Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2019/06/01 A.C. Spraggins Engineering & Underground Certficiate of Liability Insurance (3)
------ IN ACSPPAG-01 TKARUI ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE (M � 612412019 0201 YYY) 19 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 have ADDITIONAL INSURED provisions or 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 endorsemenf s . PRODUCER License # 0767776 CT Laura Lettleri Los Angeles, CA - Center Drive - HUB International Insurance Services Inc. PHONE FAx 6701 Center Drive West, Suite 1500 IAIC, He, EA [310) 568-5918 tA�, Nod Los Angeles, CA 90045 laura.lettierl@hubinternatior:aLcom INSURED A.C. Spraggins Engineering & Underground 1424 W. Philadelphia Street Ontario, CA 91762 NAIC # INSURER D: Everest Premier Insurance ComDanv 116045 1 F: 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 TYPE OF INSURANCE AODL SUBR POLICY NUMBER POLICY EFF POLICY EXP I LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR 15022876523 6/1/2019 6/1/2020 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED S�$.(F.s'i4GF.UfLC 100,000 MED EXP JAny oneperson) 15,000 PFRSONAL&ADv INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE 21000,000 P ODUCTS-COMP/OPAGG $ 2,000,000 OTHF_R: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 X ANY AUTO C6024524362 6/1/2019 6/1/2020 BODLYJNJIJRY Per Person)$ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Peracciden $ er e�l GE p X AUTOS ONLY X AUTOS ONLY EACH OCCURRENCE $ 5,000,000 C X UMBRELLA LIAB X OCCUR AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE C6024524393 6/1/2019 6/1/2020 DED _ X I RETENTION $ 10,000 General Aggr D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YfN '7600020587191 6/1/2019 6/1/2020 OFFICER/MEMBER EXCLUDED? n N/A (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below I X PER OTH- EL EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L DISEASE -POLICY LIMIT 1,000,000 $ 11000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Menifee 29714 Haun Road Sun City, CA 92586 City Clerk 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 Received ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD