTS - COMP/OP AGO $ <br />2,000,000 <br />X POLICY PRO Loc Emp Ben. $ <br />None <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />Es accitlent $ <br />1,000000 <br />_ , <br />A ANY AUTO ACP3006628207 04/16/15 04/16/16 BODILY INJURY (Per Person) $ <br />ALL OWNED SCHEDULED BODILY INJURY (Per accitlent) $ <br />AUTOS AUTOS <br />NON -OWNED PROPERTY DAMAGE $ <br />X HAEOAUT(1S X AUTOS Peraccident <br />UMBRELLA UAa OCCUR EACH OCCURRENCE <br />EXCESS LAID CLAIMS -MADE AGGREGATE $ <br />DEO RETENTION$ S <br />WORKERS COMPENSATION X WCSTATU- OTH- <br />ANDEMPLOYERS'LWBILITYTORY <br />B ANY PROPRIE]OWPARTNER/EXECUTIVE YIN GCN1520872 12131/14 12131115 E.L EACH ACCIDENT S <br />EXCWDED4 N/A <br />1,000,000 <br />OFFICERIMEMBFR <br />(Mandatory in NH) EL.DISEASE -EAEMPLOYFF $-' <br />1,000,000 <br />If mch'sa be under <br />DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ <br />1,000,000 <br />A Property Section ACP3006826207 04/16/15 04/16/16 BUILDING <br />700,000 <br />BPP <br />130,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101, Additional Remarks Schedule, If more spaco Is required) <br />RE: All covered operations <br />Certificate Holder is named Additional Insured as respects General Liability <br />per endorsement to follow. <br />CERTIFICATE HOLDER CANCELLATION ^� <br />CITYSAN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Cit of Santa Ana <br />City ACCORDANCE WITH THE POLICY PROVISIONS. <br />Community Development Agency;{ <br />O <br />Economic Development Division AUTHORREserlrAnvE �Irr,111N'.\; <br />�y <br />1000 E. Santa Ana Blvd. #200 <br />Santa Ana, CA 92701 yo"" <br />V� <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and Io o are registered marks of ACORD <br />Exhibit C <br />
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