COMPLIANCE INFO_2011-2012 - Laserfiche WebLink

Home Browse Search

P_ -9 ACORD, CERTIFICATINIF LIABILITY i SVRM OP ID S WALTO-2 DATE(MMIDD/YYYY) 09/16/10 PRODUCER TLB Insurance Services 3000 Oak Rd., Suite 210 Walnut Creek CA 94597 Phone: 925-395-2600 Fax:925-287-0710 NSR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Walton Engineering, Inc. P.O. Box 1025 West Sacramento CA 95691 IEXPIRATIONLIMITS DATE MMlDD/Yl INSURER A: Endurance American Spec Ins Co INSURER B: Delos Insurance Co. INSURER C: SeaBright Insurance Co INSURER D: Hartford Insurance Co 34690 INSURER E: ,-nvoaAr_Gc 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. IN LTR NSR TYPE OF INSURANCE POLICY NUMBER I FF l E DATE MM/DD/YY IEXPIRATIONLIMITS DATE MMlDD/Yl AUTHORIZED REPRESENTAT GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 PREMISES (Ea occuO�eence)— $ 50,000 A X COMMERCIAL GENERAL LIABILITY I ECC101006001-01 03/06/10 03/06/11 MED EXP (Any one person) $ 5, 000 CLAIMS MADE a OCCUR PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 Emp Ben. 11000,000 O POLICY X JECT LOC B AUTOMOBILE X LIABILITY ANY AUTO DPA5501792@2 03/06/10 03/06/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 AX OCCUR F1 CLAIMS MADE EXS101006002-01 03/06/10 03/06/11 DEDUCTIBLE i$ $ RETENTION $ WORKERS COMPENSATION AND I ER E.L. EACH ACCIDENT $ 1,000,000 C EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? B81103003 10/01/10 10/01/11 E.L. DISEASE --EA-EMPLOYEE $ 1, 000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 $ 1, 000,000 A OTHER Pollution/E&O ECC101006001-01 03/06/10 03/06/111 Poll/E&O 11000,000 D Installation Fltr 57MSIZ6050 03/06/10 03/06/11 Inst Fltr 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS *10 days notice applies if cancelled for non-payment of premium. rGOTICIr'ATr= uni nFR CANCELLATION TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* 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 LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT Dennis Cote' C_c4f�j ACORD 25 (2001/08) G HLUKU LUMc k.)KA 1 IVIN 1 aoo