PCC NETWORK SOLUTIONS, A PACIFIC COAST CABLING, INC. COMPANY

Home Browse Search

w-( r- f-/ Ac?!?& CERTIFICATE OF LIABILITY INSURANCE �..../` 0ATE (MM12/30IDD/YY6 12/30/2016 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 CONT NAME ACT Arians De Leon Tolman & Wiker Insurance Services LLC #DE52073 PHONE (805) 585-6145 :]LAX o; (805)585-6295 196 S. Fir Street DpAILS ;adeleon@ tolmanandwiker. com INSURERS) AFFORDING COVERAGE NAIC N PO Box 1388 INSURER A Hartford Fire Ins Cc 19682 Ventura CA 93002-1388 INSURED INSURER B:Hartford Casualty 29424 INSURER C Hartford Accident & Indemnity 22357 Pacific Coast Cabling, Inc. INSURER D: DBA: PCC Network Solutions 20717 Prairie Street INSURER E: Chatsworth CA 91311 INSURER F: COVERAGES CERTIFICATENUMBER:17/le GL/Au/UMB/wC 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 BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MIDDyyyy) POLICY EXP (MMIDDIyyyyJ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LKI OCCUR 72=01[0752 16/ V +��PREMISES T 1/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 Es occurs ce $ MED EXP (Any one person) $ 10,000 PERSONAL&ACV INJURY $ 1,000,000 qqt{ r,- GEN'L AGGREGATE LIMIT APPLIES PER: POLICY nPELOC GENERAL AGGREGATE $ 2,000,000 �yp10 0.a�5S, V FFdd Fr. �pR 2,000,000C PRODUCTS - COMP/OP AGG OTHER: $ A AUTOMOBILE JXANYAUTO LIABILITY ALL OWNED SCHEDULED AUTOS AUTOSNON-OWNED HIRED AUTOS AUTOS AUTOS G' AS 72CUNJH0752 (��! fGl� 0 y''I ,lam 1/1/2017 aty p"" O( r�r-� 1/1/2018 COMBINED SINGLE LIMIT aaccident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Par accident $ ( ) PROPERTY DAMAGE Per accidon _$ X UMBRELLA ILIAD X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS -MADE AGGREGATE $ 10,000,000 DED X RETENTION 10,000 $ 72RMM1103 1/1/2017 1/1/2018 C WORKERS COMPENSATION AND EMPLOYERS'LIA9ILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE MFandatory in NH MBER EXCLUDED? ( ) Ryas, describe under NIA 72WEEQ8250 1/1/2017 1 1/2018 / PER OTH- X STA UTE ER E.L. EACH ACCIDENT $ 1 000 000 E. L. DISEASE - EA EMPLOYE $ 1,000 000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 1011 Additional Remarks Schedule, may be attached If more space is required) GL: The City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured as respects to Operations of the Named Insured per attached HG0001 0605. This insurance is primary and non-contributory to any other insurance held by Additional Insured per attached HG0001 0605, A Waiver of Subrogation is added per attached HG0001 0605. Attached enorsements apply only as required by written contract during the policy term. cmarek@santa-ana.org City of Santa Ana Attn: Insurance Services Division M-12 20 Civic Center Plaza 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 R Toohey, CISC/ARIAND 1988-2014 ACORD ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD IN S025 np14ml reserved.