Laserfiche WebLink
15495702 <br />UNDERGROUND CONSTRUCTION CO., INC. <br />5145 INDUSTRIAL WAY <br />BENICIA CA 94510 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATI <br />dIP <br />CERTIFICATE HOLDER <br /> CANCELLATION See Attachments <br />---- I <br />ACCWCP <br />e <br />CERTIFICATE OF LIABILITY INSURANCE 7/1/2021 L----"" <br />DATE (MMIDD/TYYY) <br />6/23/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER Lockton Companies <br />Three City Place Drive, Suite 900 <br />St. Louis MO 63141-7081 <br />(314) 432-0500 ADDRESS: <br />NAME: <br />CONTACT <br /> <br />PHONE <br />IA/C. No. Exti: 1 FAX No): <br />E-MAIL <br />INSURER(S) AFFORDING COVERAGE NAM # <br />INSURER A: XL Insurance America, Inc. 24554 <br />INSURED 22667 Corrpro Companies, Inc. <br />1316495 20991 Cabot Boulevard, Building 5 <br />Hayward CA 94545 <br />INSURER B : ACE American Insurance Company <br />INSURER C: Indemnity Insurance Co of North America 43575 <br />INSURER D : Starr Indemnity & Liability Company 38318 <br />INSURER E: <br />INSURER F: <br />COVERAGES CORC002 CERTIFICATE NUMBER: 1 5495702 REVISION NUMBER: XXXXXXX <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR TYPE OF INSURANCE ADDL <br />INSD <br />SUBR <br />WVD POLICY NUMBER <br />POLICY EFF <br />IMM/DD/YYTY) <br />POLICY EXP <br />[MM/DD/YYYY) LIMITS <br />A <br />A <br />x COMMERCIAL GENERAL LIABILITY y y CGD300084905 <br />NCI) / BROAD FORM PD <br />7/1/2020 7/1/2021 EACH OCCURRENCE $ 2,000 <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) $ 1,000,000 CLAIMS-MADE X OCCUR <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />$ 1Q000 <br />s 2,000,000 <br />GENERAL AGGREGATE $ 4,000 000 GEN'L AGGREGATE <br />POLICY <br />OTHER: <br />x LIMIT APPLIES PER: Fla [xi. PRODUCTS - COMP/OP AGG $ 4,000,000 <br />$ <br />B <br />x <br />- <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />- SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOS ONLY <br />y y ISAH25302540 7/1/2020 7/1/2021 COM aBeGINviEeDnoSINGLE LIMIT 5 $ ,000,000 <br />BODILY INJURY (Per person) $ XXXXXXX <br />BODILY INJURY (Per accident) $ XXXXXXX <br />PROPERTY DAMAGE <br />(Per accident) $ XXXXXXX <br />$ XXXXXXX <br />D <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X OCCUR <br />CLAIMS-MADE <br />Y Y 1000095154201 7/1/2020 7/1/2021 EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE s 5,000,000 <br />$ XXXXXXX DED RETENTIONS <br />B C <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />OFFICER/MEMBER EXCLUDED? N <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />Y WLRC67457262 (CA/MA) <br />WLRC67457225 (AOS) <br />(EXCLUDING MONOPOLISTIC <br />7/1/2020 <br />7/1/2020 <br />7/1/2021 <br />7/1/2021 <br />.‘,. PER OTH- .A. STATUTE ER <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />$ 1,000,000 E.L. DISEASE - POLICY LIMIT <br />DESCR/PTION OF OPERATIONS! LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached if more space Is requlred) <br />PROJECT: INSTALLATION OF CATHODIC PROTECTION. <br />© 1988-2 CORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD ACORD 25 (2016(03)