CENTURY STRUCTURAL ENGINEERING CO., INC -2016

Home Browse Search

acoizn® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/)°o`YYY) L..../1 12/27/2016 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(ies) 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 NT CT Linnea Svensson. License # OK02022 NA Hall& Company PHONE .360-626-2023 FAX .360-598-3703 A/E Insurance Services 19660 10th Ave NE E-MAIL Isvensson@hallandcompany.com INSURERS AFFORDING COVERAGE NAIC# Poulsbo WA 98370 INSURER A:Liberty Insurance Underwriters Inc 19917 CLAIMS -MADE I x I OCCUR INSURED 1273 INSURERe:Travelers Property Casualty Company 25674 INSURER C: Century Structural Engineering Co Inc 24719 Narbonne Avenue MED EXP (Any one person) $5,000 Lomita CA 90717 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 137309184 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 INSURANCEADDLSUBR INBD VIVO POLICY NUMBER POLICY EFF MMIDDIYVYY POLICY EXP MMIDONYYY LIMITS B X COMMERCIAL GENERAL LIABILITY 6802H676069 9/20/2016 9/20/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE I x I OCCUR DAMAGE TO RENTED PREMISES Eacccurrence $1,000,000 MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JJECOT D LOC PRODUCTS - COMPIOP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 6802H676069 9/20/2016 9/20/2017Ea aoiLIMIT $1dant 000,000 BODILY INJURY (Par person) $ ANY AUTO ALLOWNED SCHEDULED BODILY INJURY(Pereaddect) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN I PER IIOH' STATUTE Eft ANY PROPRIETOR/PARTNERIEXECUTIVEF-1NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional Liab;Claims Made AEX2004830116 7/24/2016 7/24/2017 $1,000,000 Per Claim $1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is an additional insured per the attached. ry6 iia Y12 -h -7 lZeJt�61 City of Santa Ana Planning And Building Agency PO Box 1988 (M-19) Santa Ana CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE @ 1988.2014 ACORD CORPORATION. All ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD