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AMERICAN ENGINEERING LABORATORIES INC.-2017
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AMERICAN ENGINEERING LABORATORIES INC.-2017
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Last modified
10/31/2017 1:36:44 PM
Creation date
8/9/2017 9:48:49 AM
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Contracts
Company Name
AMERICAN ENGINEERING LABORATORIES INC.
Contract #
A-2017-171
Agency
PLANNING & BUILDING
Council Approval Date
7/5/2017
Expiration Date
7/5/2020
Insurance Exp Date
4/15/2018
Destruction Year
0
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�n <br />CERTIFICATE OF LIABILITY INSURANCE <br />RROBERSON <br />DATE IMMIDD?YYYY ? <br />Y <br />TIS/ndl9n47 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement( e); <br />PRODUCER License # OE02098 <br />DiBuduo & DeFendis Insurance Brokers, LLC <br />P.O. Box 9548 <br />INAAMeCT Thelma Camargo <br />{ACCO, N , Eat): FAX , Na 6S1 322-9734 <br />1:( ) <br />5-,%RRk ,teamargo@dibu.com <br />Bakersfield, CA 93389-9548 <br />_ <br />IN UREA&_LAFFORDING COVERAGE NAIC# <br />S00044 <br />INSURER A:TraRS ortation Insurance CoHmpany 120494 <br />1 10'000 <br />INSURED <br />INSURER B: <br />INSURER C: <br />American Engineering Laboratories, Inc. <br />P.O. Box 1816 <br />Whittier, CA 90609 <br />_ <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />GENERAL AGGREGATE <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTED WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />ILTR <br />TYPE OF INSURANCE ADDL SUER <br />INSD <br />POLICY NUMBER <br />POLICY EFF POLICY EXP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ®OCCUR <br />84018175760 <br />0411512017 0411572018 <br />EACH OCCURRENCE <br />$ 2,000+000 <br />OAMAGETORENTED <br />P4EMISES Ea ocemrerceIt <br />S00044 <br />MED EXP (Anv one o..onT <br />1 10'000 <br />PERSONAL &ADV INJURY <br />2'000'000 <br />GENERAL AGGREGATE <br />4+000'000 <br />GEN'LAGGREIGAI'1E LpIMITAPPLIES PER: <br />POLICY `.........I JE COT � LOC <br />OTHERPollutulan Liability Aggregate $4, <br />'. <br />—_ <br />PRODUCTS-COMDOPAGG <br />4+000,000 <br />$ " <br />A <br />AUTOMOBILE <br />LIABILITY <br />a <br />COMB. NEI) SINGLE LIMIT <br />Ea accitlent <br />1,000,000 <br />BCDLY INJURY Per arson <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />B4018175760 <br />04/15/2017 04/15/2018 <br />POOLLY Per accident <br />$ <br />X <br />WOSONLY X AUTOS ONEY <br />INJURY <br />PPeO, accRtlY DAMAGE <br />$ <br />X <br />UMBRELLA LIA" X OGCUR <br />EACH OCCURRENCE <br />S 1,000,000 <br />EXCESS LAS CLAIMS -MADE <br />84026889994 <br />0411512017 0411512018 <br />AGGREGATE <br />g 1,000+000 <br />DED X RETENTION $ 0 <br />AND EMPLOYERS'LIABIL01TY YIN <br />STATUTE ERH <br />_...m...........�. <br />E. L. EACH ACCIDENT <br />$ <br />ANY <br />�FICERIMFMTI�F�Rq PXCLUOEp?ECUTIVE ❑ NIA <br />E.L. DISEASE - EA EMPLOYEE <br />I Mandatory In NHI <br />If yes, descvlbe under <br />DESCRIPTION OFOPERATI ONS below <br />n <br />E.L. DISEASE -POLICY LIMIT <br />5 <br />City Of Santa Ana <br />Allied: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Additional Remarks Schedule, may be adached it more space is required) <br />and employees are named as Additional insured in regards to General Liability per attached <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 />ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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