ACCO ENGINEERED SYSTEMS-2017 - Laserfiche WebLink

Home Browse Search

e r r^ CERTIFICATE OF LIABILITY INSURANCE DATE01 4'/0201vYYy' THIS CERTIFICATE I$ 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Insurance Services West, Inc, Los Angeles CA Office CONTACT pp 0 E (066) 203-7122 FAX (800) 363-0105 (P1C.No. EXq; AIC. ND.: 707 Wilshire Boulevard Shite 2600 EMAIL ADDRESS; LOS Angeles CA 90017-0460 USA INSURERS) AFFORDING COVERAGE NAIC# INSURED INSURERA; XL Insurance America Inc 24$54 ACCO Engineered Systems, Inc. GSan Fernando Road Glendale dale CA 91201 USA INSURER B: Greenwich insurance company 22322 INSURER C: Indian Harbor Insurance company 36940 p Y INSURER D: Berkley Assurance Company 39462 INSURER E; �- PREMISES Ca ocrureenco INSURER P; GVVERALBCS ut- IHFIGAIt NUMLstrt: 07UUDlitlDOb2 REVISION NUMBER: 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 SEEN REDUCED BY PAID CLAIMS. Limps shown are as requested INSIR LT TYPE OF INSURANCE INSO We IR POLICY NUMBER MM ODMIYY MWDPOLI�IYYYY Y EXP LIMITS a X COMMERCIAL GENERAL LIABILITY RGD 0 Ul 1010112017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR �- PREMISES Ca ocrureenco $300,000 MED ESP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE UMITAPPLIES PER: GENERAL AGGREOATE —PRODUCTS $2,000,000 POLICY E JECT O LOC JECT COMPIOP AGO $2,000,000 OTHER: a AUTOMOBILE LIABILITY RADSOOO14909 10/01/201610/01/2017 COMBINED SINGLE LIMIT' N..Wd.ot)$2,000,000 BODILY INJURY(Perpersan) X ANY AUTO OWNED SCHEDULED AUTOS ONLYAUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Par croldenq PROPERTY DAMAGE Poracaldan/ UMBRELLALIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DEO IRETFNTION A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory NH) NIA RWD500014809 10/01/2016 10/01/2017 PER OTH Y` STATUTE ER E.L. EACH ACCIDENT $1.,000,000 E.L. OISEASE-EA EMPLOYEE $1,000,000 esdrle der DESCRIPTION OF OPERATIONS bolow BL DISEASE -POLICY LIMIT $1,000,000 D Env contr Prof - PCADDS0012831016 claims Made SIR applies per policy terns 10/01/2016 & condi 10 01/2017 ions Aggregate/Each Loss Prof- Agg SIR Prof Each Claim SIR 2,000,000 $600,000 $200,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD OR, Addlllonol Ramarks Schedule, may be attached if more space Is required) [RE: Construction, ACCO job No. 717624, job No. 17-056, HVAC Replacement at the SARTC, 1000 E. Santa Ana Blvd., Santa Ana, CA 9270 [AI: city of Santa Ana and all other entities as required by contract] are included as Additional insured with respectto the General Liability Policy- and General Liability Policy evidenced herein is Primary to other insurance available as required by written contract but limited to the operations of the insured under the said contract. REVIEWED BY: EUNICE HEREDIA (PG I OFJ M or or 0 0 n u> CERTIFICATE HOLDER CANCELLATION 41 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THC EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRH THE POLICY PROVISIONS. CityOf Santa Alta AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Saltta Ana CA 92701 USA ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD