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WEBER WATER RESOURCES, LLC-2016
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WEBER WATER RESOURCES, LLC-2016
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Last modified
12/29/2016 8:32:53 AM
Creation date
12/29/2016 8:31:16 AM
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Contracts
Company Name
WEBER WATER RESOURCES, LLC
Contract #
A-2016-312
Agency
PUBLIC WORKS
Council Approval Date
11/15/2016
Insurance Exp Date
5/1/2017
Destruction Year
0
Document Relationships
WEBER WATER RESOURCES, LLC
(Amended By)
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ACORH CERTIFICATE OF LIABILITY INSURANCE <br />lkoi <br />rDATE <br />12/6/2016Dmnv) <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 endorsements . <br />PRODUCER <br />Lovitt & Touche' Inc - Tempe <br />1050 West Washington St, #233 <br />Tempe AZ 85281 <br />NAMEACT Sandy Coons, CISR <br />PHONE 602-986-2250 FAX 602-956-2258 <br />c "° <br />ao AILBESS. scoons@lovitt-touche.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />V <br />INSURERA:Zurich American Ins Cc <br />'16535 <br />EACH OCCURRENCE <br />INSURED WEBER -7 <br />INSURER B:TravelersProperty Casualty CcofA <br />',25674 <br />Weber Water Resources CA, LLC <br />237 W Orange Show Lane <br />San Bernardino CA 92408 <br />INSURER C:'' <br />INSURER D: <br />IX <br />INSURER E, <br />$100,000 <br />INSURER F : <br />$10,000 <br />COVERAGES CERTIFICATE NUMBER. 2144497151 RFVISION NIIMFi <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 />TYPE OF INSURANCE <br />ADOLSUBR <br />INSD <br />Me <br />POLICY NUMBER <br />POLICYEFF 1 POLICYEXP <br />MMIDOIYYYY I MMIDDIYYVYI <br />LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />V <br />GL03889012 <br />5/1/2016 �'5/1/2017 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE OCCUR <br />IX <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$100,000 <br />MED EXP (Any one person) <br />$10,000 <br />Contractual Llab <br />PERSONAL If ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />POLICY [ X ] jEOT E] LOC <br />PRODUCTS-COMPIOPAGG <br />$2,000,000 <br />I <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />Y <br />Y <br />BAP3889011 <br />X5/1/2016 <br />511/2017 <br />COMB I NED SI HOLE 01 <br />(Ee accident <br />$1,000,000 <br />BODILY NJU RV(Perparson) <br />$ <br />X ANY AUTO <br />AUTOS NED SCHEDULED <br />$HIRED <br />AUTOS X NON-OWNEDERTY <br />DAMAGE <br />ccldsnt) <br />F <br />$AUTOS <br />IS <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />ZUP15R7391716NF <br />5/1/2016 <br />5/1/2017 <br />EACH OCCURRENCE <br />$10 000,000 <br />AGGREGATE <br />$10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION$0 <br />$ <br />A <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY YIN <br />ANYCERIMEMBEREXCL ERIEXECUTIVE ❑ <br />R/MEMBER EXCWOEO? N <br />NIA <br />y <br />WC3889013 <br />5/1/2016 5/1/2017PER <br />'ET'_ <br />'X STATUTE ER <br />EL EACH ACCIDENT <br />$1,000,000 <br />EL DISEASE - EA EMPLOYE <br />$1,000,000 <br />(Manda NH) <br />es <br />If describe under <br />Dyes, IPTI N OF O <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space is required) <br />Certificate Holder and owner (if applicable) are additional insureds as respects general liability, <br />automobile liability and excess liability if required in a written contract. Waiver of .Subrogation <br />applies to the general liability, auto liability, excess liability and workers compensation if required <br />in a written contract. The general liability and automobile is primary and certificate holder's <br />insurance is non-contributory if required by written contract. Certificate Holder will be given 30 days <br />notice of cancellation with the exception of 10 day notice for non-payment of premium. (Per <br />See Attached... <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 />Santa Ana Water Resources Division <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Rudy Rosas <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />220 S. Daisy Ave (M-85) <br />Santa Ana CA 92703 <br />AUTHORIZED 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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