E J MEYER COMPANY INC - Laserfiche WebLink

Home

AlC 40R�® v CERTIFICATE OF LIABILITY INSURANCE DATE / Y) 12/15/15/2014 2014 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 Commercial Lines - (310) 543 -9995 Wells Fargo Insurance Services USA, Inc. - CA Lic #: OD08408 21250 Hawthorne Boulevard, Suite 600 CONTACT Maria Higgins PHON o E . 310 - 792 -8416 ac No): 310 - 543 -9175 E-MAIL maria.hi Ins wellsfar o.com ADDRESS: gg @ g INSURERS AFFORDING COVERAGE NAIC If Torrance, CA 90503 -5519 INSURER A: Travelers Property Casualty Co of America 25674 INSURED E.J. Meyer Company, Inc. INSURER B: $ 300,000 INSURER C: MED EXP (Any one person) P.O. Box 277 INSURER D XCU INSURER E: $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FK JECT F7 LOC OTHER: Highland, CA 92346 INSURER F: PRODUCTS - COMP /OP AGG COVERAGES CERTIFICATE NUMBER: 8490712 REVISION NUMBER: See below 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 MM/DD/YYYY POLICY EXP MMIDD LIMBS • X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR $2,500 Ded. per occ. DT22C00935C559TI L 14 PR 11/01/2014 11101/2015 D EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ee occurrence $ 300,000 X MED EXP (Any one person) $ 5,000 X XCU PERSONAL INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FK JECT F7 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 Deductible $ 2,500 • AUTOMOBILE LIABILITY ANY AUTO ALL OWNED Ix SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS BA0935C55914CNS 11101/2014 11/01/2015 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ (Per accident) BODILY INJURY (P$ X PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? NI (Mandatory In NH) If as, describe under DESCRIPTION OF OPERATIONS below N / A DTJUB325D558015 01/01/2015 01/01/2016 X STATUTE ERH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE9 $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Re: All Operations. The certificate holder is additional insured with respects to general liability per endorsement CGD3160704 and auto liability per endorsement CAT3530310 attached. CERTIFICATE HOLDER CANCELLATION City of Riverside City Attorney -City Hall SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3900 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Riverside CA 92522 AUTHORIZED REPRESENTATIVE ,00,r, The ACORD name and logo are registered marks of ACORD ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 111111111111111111 IN VIII 111111 IIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIII •CY802BI71000010/021121010/0/0'