IPC FUEL DISTRIBUTION, INC. - 2016

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�� p® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) v2z1zo1s 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(les) 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 Marsh Risk & Insurance Services 17901 Von Kerman Avenue, Sulte 1100 (949) 399-5800; License #0437153 Irvine, CA 92614 CONTACT NAME; A/CNNo Ext), FAX No EMAIL ADDRESS: L. Lambey MARLW1600330 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Aspen Insurance Uk Ltd 1120337 TBD -Mar-1-Mar-16-17 INSURED IPC (USA), INC INSURER B INSURER C: ATTN: RAHUL JAIN TEL.NO. 949-648-5677 4 HUTTON CENTRE DRIVE, SUITE 700 INSURER D $ 10,000 SANTA ANA, CA 92707 INSURER E: INSURER F: $ 1,000,000 COVERAGES CERTIFICATE NUMBER: LOS�002048984-01 REVISION NUMBER:6 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 ADDL SUER POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LA_]PREMIDAMAOCCUR X L. Lambey MARLW1600330 11/0312016 1110312017 EACH OCCURRENCE $ 1,000,000 TO ES( RENTED PREMISES Ea occurrence) $ 1,000,000 MED EXP Any one person) $ 10,000 GEN'L X PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ] JECT PRO- E]LOGPRODUCTS OTHER: GENERAL AGGREGATE $ 2,000,000 - COMPIOPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) tP ( ) $ PROPERTY DAMAGE Per accident $ Is UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER7EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A Marine Liability MARLW1600330 1110312016 1110312017 Pollution 1,600,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Santa Ana is named as Additional Insured. The City will be mailed 30 days written notice of policy cancellation' CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Purchasing Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa And,, CA 92701 AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services L. Lambey © 1988-2014 ACORD r'DRPOION. All rig s reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ')j�/pl+ 1