|
06-27-2009 07:11 PYAN GARS" 9096141521 PAGFa
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATEjMIIUDDlYYI
<br />acoR�,� £/Si::UC6
<br />PRODUCER RAINTREE iN5URrlNC:EPUE;NCY, INC,', THIS CHRTF--ICATE IS ISSUED AS A MATTER OF INF6"WTION
<br />CA LICENSE. ONLY AND CONFERS NO BIGHTS UPON THE CERTIFICATE
<br />HOLDER, Tl{IS CERTIFICATE DOES NOT AMEND, EXTEND ..OR
<br />P.O. PDX 2468 ALTER THE 14VERAGE AF'FORbI=D 13Y THE POLICIES BELOW,
<br />SAN 13LRNARDINO, :.,A 92406
<br />(9I) 9) 8 6'7 - 3 30 G INSURERS AFFORDING COVEkAGE
<br />INSURED iNsuRERA VITGTNTA SURETY COMPnM4, INC.
<br />JOE MAGDALENO D3A:itZm Ro;
<br />RMG CONSTRUCTION COMPANY INcuIxkRC.
<br />209 S. NEBRASKA STREET INSURERtr.
<br />LAKE FT,° TNORE, CA 92530 INSURER E: -
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTFO, BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE
<br />FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION
<br />OF ANY CONTRACT OR OTHER DOCUMENT WITH
<br />RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED
<br />BY THE I401-ICIE$ DESCRIBED HEREIN IS SUBJECT
<br />1'0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AQGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />TYPE 2F {N9URANCC- •'•,,n....'...
<br />POLICY NUMBER POLICY EFFECTNE
<br />_... - DATE IMMIDt1fYY1_...
<br />f �L
<br />pAT1�1I�roomr LIMITY
<br />-
<br />EACHOCGUgRYN_C8
<br />L.,,....,...,,...
<br />GENEIMLABILITY
<br />GENERAL
<br />71 LIABILITY
<br />I�-S
<br />FIRE CAMAGR (Any ww firm -1 S ----. ......._.
<br />CLAIMS MAGE OCCUR
<br />MED EXP (A -y o R plrton) g
<br />•^ ...
<br />PERSONAL d ADV INJURY 3
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />I
<br />GENERAL AGGREGATE S _
<br />PROOUCrs - COMPIOP AGG S
<br />POLIGY [PRO. I or
<br />. . L.,
<br />i ,
<br />LOr„1eiWeD SIN6LE LIMIT
<br />AUTOMOBILE
<br />LO SILITY
<br />-_
<br />ANY AUTO
<br />(E� acs dere) S
<br />ALL OWNED AUTOS
<br />BODILY INJURY
<br />15
<br />SCHEDULED AUTOS
<br />;wnr,ryr�on}
<br />HIRED AUTOS
<br />AODILYIN}L1RY , S
<br />NON-OWNEDAUYOS
<br />,Pw.ccnlunl} �•- ---
<br />PROP
<br />PROPERTY DAMAGE
<br />..�_....,..
<br />GdnmJ
<br />T— _......—
<br />GAR.AOC LIABIUYY
<br />AUTO ONLY - EA ACCIDENT
<br />S
<br />ANY AUTO
<br />OTHER THAN LiA ACQ
<br />I z
<br />----
<br />AUYO ONLY; AGO
<br />I! 8
<br />@XCRU LWYIIJTY
<br />CACH OCCURRENCE
<br />S
<br />lOCCUR CLAIMS MADE I
<br />AGGREGATE lu
<br />S
<br />f�EUUf,.TIt31,E
<br />RETENTION i
<br />�
<br />X7:1 C 5TA�
<br />TORY LIMITS; I ER
<br />y
<br />5 - - T-�•
<br />WORKERS COMPENSATION AND vT—_-.......�."•
<br />EMPLOYERS' L1401L(TY
<br />A
<br />wdS0U21457�UL
<br />5/[EiI2COE
<br />D, �F COCl',
<br />E.L. EACH ACGIDENT
<br />S 1, UQU, UUU
<br />y , J o U, c 0 n
<br />i
<br />E L DISEASE - EA EMPLCJYlB
<br />E. L.DISASE.POLICY LIMIT
<br />S _r )ITQr000
<br />j OTHER
<br />-'•
<br />I
<br />i?9 WWlnQN OF QPCRATIQN&GOCATION&VERICLE$)EXCLU810N6
<br />ADDED OY ENDORSGMENTISPECIAL PROVISMOf 9 J -�
<br />00L4CY (2) COVER ANY kNU RLL
<br />OPERATT;)N$ OF THE NAMED INSUR3D, WITH EXCEPT -ODI :?F THE T,T ,T]:D
<br />STANDARD POLICY EXCI' f1 1'ON
<br />Cl;&1'!FIC4TE H()I,DER T::, A,9 Al-iDTT70N:AT., NAMT,Tl INSiJRED, BY INSJRNA(-E CON2ANY ENUOF:Sr,MF1JT;.
<br />ADDITIONAL IN$UM; INSURER LETTER:
<br />SHOULD ANYOF 'HE ABOVE DESCRIBED POLIOESBE CANCELLER PEFORE THE EXPIRATION
<br />DATE THEREOF, THE 16WLNO Nv$UkkR WAIL CNDL-AVOW TO MAIL .i U DAYS WRITTEN
<br />NOTICE TO THE t ERTIRCATE HOLDER NAMED TO YNt Lw T, 500 PaLURC TO DO 80 SHALL
<br />IMPOSE NO OSLI 3ATiON OR LIABILITY OF ANY KIND UPON THE INSURER, fTV AGENTS OR
<br />REPR"ENTATIV SS•
<br />.UTHOAI;ia!?fpi MNTA
<br />�%��
<br />ACORD 25-S (7W) - p ACORD CORPORATION 113$8
<br />l I,PWv1,98on6161pS.11;08dYUnarNJlto LP: LPW vi 96 on Ni VOW -'11.01 byOsorNvnr PFvl0.1
<br />60 39VJ 1SN00 GNV JN3 lIW 60ZVTZL09LT L0:80 90OZ/6Z/90
<br />
|