COMPLIANCE INFO_2011-2012 - Laserfiche WebLink

Home Browse Search

OP ID S DATE(MWDDIYY ! CERTIFICATE OF LIABILITY INSURANCE wALTo-a 09/17/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE TLB Insurance services 3000 Oak Rd., Suite 210 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# Walnut Creek CA 94597 Phone:925-395-2600 Pax:925-287-0710 INSURED INSURER A. SeaBri ht insurance Co INSURERS: GENERAL LABILITY INSURER C: Walton Engineering, Inc. INSURER D: P.O. Box 1025 west Sacramento CA 95691 INSURER F. LiV V CISR%7c°7 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TME 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 CLAIMSPOLICY "woom LTR NSAC TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE IMMon POLICY EXPIRA. DATE MM/D LIMITS TO Whom It May Concern IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR GENERAL LABILITY REPRF.SENTATNES , AUTHDRMM REPRESM EACHOCCURRENCE $VAMAULi T '" PREMISES Ea ocxiaence $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) S CLAIMS MADE F� OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY QCT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea acddent) ALL OWNED AUTOS .SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Par ant) PROPERTY DAMAGE $ (Per accident) GARAGE LABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S AUTO ONLY: AGG $ ANY AUTO EXCESSAJMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR F] CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION AND x TORY LBAITS ER E.L EACHACCIDENT $1,000,000 A EMPLOYERS' LABILITY ANY pROPRIETORIPARTNERIEKECUTIVE OFFICERIMEMSER EXCLUDED? BB1103003 10/01/10 10/01/11 E.L. DISEASE - EA EMPLOYEE $1,000,000 El. DISEASE - POLICY LIMIT $ 1, 0 0 0 , 0 0 0 pyo� describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 days notice applies if cancelled for non-payment of premium. Evidence of insurance only. ACORD 25 (2001108) w ^"""" -- TOwSOMX SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TO Whom It May Concern IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRF.SENTATNES , AUTHDRMM REPRESM Dennis Cote' ACORD 25 (2001108) w ^""""