W.A. Rasic Construction Co., Inc. (2019-2020)

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I a CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNY Y) 1 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 6/11/201Y9 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 CONTACT NAME: Commercial Associates Insurance AX (714) 524-4949 F IC, -4940 IPA C Ext); JA No): (714) 524 L E-MAIL 1594 N. Batavia Street ,ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Orange, CA 92867 INSURER A:Travelers Prop. Cas. Co. of America 25674 INSURED INSURER B: W.A. Rasic Construction Co., Inc. 4150 Long Beach Blvd. APPROYVED Long Beach, CA 90807 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. INSR LTR TYPE OF INSURANCE ADDLSUBR WVD POLICY NUMBER POLICY EFF (MM/DDNYYY) POLICY EXP (MM/DDIYYYY) LIMITS _J= COM MERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE El OCCUR DAMAGE TO RENTED P ........ C.) $ REMISES (E..' MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ [_1 PRO - POLICY JECT [7 LOC PRODUCTS - COMP/OP AGG $ $ OTHER: 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ FIR PER DAMAGE a, ld $ IF .. 'Z I) NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EArLU I 1VL OFFICER/MEMBER EXCLUDED? N I (Mandatory in NH) N/A y UB -7K520785 -19-26-G 7/1/2019 7/1/2020 X � SITERT( OTH- A TOER E,L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE� $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Operations usual to the named insured - Master Agreement for Electrical Utility Construct±on Work for Various City Locations on an As -Needed Basis. Blanket waiver of subrogation applies to City of Riverside, its City Council and all of its respective officials, officers, directors, employees, managers, commission members, representatives, agents and council members where required by written contract per WC 99 03 76 (A)-001. 30 days notice of cancellation per WC 99 06 R3 (00). CERTIFICATE HOLDER CANCELLATION Z88 -f2014' A71D CORPORATION. All rights reservecl. 0 ACORD 25 (2014101) The ACORD name and logo are regi4g�,eZln_ - AC _9 INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Riverside THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Riverside Public Utilities ACCORDANCE WITH THE POLICY PROVISIONS. c/o George Hanson AUTHO REPRESENTAT!� 3900 Main St. Riverside, CA 92522 , �* el" j, Z88 -f2014' A71D CORPORATION. All rights reservecl. 0 ACORD 25 (2014101) The ACORD name and logo are regi4g�,eZln_ - AC _9 INS025 (201401)