B AND A CONSTRUCTION INC - Laserfiche WebLink

Home

, r ACORV CERTIFICATE OF LIABILITY INSURANCE OP ID RR DATE(MMIDDIYYYY) B&ACO-14 04/13/09 PRODUCER R~CEIVED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Crosby Insurance, Inc 8181 E. Kaiser Blvd APR 1 2009 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Anaheim CA 92808 Phone: 714-221-5200 Fax: 714- - INSURED INSURERS AFFORDING COVERAGE INSURER A: NAT. UNION FIRE INS. CO. PITTS - --1 INSURER B: The Netherlands Insurance Co. - NAIC # - - - - - - B & A Construction, Inc. 15842 Bo le Avenue Fontana ~A 92337 INSURERC STATE COMPENSATION INS. FUND INSURER D. - - INSI_IRER 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 MAY 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. R FIO1LE~6D L POLICY NUMBER Ll rrec IVE POLICY EXPIRATION LIMITS LTR INSOR TYPE OF INSURANCE DATE MMIDDIYY DATE MMIDDIYY GENERAL LIABILITY EACH OCCURRENCE $ 1 '000 '00 0 A ! X COMMERCIAL GENERAL LIABILITY - 23022274 02/12/09 02/12/10 PREMISES(Eao~ccuurence)_ _ L$ 100,000 - 1 I CLAIMS MADE OCCUR MED EXP (Any one person) $ Cj ,000 Owner/Cont Prot. X PERSONAL & ADV INJURY $1,000,000 ~ GENERAL ACCREGATE s 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER 3 PRODUCTS -COMP/OP AGG s2,000,000 POLICY PRO LOC JECT Finp Ben. 1,000,000 AUT OMOBILE LIABILITY B X E ANY AUTO BA8386490 02/12/09 02/12/10 COMBINED SINGLE LIMIT Ea accident) 1 $1 000 000 ALL OWNED AUTOS L+ Di itall si ned Art To b res BODILY INJURY (Per person) $ SCHEDULED AUTOS g y g y HIRED AUTOS D N - cn =Art Tor es c= U S BODILY INJURY I P id $ NON-OWNED AUTOS , , ( er acc ent) 'i o=Finance, oU- ity of PROPERTY DAMAGE l _ _ - $ (Per accident) GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ - ANY AUTO email=atorres@riverside a.gov OTHER THAN EA ACC $ AUTO ONLY. AGO $ EXCESSIUMBRELLA LIABILITY f•" f EACH OCCURRENCE $ OCCUR CLAIMS MADE I Location. approved as to f orrl I } AGGREGATE $ - Date- 2009.06.01 11:33:5 - $ - - DEDUCTIBLE I RETENTION $ -071001 _ $ WORKERS COMPENSATION AND 1 X TORY LIMITS j ER UIH-' 1 ' LIABILITY EMPLOYERS CANY PROPRIETORIPARTNER1FXcCUTI':E 044-19964-08 10/01/08 10/01/09 I E. L. EACH ACCIDENT $1, 000, 000 OFFICER/ME BER EXCLUDED? M E L_ DISEASE- EA EMPLOYE $ 1 , 000 , 000 - - - If yes, describe under SPECIAL PROVISIONS below E.L DISEASE- POLICY LIMIT i $ 1 , 000 , 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *Ten Days notice of cancellation will be given for non-payment of premium. Re: Job #450, 10th Street & Lemon, Riverside, CA The City of Riverside is named as additional insured per the attached endorsement. CERTIFICATE HOLDER CANCELLATION City of Riverside 3900 Main Street Riverside CA 92522 ACCIRD 25 120011081 CTYRI VE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI( DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 988