YELLOWSTONE CONSTRUCTION INC - Laserfiche WebLink

Home

. _.,.,.._.~,,,....,_....,~..,~---""-~,,-~"-"----_'-~~-~--'-~---~..'.- ACORD~ CERTIFICATE OF LIABILITY INSURANCE YE~t6~1 01 20 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION First Service Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lic. #OC13473 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 215 Es ta tes Dr. S te. 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Roseville CA 95678 ' Phone: 800-591-9692 Fax:800-591-1845 -t INSURERS AFFORDING COVERAGE 1 NAIC# - _._.__._._--_.._.__.._-_..._..._------_.~_.---~-----_._. - ---_.._.._----~,. -_._.~-----_._~---- INSURED ~~lJRER~: Arch Specialty .________.~___ ; INSURER B: Century National Insurance Co I ~~~~~~ t~~~n~a:iruction Inc. 1~~SURER C Great American !!:l~'!i~c-;' ---+------------- 3~10 L~Sierra Avenue #423 i INSURER 0 ' Rivers1de CA 92503 . ------~---+--- ...___n I INSURER E: COVERAGES 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 MA Y PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPEOFINSURANC~-r--" POLICY NUMBER .---- .- I : GENERAL LIABILITY A X i'X.: COMMERCIAL GENERAL LIABILITY 39CGL0266000 ~~; 1-1 c-.t--] CLAIMS MADE LX i OCCUR U~---' : GEN'L AGGREGATE LIMIT APPLIES PER: r-.--l PRO- ----, X POLICY JECT I LOC i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B ~ ANY AUTO BAP149308 10/09/05 10/09/06 ~ (Eaaccldent) i $1,000,000 :_.__J ALL OWNED AUTOS I ! BODILY INJURY ~___.__u. -. - .-- ~ SCHEDULED AUTOS : (perperS~______.I. ....__.____~ lX i HIRED AUTOS , BODILY INJURY , 1- x-I NON-OWNED AUTOS (Per accident) ! --1 i __1 _______.________.. PROPERTY DAMAGE . (Per aCCident) f-AUTO ONLY. EA ACCIDENT ' $ ANY AUTO OTHER THAN .EA ACC I $ _~~-- AUTO ONLY: -AGG $ --- ---~ EXCESSIUMBRELLA LIABILITY i EACH OCCURRENCE I $ OCCUR D CLAIMS MADE iAGGREGA~E I $ .. .......-.---.-. ~----.-----1..---~----.. DEDUCTIBLE I ~. H-------- , -------J.....~----....~-- RETENTION $ i $ i WORKERS COMPENSATION AND I TORY LIMITS ER-I EMPLOYERS' LIABILITY ,.1-'. , , E.L. EACH ACCIDENT $ ~NY PROPR.IETOR PARTNER/EXECUTIVE -. --. .---~----:__:..F--------- " OFFICER/MEMBER EXCLUDED? : E.L. DISEASE - EA EMPLO~ i ~~~cl~tS~W(M~?o~s below r ~~~IS~SE . PO~~~-;:;~IT I $ -~-..--- OTHER C Equipment Floater IMP175414802 10/09/05 10/09/06 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *Included in General Aqgregate 10 day notice for non-payment of premium. City of Riverside is named as additional insured per attached endorsement form RRIC-CGL-E6(05/02) Job: Operations performed by the named insured for the certificate holder. CERTIFICATE HOLDER CANCELLATION RIVER -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TlO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 City of Riverside 3900 Main Street Riverside, CA 92522 ACORD 25 (2001/08) @ACORD CORPORATION 1988