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MADISON MATERIALS - 2017
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MADISON MATERIALS - 2017
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Last modified
3/22/2018 3:49:45 PM
Creation date
3/22/2018 9:42:25 AM
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Contracts
Company Name
MADISON MATERIALS
Contract #
A-2017-368
Agency
PUBLIC WORKS
Council Approval Date
12/19/2017
Expiration Date
6/30/2020
Insurance Exp Date
2/28/2019
Destruction Year
2025
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AC -ORD, CERTIFICATE OF LIABILITY INSURANCE DR ID P Dar0 MMro"Ao! <br />LIARED-1 02 28 07 <br />"do! <br />PRODUCER <br />Select Programs Ins. <br />249 E. Ocean Blvd,, <br />Long Beach CA 90802 <br />Phone: 562.216.9016 <br />Services <br />Ste. 712 <br />Fax:562.216.9028 <br />THIS CERT FICATE IS ISSUED AS A MATTER OF IN <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />FALLTERTHECOVERAGEAFFORDEDBTTHEPOLICIESBELOW <br />INSURERS AFFORDING COVERAGE NAIL # <br />INSURED ^„.r <br />s [}� <br />Mali SOn tQ@ria18 �,. �('Jb -Q'�$ <br />P.O. BOx2U <br />Newport Beach CA 92658 <br />INSURER A: American Xnt'l t <br />'$ BGial <br />INSURER B: Commerce ✓r Indust ry <br />INSURERC: Bwceet National Tns=arwe CO. <br />INSURER O: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTRNSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />GATE M Oryx <br />PRATE IDDIYYW1 <br />UMITB <br />20 G'iV].0 Center Plaza <br />en <br />REPRESENTATIVES, <br />REPRESENTATIVES. <br />GENERAL UABILITY <br />AREPRE <br />NTA <br />1C0 D /0 <br />Marc Ber n �... <br />EACH OCCURRENCE $1,000,000 <br />A <br />$ <br />tXCOMMERCIALGUNERALLIABILITY <br />CLAIMSMADE 41 OCCUR <br />ZG2223762 <br />02/28/07 <br />02/28/08 <br />PREMIs£S(Eeoccarenoe)5300000 <br />MED EXP(Any one persan) $300000 <br />PERSONAL S ADV INJURY $1,000,000 <br />_ <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - CCMPIOP AGO $1,000,000 <br />0EN1 AGGREGATE LIMIT APPLIES PER: <br />POUCYF_j PRO1 LDC <br />B <br />AUTOMOBILE UABIUTY <br />X ANY AUTO <br />6531476 <br />02/28/07 <br />02/28/08 <br />COMBINED SINGLE LIMIT <br />(Eaacd <br />$ i000detl 0000 <br />ALL OW NED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Par person) <br />$ <br />HIRED AUTOS <br />NONOWNED AUTOS <br />BODILY <br />(Per amidet)Y <br />$ <br />- <br />PROPERTY DAMAGE <br />(Per acdden[( <br />$ <br />GARAGE <br />LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANYAUTO <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGO <br />$ <br />$ <br />C <br />X <br />EXCE$SNMBRELLA LIABILITY <br />X OCCUR nCLAIMS MADE <br />7IG7000037071 <br />02/29/07 <br />02/28/08 <br />EACH OCCURRENCE <br />AGGREGATE <br />$4 0000000 <br />$4 000,000 <br />$ <br />DEDUCTIBLE <br />y[ RETENTION $None <br />WORKERS S' LIASIUTY NANO <br />EMPLOYERB'UABI4TY <br />- <br />TORY OMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETORTARTNEWEXECUME <br />OFFICEWMEMBER EXCLUDED? <br />If yes: describe under <br />SPEC IAL PROVISIONS below <br />E.L. DISEASE -EA EMPLOYE <br />E.L.OISEASE-POLICYLIMIT <br />$ <br />$ <br />OTHER <br />DESCRIPTIONOF OPERATIONS ! LOCATIONS IVEHICLESI EXCLUSIONS ADDED BY ENOORSEMENT SPECIAL PRO VISIONS <br />*30 Days Notice of Cancellation if Cancelled for Non -Payment of Premium. The <br />Certificate Holder is included as Additional Insured per attached Additional <br />Insured Endorsement for Commercial General Liability policy. <br />a. 11 nr ra.nr a naeUANLJtLLAIILIN - — <br />CSAXTAA <br />SHOULD ANY OF THE ABOVE DESCRIBED POUGIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF.THE ISSUING INSURER HALL ENDEAVORTO MAIL *30 DAYSWRITTEN <br />City of Santa Ana <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Attu: Teri Cable <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPONTHE INSURER, ITS AGENTS OR <br />20 G'iV].0 Center Plaza <br />en <br />REPRESENTATIVES, <br />REPRESENTATIVES. <br />Santa Ana 92702 <br />AREPRE <br />NTA <br />1C0 D /0 <br />Marc Ber n �... <br />R 25 (2001 01 @ ACORD CORPORATION 19 <br />
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