2018/03/08 CGI Transport, Inc. Certificate of Liability InsuranceFeb.22.2019 01:13 PM Southern Counties 7145797916 PAGE. 3/ 3
Cvxt�' CERTIFICATE OF LIABILITY INSURANCE 102/22/2019
TWN Clz"FICATE' 18 MUED A8 A MATTER OF INFORMATION ONLY AND CQNFERB lip 18oti1'e UPON TN! CER'TI1riCATE etOLOf=R. T'MIB
0!°RTIFICAT4 NOT AfflWA'i11ML,Y OR NEUTIVF Y AM -ID, EXTEND OR WIER THE COVERAGE AFFORD90 BY THE POWES
a"awl THIM CE nFr..ATE OF MUfV � QM Rat' 4Cil MUM -A C�txtuCT 89� TFIQ 4ti>xL104 MOl�Re� AU043KEED
RRPRLSENTATIVE R PRODUCER, AND THE CERTIFICATt HOLIER.
{ MI : c*tw fwWor Is an ADDITIONAL INsUFMI), Ow paky(in) must bt enears" SU6ft0GA WAWW, snblict in
the tarrna and can of the po ft main policho alas Iaqulro *R � w
A soment an *a osAiftate does eilllat cow deft I* the
0l/tillaita twieor IA ipU � ilkh dlltbrar � . f' F:
r UXWG lie ' 714-378.98M 7 4 k
Arellz Omm Inwitanae Services
Areliz Oroz°o
aw 7143 6 - ._ - " . 714.531 926
27519. Chapnm I m #106
MAR 012019
fe
Itearn ahoy coin __—_ ,�__ _.-.-._ _---•-__._.
ft!?-. - 92 1 _ _ __�
~�
r CAPITOL SPECIALTY INS CO
104644
IN III
COITRANSPORT INC. DBA Received
,![IIR CANAL INSURANCE COMPANY
-
10673 -
SOUTHERN COUNTIES
iwalralrll°s
-.�
505 W. CROWTHER AVE,
PLACENTIA, CA 92870phone 714-579-791 M Fax 714-961-8761
SE:"`-
CERTIPICATE ER: REV MSEH:
THM 18 TO GERTIPY
T TH" POLICIES OP INSURANCE LWED AELOW HAVE BEEN MUED TU THE INSURED NAMED AHOVE FOR THE POLICY PERIOD
INDICATED. NdTY4I
CERTIFICATE MAY U
ISTANAINO ANY REQUIREMENT, TERM OR CONMTION OF ANY CONTRACT' OR dT ER DOCUMeNT WITH REBPEQT TO WHICAI THIS
ISSUED OR MAY PERTAIN, TMF INSURANCE AFfiORI)eD Ell THE POLICIES DROCRISED NEIN 16 SUBJECT TO ALL THE TERMS,
EXCLUSIONNAND Ca
_
IRONS OF SUCH POLICIES. LJIMR8 SHQMMAY KAVS BEEN REDUCED BY PAID CLAIM&
_.. _,....... �___
..A99L
mt yr
Sum
irA++ga
c0"HaimLm
of muma
SUL Lueam
OCCUR
RACHODO RiEp
II
Y Y
C80264781&03
0"lAWREW►TPL 1TAPPUESPER:
Pway LJ dE Ll LOC
r exp �,. r 5 f3D0
18/2018 3/8/2019 verWML&ADVIMMW 2�004L000
GENERAL3 T
PROGUCTB •00MAIWA90 / 1,000,000
1
R1ITgM0iNLIE
_ ,
AW-AWO
Y
Y
'PIA08010304
1316/2018
3/812019
WDILYpIJNpli�r�M�+1
i
V0O1LY cP«+xa�wl
• ��. µ �,"
HIRBOAUT08
AIlr08
�
f f
.-
L7rYl1$iLALao
■Po0a1)aLNB
QWWR
1 GWYSJMApFWON=
i
own ftpfAfjVKw*
oftmiwtom
nrrr�TOMrw
Amfilww"W"""
WrIMP r UM51Excl
I � r
"Xurknrn
0M?
T
NIA
i
s.a_UCHACa06NT
t
R.L DISEASE . FA Empwmo
a
!8 • P°LICY LFMIT
�
IB !THEFT-
!MOTOR TRUCK CARGO PLUS
BROAD FORM
Y
_
IPIA08010304
__
I
i3/8/2018
3/8/2019
$250000 PER LOSS/ $1,000 DED
,
LOADING &UNLOADING
DMQIIRAI°NOrQI'>I<IIA
lLOa11GM*IVRNdL.B* N�9Mb701,141WNMndlYawlwa�A�/wMrmwY��q+i�Mn�nw��Mn�lnh .____�.�_��.
ALL OPERATIONS AND LOCATIONS USUAL TO INSURED
EQUIPMENT ON FILE
TRANSPORTATION OF CONSTRUCTION EQUIPMENT
CITY OF MENIFEI
29714 HAUN RD.
MENIFDD, CA 92586
3HQUW ANY OF TM ANOVZ MWRIM POMMS EE CAMOU aO BBP ME
"M e)(FIRATIGN DATE IMAEOP, NOr011 IA1" W 0eLfVW0 IN
ACOWDANCE WITH TW POUCY PROVWON5.
AUTH0rJM ItW4UWNYA"A
010111-2014
ACORD 20 J2014MI) Tho ACORD name and logo en► reghmwed naft of ACORD