2010/01/25 Becker Engineering Certificate of Liability InsuranceA008D CERTIFICATE OF LIABILITY INSURANCE OP ID JB
DATE(MMMUNYYYi
1
z6 0)BECKE-
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORKATION
Associated Insurance Services,
600 Hampshire Rd., ,#150
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Westlake Village CA 91361
Phone: 805-495-4634 Fax: 805-494-0781
INSURERS AFFORDING COVERAGE
NAIC 9
INSURED
INSURER A: An rican Saioty Ind=nity Co.
25433
INSURER B:
Becker Engineering
malt Becker
INSURER C;
P O Box 890365
Temecula CA 92589
_
INSURERD:
INSURER E:
COVERAGE$
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CCNOITION 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
(Nbx
LTR
INSR
TYPEOFINSURANCE
POLICY NUMBER
PO ICY ECTIVE
DATE h7ML•DD/YY
DATE k1R'!�D
I LIMITS
A
X
IGENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
J CLAIMS MADE OCCUR
10TSR-GL2795-00
01/25/10
01/25/11
EACH OCCURRENCE
IS1,000,000
PREMtSESO(Eaocurenos)
S 50,000
MED EXP (Any one person)
s5,000
PERSONAL a ADV INJURY
5 1,000,000
_
GENERAL AGGREGATE
$ 2, 000 GOO
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY n ECT LOC
PRODUCTS-COMPIOP AGG
,
$1 , 000 , 00PRO-
AUTOMOBILE
LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT
(Ea accident)
S
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per Person)
S
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Par accidant)
$
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
S
ANY AUTO
OTHER THAN EAACC
AUTO ONLY AGG
$
$
EXCESSr11MBRELLA LIABILJTY
OCCUR F CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
S
DEDUCTIBLE
5
RETENTION $
$
J
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORY 1_4fiT5 I ER i
EL. EACH ACCIDENT
S
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICER,%IEMSER EXCLUDED?
If yes. dascibe endar
SPECIAL PROVISIONS below
E.L_DISEASE - EA EMPLOYEE! $
_
EL. DISEASE -POLICY LIMIT
OTHER
$
DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES! EXCLUSIONS ADDED AY ENDORSESRENT/SPECIAL PROVISIONS
Certificate holder is named as additional insured_ 10 day notice of
cancellation may apply for non-payment of premium_
iriCANCELLATION
ClrjrY14EN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS VlRITTEN
City of Monifee NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Public Yorks Dept IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,,iT AGENTS OR
29714 Haun Rd REPRESENTATIVES.
Menifee CA 92586 AUTHDRIZEDREPRESENT4 Ilk
ACORD 25 (2001109)