Laserfiche WebLink
ACCORD® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />3/11/2019 <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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Dani Schulze <br />Dealey, Renton & Associates <br />PHONEFAX <br />License #0020739 <br />A/c No Ext: 714-427-6810 A/c No): 714-427-6818 <br />ADODRESS: dschulze@dealeyrenton.com <br />600 Anton Blvd., #100 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Costa Mesa CA 92626 <br />INSURERA: State Compensation Ins. Fund of CA <br />35076 <br />INSURED MECONSTRU <br />INSURER B: Allied World Surplus Lines Insurance <br />M&E Construction, <br />DAMAGE TO <br />DBA: M & E Construction <br />INsuRERc: Wesco Insurance Company <br />INSURER D <br />7938 Wood Road <br />Riverside CA 92508 <br />INSURER E: <br />INSURER F: <br />$100, 000 <br />COVERAGES CERTIFICATE NUMBER: 2109940078 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DD <br />POLICY EXP <br />MM/DD/YYY <br />LIMITS <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />50573124 <br />11/30/2018 <br />11/30/2019 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO <br />CLAIMS -MADE OCCUR <br />PREMISES ccurrence <br />PREMISES Ea occurrence) <br />$100, 000 <br />MED EXP (Any one person) <br />$ 5,000 <br />APPROVED <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L <br />POLICY jECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />C <br />AUTOMOBILE <br />LIABILITY <br />WPP1803021 <br />10/22/2018 <br />10/22/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ 1,000,000 <br />ANY AUTO <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ 1,000,000 <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />HIRED AUTOSX NON -OWNED <br />AUTOS <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />91514922017 <br />9/22/2018 <br />9/22/2019 <br />)( PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. <br />EACH ACCIDENT <br />$ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />"'ALL OCIPM/RAP Projects are Excluded— <br />Re: All Operations as pertains to named insured. <br />City of Riverside is Additional Insured as respects to General & Auto Liability coverage as required by written contract. Waiver of Subrogation included in Work <br />Comp., General & Auto Liability coverage as required by written contract. <br />CERTIFICATE HOLDER CANCELLATION 30 Days Notice of Cancellation <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Riverside <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Kathy Hunt <br />AUTHORIZED REPRESENTATIVE <br />3900 Main Street, 4th Floor <br />Riverside CA 92522 <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />