Laserfiche WebLink
From:Lori Tull At:DiBuduo&DeFendis Insurance Group FaxID:5594317941 To:Jodi HAND DELIVER URGENT Date: 10/30/2007 10:53 AM Page: 1 of 5 <br /> IRVGUIN-01 TULO <br /> ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNM) <br /> — 10/412007 <br /> PRODUCER (661)322-9993 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> DiBuduo&DeFendis Insurance Agency, Inc.-Bakersfield ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> License#0707137 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P.O.Box 9548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Bakersfield,CA 93389-9548 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Iry Guinn Construction INSURERA Zurich American Insurance <br /> P.O.Box 1339 INSURER B State Compensation Insurance Fund_ <br /> Bakersfield,CA 93302 INSURER C Steadfast Insurance Company <br /> INSURER D. <br /> INSURER E <br /> COVERAGES <br /> FTHECIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> IREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> TAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> .AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTRT'PE OF INSURANC POLICY NUMBER POLICY EFFECTIVE 'POLICY EXPIRATION <br /> DA MMID !Y1' DATE MM DD LIMITS <br /> ENERAL LIABILITY EACH OCr_URRENCE $ 5000,000 <br /> CCMMERCIALGE�`JEEALLIAEILITY10f1(200] 1011/2008 ��PREMISES(Ea occurence) $ 100,000 <br /> CLAIMS.MADE T OCCUR ; MED EXP{Any one persenl 1000 <br /> PERSONAL&ADV INJURY I$ 5,000,000 <br /> N-- GENERAL AGGREGATE5,000,000 <br /> N" A3CREGATE LIMIT APPLIES PER. PRODUCTS-COM2IOP AGS $ 5,000,000 <br /> AUTOMOBILELIABILITY� LOC <br /> A o BAP38 COMBINEDSInIGLE uMIT1000001670406 0 <br /> 10/1!2007 10/1/2008 IEaaccident)NED AU OSBODILY INJURYLED AUTOS (Per person) <br /> X HIRED AUTOS <br /> X BODILY INJURY <br /> 1 NON-OWIN;ED AUTOS (Per accident) <br /> PROPERTY DAMAGE ,( <br /> (Per accident) <br /> GARAGE LIABILITY <br /> AUTO ONLY-EA ACCIDENT g <br /> ANY AUTO -- <br /> OTHER THAN EA ACC T <br /> I AUTO ONLY. AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE <br /> $ <br /> �� <br /> OCCJP, CLAIMS MADEEACH <br /> T <br /> DEDUCTIBLE <br /> RETENTION g ---- <br /> WORKERS COMPENSATION AND WC STATU- 0TH- <br /> B EMPLOYERS'LIABILITY 40100-06 X TORY LIMOS ER _ <br /> ANY PROPRIETOR/PARTNER/EX-CUTIVE I 1/1/2007 111/2008 E L.EACH ACCIDENT f 1,000,000 <br /> -OFFICER/MEMBER FACLUDED�- <br /> f yes describe under E.L.DISEASE-EA EMPLOYEE, 6 1,000,000,000 <br /> SPECIAL PROVLSIGNS below E L.DISEASE-POLICY LIMIT T 1 ,000 <br /> OTHER <br /> C Excess Auto Liability SEO 586110903 10/1/2007 10/112008 Limit of Liability $4,000,000 <br /> C (Pollution Liability CPL52327040 11011/2007 10/1/2008 Limit of Liability5 0 <br /> 3 , 00,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS <br /> Cancellation for non payment of premium shall be 10 days notice <br /> City of Stockton and San Joaquin County are named as additional insureds on the general liability policy form CG2010&UGL1175 attached <br /> ith respects to work provided by name the named insured per written contract <br /> CERTIFICATE HOLDER CANCELLATION <br /> San Joaquin County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Public Works Department DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> 1810 East Hazelton Avenue NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Stockton,CA 95205- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE — <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />