Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2011_PS-1101501 thru PS-1102000_ - PS-1101683

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ACOR" 20 CERTIFICATE OF LIABILITY INSURANCEFDA7TE,MMIDD"yy, FREPRESENT RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS 6/1/2012 8 CATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. NT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCK'TON COMPANIES,LLC CONTACT 5847 SAN FELIPE,SUITE 320 NAME: HOUSTON TX 77057 PHONE FAX C No Ext 866-260-3538 E-MAIL A/C No ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Commerce and Indust Insurance Conl an 1300228 ATC Group Services Inc.ATC Associates Inc. INSURER B:Insurance Com an of the State of PA 19410 INSURER C:Chartis S ecial Insurance Com an 1 42 25 CUPANIA CIRCLE 26883 MONTEREY PARK CA 91755 INSURER D:New Hampshire Insurance Company 23841 INSURER E: COVERAGES ATCCA099 AM CERTIFICATE NUMBER: 11377577 RERF. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED SION NAIM D ABOVn_ FOR THE POLICY PERIIOD 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP A GENERAL LIABILITY MM/DD/YYYY MM/DD/YYYY LIMITS X MMERCIAL GENERY Y 417-87-02 6/1/2011 6/1/2012 EACH OCCURRENCE A (ABILITY1-000000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 1 000 000 X XCU INCLUDED MED EXP An one arson $ 10 000 X ISO CG 0001 1207 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000 00 POLICY X PRn_ LOC PRODUCTS-COMP/OP AGG $ 2 000 000 D AUTOMOBILE LIABILITY Y Y CA 75717$3 AOS $ D ) 6/1/2011 6/1/2012 MBINED IN LE LIMIT X ANY AUTO CA 7571754(MA) 6/1/2011 6/1/2012 (Ea accident) $ 1 000 000 ALL OWNED SCHEDULED BODILY INJURY(Per person) $ XXXXXXX AUTOS X AUTOS BODILY INJURY Per accident $ X HIRED AUTOS A Xxxxx X MCS 90 PROPERTY DAMAGE $ XXXXXXX C UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS-MADE 6/1/2011 6/1/2012 EACH OCCURRENCE $ 5 000 000 DED RETENTION$ AGGREGATE $ 5,000,000 D WORKERS COMPENSATION $ XXXXXXX B AND EMPLOYERS'LIABILITY Y/N Y 69862625(AO$) 6/1/2011 WC STA TU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE 9915137(CA) 6/1/2011 6/1/2012 X TORY LIMIT ER OFFICER/MEMBER EXCLUDED? N/A 6/1/2012 (Mandatory in NH) E.L.EACH ACCIDENT $ 1.000.0nn If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-EA EMPLOYEE $ 11000,000 CN N 1956718 E.L.DISEASE-POLICY LIMIT $ 1,001000 000 PROFESSIONAL/POLLUTION 6/1/201] 6/1/2012 LIABILITY-CM $1,000,000 EACH CLAIM $1,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES EXCEPT PROFESSIONAL LIABILITY WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT EXCEPT WHERE PROHIBITED BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED ON ALL POLICIES ON A PRIMARY,NON-CONTRIBUTORY BASIS(EXCEPT FOR WORKERS'COMP/EL AND PROFESSIONAL LIABILITY)WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS PERFORMED BY OR ON BEHALF OF NAMED INSURED WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.UMBRELLA LIMITS ARE EXCESS OF GENERAL,AUTOMOBILE AND EMPLOYER'S LIABILITY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. F11 77 AUTHORIZED REPRESENTATIVE Y OF SAN JOAQUIN ST HAZELTON AVENUE ON CA 95205 ACORD 25(2010/05 _ 1 The ACORD name and logo are registered marks of ACORD ©1988-2010 ACORD CORPORAT N.All rights reserved