Loading...
2011/05/21 Becker Construction Services, Inc. Certificate of Liability InsuranceA " CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) 10/13/23/2011 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION State Farm Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 913 W. Menlo Ave. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR .- Hemet, Ca 92543 city of Menifee ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE I NAIC # INSURED INSURER A: State Farm Mutual Automobile Insurance Company 25178 I 25178 BECKER CONSTRUCTION SERVICES INSURER B: INC Received PO BOX 890365 R INSURER C: TEMECULA CA 92589-0365 INSURERD: 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 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. INSRIADD' LTR �INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1-1 OCCUR TRENTED DAMA E OPREMISES Ea occurrence' MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n PE0 n LOC PRODUCTS - COMP/OP AGG S S q X AUTOMOBILE LIABILITY ANY AUTO 308 6916-E21-75A 11/22/2011 05/21/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000,000 X ALL OWNED AUTOS 308 6918-E21-75A 11/22/2011 05/21/2012 X SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 3086917-E21-75A 308 9867-E21-75 3089869-E21-75 312 6453-A16-75 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2012 05/21/2012 05/21/2012 05/21/2012 (Per BODILY INJURY S 1,000,000,000 S X BODILY INJURY (Per accident) X PROPERTY DAMAGE (Per accident) S 1,000,000,000 AGE LIABILITY ANY AUTO I AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN $ $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE S S DEDUCTIBLE F] $ S RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC STATU- WH TORY LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT 1 $ I OTHER I I T DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Temecula, Temecula Redevelopment Agency and Temecula Community Services District, their officers, officials, employees and volunteers are named Additional Insured on General and Auto Policies. vu� i it wry I � nvLv V-rX tiANL t:LLA I IUIV ADDITIONAL INSURED: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Temecula DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Temecula Community Services District 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 The Redevelopment Agency of the City of Temecula REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.3 04-06-2009 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. r+%-.vr-'u co kZUUVIv 1)