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DULAC ENTERPRISES (DBA BIG RED BUS)-2017
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DULAC ENTERPRISES (DBA BIG RED BUS)-2017
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Last modified
7/13/2017 3:59:32 PM
Creation date
2/22/2017 9:24:40 AM
Metadata
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Contracts
Company Name
DULAC ENTERPRISES (DBA BIG RED BUS)
Contract #
A-2017-011
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
1/17/2017
Expiration Date
1/28/2018
Insurance Exp Date
4/11/2018
Destruction Year
0
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ACC)R V CERTIFICATE OF LIABILITY INSURANCE <br />4114E(MMI DIYY" <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 />TIB Transportation Ins Brokers <br />425 West Broadway, Suite 400 <br />Glendale CA 91204 <br />CONT CT <br />Arc Jaure ui <br />PHONE FAX <br />, 818-246-2800 A . 818-246-4690 <br />EMAIL DDRESS. ajauregui@tibinsurance.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />4/11/2017 <br />INSURERA:The Burlington Insurance Co <br />EACH OCCURRENCE $1,000,000 <br />INSURED BIGRE-1 <br />INSURERH:SCOttsdale Insurance Company 41297 <br />INSURERC:General Star Indemnity Co 37362 <br />Dulac Enterprises dba: Big Red Bus <br />James Dulac <br />GENERAL AGGREGATE $2,000,000 <br />4140 Paramount Blvd„ <br />INSURER D <br />INSURER E; <br />Lakewood CA 90712 <br />INSURER F : <br />Y <br />COVERAGES CERTIFICATE NUMBER: 1285649919 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MM1DD[YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />Y <br />907BW39370 <br />4/11/2017 <br />41111201$ <br />EACH OCCURRENCE $1,000,000 <br />DAMA E TO RENTED <br />PREMISES Ea occurrence $100,000 <br />MED EXP (Any one person) $1,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICYPRO- ❑ LOC <br />JECT <br />OTHER: <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMPIOP AGG $2,004,000 <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />Y <br />CA50102437 <br />6/1512016 <br />6/16/2017 <br />COMBINED SINGLE LIMIT$ <br />Ea accident 1,000,000 <br />BODILY INJURY (Per person) $ <br />L <br />BDIY INJURY Per accident <br />O ( ) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />C <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />Y <br />IXG419167B <br />6/16/2016 <br />6/16/2017 <br />EACH OCCURRENCE $4,000,000 <br />AGGREGATE $ <br />DED RETFN70M $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETORIPARTNERIEXECUTIVE❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N 1 A <br />PEROTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E, L, DISEASE - FA EMPLOYE $ <br />E. L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Certificate holder is included as additional insured as respects the operation of the named insured. <br />Gyp Zp,��l <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />ACO RD 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 />REPRESENTATIVE <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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