Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) <br /> 5/20/2010 <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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER <br /> LOvitt & Touche' Inc - Tucson NAME: C'rler 1 Rust <br /> PHONE FAX <br /> E-MAIL <br /> P. O. Box 32702 o,ext):520___722-_72- 3 _- 1AIC,No):52.0-722-7245.. <br /> Tucson AZ 85751-2702 -ADDRESS; <br /> ADDRESS: CrllSt@l OVitt-t011Cl'1e.COm <br /> PRODUCER _. <br /> CUSTOMER ID#: <br /> - --- - - INSURER(S)AFFORDING COVERAGEINSURED NAIC#_ _ <br /> Sundt Construction, Inc INsuRERA:ZUTich American las Co 16535 <br /> The Sundt Companies, Inc. INSURERS; <br /> 4101 E Irvington Road INSURERC: <br /> Tucson AZ 85714 - -- <br /> INSURER D: <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:20701696 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br /> WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br /> TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTR' <br /> -- IUBRI ---__----------_.---- <br /> ILTR - I .-___ —"--- -(------ <br /> TYPE OF INSURANCE IMR WV POLICY NUMBER MMlDID ' MM DDY� LIMITS <br /> 1 <br /> A 1'�. GENERAL LIABILITY Y GL0427710105 .10/1!2009 X10/1/2010 <br /> - EACH OCCURRENCE $2,000 000 <br /> COMMERCIAL_ GENERAL_LIABIUT.' DAMAGE-TO-RENTE6 --- ---- ------ <br /> CLAIMS-MADE X ! OCCUR PREMISES_ (Ea occurrence) ! S300,00.0 <br /> '- -." --- MED EXP(Any one person) Shone <br /> PERSONAL&ADV[NJ URS S2,000,000 <br /> GE GENERAL AGGREGATE_ S4,000,OCO <br /> PRODUCTS-COMP/OPAGG $4,OOC,000 <br /> N'L AGGREGATE LIMIT APPLIES PER -- - <br /> A AUT POLICY X__ oR0 X . LOC 5 _ <br /> -AUTOMOBILE LIABILITY 'BA2427710205 .10/1/2009 1C/1/701- COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) 52,000,000 <br /> ALL OWNED AUTOS BODILY INJURY(Per person) $ <br /> SCHEDULED AUTOS <br /> BODILY INJURY rPer accident) S <br /> ,X.- HIRED AUTOS PROPERTY DAMAGE -- <br /> (Per accident) <br /> X NON-OWNED AUTOS - <br /> S <br /> S _ <br /> A UMBRELLA LIAB X OCCUR AC943367901 IST XS 10/1/2009 10/1/2C10 EACH OCCURRENCE $10,000,000 <br /> EXCESS LIAB 'AIMS MADE <br /> `- ' --- AGGREGATE $10,000,000 <br /> DEDUCTIBLE . • <br /> RETENTION $ j $- - - - <br /> A WORKERS COMPENSATION $ <br /> Y!N :WC427710005 -_,0/1,/2-09 /'1 WC STATU OTH' <br /> AND EMPLOYERS'LIABILITY .D ,'2 C ^ TORY LIMITS ER _ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE i <br /> OFFICERIMEMBER EXCLUDED? I N to E.L.EACH ACCIDENT $1,000,000 <br /> (Mandatory in NH) <br /> If es,descnbe under E.L.DISEASE-EA EMPLOYEE' $1,000,000 <br /> D SCRIPTION OF OPERATIONS below - - - -- -- - -- -- <br /> E.L.DISEASE-POLICY LIMIT $1,000,OOC <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Cert holder is an additional insured as respects general liability for the issuance of permits; coverage <br /> is primary & non-contributory; provides contractual liability; subject to policy terms, conditions, <br /> exclusions and definitions. <br /> RE: ROW permit for Delta Water Supply Project <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> San Joaquin County IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ATTN: Scott Cooper <br /> 1810 East Hazelton Ave <br /> Stockton CA 95205-6232 AUTHORIZED REPRESENTATIVE <br /> � _ '`�,r,.�y/� _ <br /> ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD <br />