INTERIOR DEMOLITION, INC.-2017 - Laserfiche WebLink

Home Browse Search

A� " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD8 YY) 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 HUB International Insurance Services Inc. License #0757776 CONTACT NAME: Cheri Greco PHONE FAX A/C No Ext): 916-480-4153 A c No : 916-993-7253 3636 American River Drive, Suite 200 A DRESS: Cheryl.Greco@hubinternational.com Sacramento CA 95864 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Arch Specialty Insurance Company 21199 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 INSURED INTEDEM-01 Interior Demolition Inc INSURER B: Redwood Fire and Casualty Insurance Company 11673 2621 Honolulu Ave. INSURER C: INSURER D, Montrose CA 91020 INSURER E: B INSURER F: LIABILITY ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS D COVERAGES CERTIFICATE NUMBER: 2067742628 REVISION NUMRFR- 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. (LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER POLICY EFF MM/DD�Y LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR i Contractors Poll Y 12 EMP 71972 07 6/4/2018 6/4/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 X-1 Profess. Liab PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � PEC LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS D 01 APM004498-05 6/4/2018 6/4/2019 COBINED SINGLE LIMIT Ea Maccident -$1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LAB EXCESS LIAB XJ OCCUR CLAIMS -MADE 12 EMX 71973 07 6/4/2018 6/4/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 I DED ! RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Work performed by the named insured under written contract by the certificate holder. Additional Insured: City of Santa Ana where required by written contract. Forms: EMP010100 0114, EMP006200 0504 REVIEWED BY: EUNICE HEREDIA (PG I OF3) 71 I;tKIIt-ILA It NULILl GANGtLLAIIUN City of Santa Ana 20 Civic Center Plaza - Ross Annex (M) Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE lcfiriEl 91988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD