H D CONCRETEWORKS - Laserfiche WebLink

Home

Mir-26, 2011 3:34PM CALIF. CONTRACTORS INS, No. 4061 P. 2/4 Policy Number. Dole Entered: 3/ 2512011 AC CP & CERTIFICATE OF LIABILITY INSURANCE 3/25/ZO 1� 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: N the certificate holder is an ADDITIONAL INSURED, the POlioy()es) must be endorsed. If SUBROGATION IS WANED, 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 CA Contractors Insurance services, Inc. a E Mi®hael Towne .._• _ 9940 Business Park Drive PHONE .(916)363 -2663 FAe -2662 ADDRESS: uite 150 mtowneQCciabonds.cam INSU g AFFORDING COVERAGE NA a Sacramento, CA 95827 UR6LA: United alpecialty Insurance 12537 ,., INSURED E D Conaret.eworke I 0: National Xnterstato Insurance Comgany 32620 Cesar Garcia INSURER C: 6416 Sapphire Street INSURFAV: Rancho Cucamonga, CA 91701 INSURER E: COVERAGES CERTIFICATE NUMBER: 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. I 7R TYPE OF INSURANCE ADOL U ... POLICY NUMBER POUC UT P�O EXP UNT9- •.._ A GENERALUAINUTY COMMERCIAL GENERAL LIAeRnY CLAIMS-MADE ® DCCUR X 8IG0500058 - 00 3122/2011 3/22/2012 EACH OCCURRENCE 51,000,000 , 5 50, 000 PREMI E a L„ MED r KP (Any ono parson ) 35 ,000 PERSONAL aADV INJURY $1 ,000,000 - .,... - GENERAL AGGREGATE 52,000,000 , GENL AGGREGATE LIMIT APPLIES PER POLICY PRO- `CC PRODUCTS- CDMPIOPAGG $2,000,000 _ $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCME)ULED AUTOS AUTOS HIREDAUrDS NON -OWNED AUTOS ^ SCA 0039250 00 3/29/2011 3/28/2012 C MEINED SINGLE LIMIT 51, SOU, 000 S BODILY INJURY (Per penon) 8001LV INJURY (Par eeddenl) 5 5 FR PERTYOAMAGE Peramidan UMBRELLA UAD OCCUR H OLAIMS-MADE ROV O O EACH OCCURRENCE s EXCESSUAD � v A &'GATE •.'.. -- WC TATU• OTW EL EACH ACCIDENT _ E.L. DISEASE - EA EMPLOYEE 5 —• _ 5 " 5 DED F RETENTION 5 WORKERS COMPENSATION AND EMPLOYERV IJABUTY Y 1 N AN andalury I NH) If Yes, n BSIR ER EKCWDE01 W (Seend09u deeal M oe under NIA ltlSk M / EL DISEASE - POLICY LIMrr S DESCRIPTION OF OPERATIONS below 015GRI ete (C E8 LiCe ewes D813530) ar iUmanreSehodule ,Nmwa.p.cete,equtnd( D riveway and Approach at 5690 Argyle Way, Riverside, CA 95206 Aceditional Insured The City of Rivorside Riverside, CA 92522 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 _ 01968 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PBSduced using Forma Bola RUB aolnva 11. WWw.Femiseon,com; Impressive "shing e00I0g -iSrT