CENTURY STRUCTURAL ENGINEERING CO., INC -2016

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Click here to clear Form Click here to Send Form ACORD,N CERTIFICATE OF LIABILITY INSURANCE INSR LTR ADO' S 12/291MIDDIYYYY) 2/29/2016 PRODUCER POLICYEFFECTIVE DATE(MMIDDIYYi THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LIN ASSOCIATES INSURANCE AGENCY 24705 NARBONNE AVE, #200 LOM ITA, CA 90717 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 50 SHALL _ LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR INSURERS AFFORDING COVERAGE NAIC# INSURED EACH OCCURRENCE INSURERA: THE HARTFORD 29459 CENTURY STRUCTURAL ENGINEERING CO. INC. INSURER 8: DAMAGaTORENTED PREMISC_S Ca=urence 24719 NARBONNE AVE LOMITA, CA 90717 INSURER c: ry1EDEXNAPer800 $ Wv` INSURERO: _ PERSONAL&ADVL4AOV INJURY $ INSURERE: ' GENEftALAGGREGATE COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADO' S FOR EVIDENCE OF COVERAGE ONLY POLICY NUMBER POLICYEFFECTIVE DATE(MMIDDIYYi POLICY EXPIRATION OATEIMMIDDIYYI LIMITS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 50 SHALL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR IMPOSE NO OBLIGATION OR LIABILITY Opr .NY KI�C'ME-(,jN THE INSURER, ITS AGENTS OR ,— EACH OCCURRENCE $ DAMAGaTORENTED PREMISC_S Ca=urence $ri ry1EDEXNAPer800 $ Wv` _ PERSONAL&ADVL4AOV INJURY $ GENEftALAGGREGATE $ GEN'LAGGREGATE POLICY LIMIT APPLIES PER: .. PRO- LOC PRODUCTS-COMP(OPAGG $1-1 Y I' --��I ❑ AUTOMOBILE LIABILITY ANYAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS r COMBINED SINGLE LIMIT lEa accidenp ___ $ !J— I -----•--i L••�••� (Pere BODIP `enn))URV $ j ��^-—_-----i Le�e..1 p-----�•—'ry 1 I ��I I�1� SOOILYINJURY Foraccldenl) $ �I�� PROPERTYDAMAGE $ ❑ GARAGE LIABILITY 7-1 '. ANYAUTL D AUTO ONLY, EA ACCIDENT _$ � E== OTHERTHAN EA ACC... AUTOONLY: AGO $_ - $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ L. .�.�J I L LI.� EACHOCCURRENCE $ AGGREGATE _ $ ISI 1_�_I I1��.�1 I_,I —A. .... �""""""""'"""J 1--- $ $ A WORKERS COMPENSATION AND WORKE9MPLOrS QOMABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED If yes, describe under SPECIAL PROVISIONS below 57WECDW3167 01/18!2015 r0'1/18�/2017��-1 1 i ✓ WC STATU- oni- WQc'YS:IMJTI5- 57WECOW3167 01/1812017 ... _.... 01/18/2018 E. L. EACH ACCIDENT $ 1,0000000 E.L. DISEASE -EA EMPLOYEE _ $ 1,000000 0 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER u DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMCNT / SPECIAL PROVISIONS ,n CERTIFICATE HOLDER L CANCELLATION ACORD 25 (2001/08) �� `�'" OACOOD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION FOR EVIDENCE OF COVERAGE ONLY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN PLANNING AND BUILDING AGENCY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 50 SHALL CITY OF SANTA ANA ATTN: MARIO ESPINDOLA IMPOSE NO OBLIGATION OR LIABILITY Opr .NY KI�C'ME-(,jN THE INSURER, ITS AGENTS OR ,— REPRESENTATIVES.. AUTHORIZED REPRESENTATIVE -%--"• _ FLIN ASSOCIAT S INSURANr_�`"Ey,-, ACORD 25 (2001/08) �� `�'" OACOOD CORPORATION 1988