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IPC FUEL DISTRIBUTION, INC. - 2016
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IPC FUEL DISTRIBUTION, INC. - 2016
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Last modified
2/6/2017 10:42:53 AM
Creation date
2/3/2017 4:54:10 PM
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Contracts
Company Name
IPC FUEL DISTRIBUTION, INC.
Contract #
A-2016-370
Agency
FINANCE & MANAGEMENT SERVICES
Council Approval Date
12/20/2016
Expiration Date
12/31/2017
Insurance Exp Date
4/1/2017
Destruction Year
0
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AcoRbr CERTIFICATE OF LIABILITY INSURANCE <br />ik-. <br />DATE(MMIDDIYYYY) <br />11/22/2016 <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 endorsement(s). <br />PRODUCER <br />Andral & Company -South Coast <br />One MacArthur Place, Suite 100 <br />Santa Ana CA 92707 <br />CONTACT <br />NAME: <br />PHONE 714-327-1400 FAX .714-327-1499 <br />-MAIL <br />EADDRESS <br />INSURERS AFFORDING COVERAGE <br />NAIC 4 <br />X <br />INSURER A:Plaza Insurance ConnpanrV <br />30945 <br />INSURED SWAIN -1 <br />INSURER ill of London <br />4/1/2017 <br />Swain Oil Transport Inc. <br />Vista Energy anDiego sportMission <br />10981 San Diego Mission Road <br />Suite#105 <br />INSURER C: Insurance Company of the West <br />INSURER D: Landmark American Ins. Co. <br />33138 <br />INSURER E: Endurance American Specialty <br />41718 <br />San Diego CA 92108 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER. 758499712 REVISION NUMBER: <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 />INSRPOLICY <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />EFF <br />MM/DD/YYYY) <br />POLICY EXP <br />(MMIDD/YYYYI <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />Y <br />PFHR000788300 <br />4/1/2016 <br />4/1/2017 <br />EACH OCCURRENCE <br />$1,000,000 <br />ET RENTED <br />PREMI <br />PREMISES Ea occurrence <br />$100,000 <br />MED EXP (Any one person) <br />$5,000 <br />PERSONAL& ADV INJURY <br />$1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY E] PRO- ❑ <br />JECT LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L <br />X <br />PRODUCTS - COMP/OP AGG <br />$2,000,000 <br />Pollution <br />$100,000 <br />OTHER. <br />A <br />AUTOMOBILE <br />LIABILITY <br />PFHR000788300 <br />4/1/2016 <br />4/1/2017 <br />COMBINEINGLE uMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />X <br />AUTOWNED SCHEDULED <br />BODILY INJURY (Per accident) <br />$ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />Trailers <br />$ <br />e <br />X <br />UMBRELLA DAe <br />X <br />OCCUR <br />28RENMA150005509249301 <br />4/1/2016 <br />4/1/2017 <br />EACH OCCURRENCE <br />$6,000,000 <br />EXCESS UAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED RETENTION <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORPARTNER/EXECUTIVEE.L. <br />OFFICEWMEMBER EXCLUDED? F-1 <br />NIA <br />WPL503327400 <br />4/1/2016 <br />4/1/2017 <br />PER <br />'X STATUTE ER <br />EACH ACCIDENT <br />$1,000,000 <br />E, L, DISEASE - EA EMPLOYE <br />$1,000,000 <br />(Mandatory in Ni <br />If yes, describe under <br />E. L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />D <br />E <br />A <br />Excess Liability <br />Excess Liability <br />Motor Truck Cargo <br />LHA239898 <br />ELD30000078800 <br />PFHR000788300 <br />4/1/2016 <br />4/1/2016 <br />4/1/2016 <br />4/1/2017 <br />4/1/2017 <br />4/1/2017 <br />Each Occurrence $3,000,000 <br />Each Occurrence $10,000,000 <br />Each Occurrence $50,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana, it's officers, employees, agents, and representatives are named as additional <br />insured as per respects to above stated insured's policy per attached CG 20 26 04 13 form. <br />City of Santa Ana <br />Finance & Mgmt. Svcs. Agency <br />20 Civic Center Pfaza <br />M-16 <br />Santa Ana CA 92702 <br />ACORD 25 (2014101) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />The ACORD name and logo are registered marks of ACORD <br />All rinhfs rRsarvad. <br />
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