Laserfiche WebLink
FEB-11-2014 09:55 From:INSURANCE 8055826191 To:2099320610 P,212 <br /> Policy Number: wee Date Entered: 02/11/2014 <br /> CERTIFICATE OF LIABILITY INSURANCE DAM(MW <br /> 12/16�mm <br /> 12/16/2013 <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(ios) must be endorsed. 11 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 Confm rights to the <br /> Certificate holder In lieu of such endersement e. <br /> PRODUCER NT4 T <br /> Philip McPherson IneuranOe Agency, Inc. E' - -. <br /> rhoge F,_ NejI (805)830-0357 <br /> 2775 TApO STREET, FTE, 102 Ns.Ears: (805)582-6186 <br /> l MAIL STACEY@ PHILIPMCPHERSONINS.COM <br /> SZMI VALLEY, CA 93063 DOgEsg: _ _ <br /> IMBURERIS)APPORDIMOCOVERAG! _ <br /> INSURER A- NaCa <br /> LICENSE NUMBER: 0650725 FARNERB INSURANCE EXCHANGE <br /> _ <br /> INSURED RB CONSTRUCTION INC. INSURER B: _ <br /> INSURER C- _ <br /> CENTRAL OFFICE INSURER D: <br /> 893 BOGGS TERRACE - <br /> FREMONT, CA 94539 INSURER.!: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 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 /> NXW <br /> TR TYPE OF INSURANCE R POUCYNUMBER {PIhOtI� MMIODr"r LIMITS <br /> ClHEgAL LIABIDTY <br /> EACH OCCURRENCE <br /> E <br /> COMMERCIAL GENERAL LIABILITYPa me <br /> ENTELIABILITYPREMIA' FaaNner,ce S. <br /> CLAIMS-MADE FlOCCUR MEDEXP A,yanepoo ) $ <br /> "' -- PERSONAL a ADV INJURY i <br /> -- GENERAL AGGREGATE 6 <br /> CENL AGGREGATE LRIITAFPLIES PERRO- <br /> ' PgVWCTS-COMPIOP pCG i <br /> POLICY P <br /> OC S <br /> AUTOMOBILE UABIUtt _ <br /> A ANYAUTO fee ami iemlSl I 2,000,000 <br /> ALL ED SCHEDULED <br /> BODILY INJURY(Per penin) S <br /> OWN <br /> AUTOS AVf03 60439-66-91 4/DS/2013 /S/FOIA BODILY MJ40T.- <br /> ITS <br /> dml) { <br /> NON-OWNED <br /> HNFO AUrpS A1rt05 P PE)�l Rr {(Pal acadenl3UMBRILLA LMa OCCUR <br /> TACH OCCUSEZC[SS L49 AGGREGATtDCO RETENTION ANDEMPIiAMO ENPLOVER9'WBMJT' WC STOTN- <br /> MyPROPRIETOAMARTNERrEXECUTIVe YIN OiTICER,MEMeER E%CIUOEDt NIA FL EAC"AyIMRROMery In MN) <br /> N pas deamilm unOp. EL DISEASOYES 3DESCRIPTIONOFOPERATIONSPe. 6LDISEASELIMIT 3 <br /> OESCRIRN)N OF OPERATIONS I LOCATIONS I VEHICLES IAeeeh ACORO 101,Addlaeml gsmsna SeMdu1M,11 mare spate Is IyMIAd) <br /> DTIONAL INSURED: UNIVERSITY OF THE PACIFIC � <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OFT <br /> HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE W�H THE POLICY PROVISIONS, <br /> AUTHORIZED REPRIESENYAMW <br /> / IH 1968-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and 1090 are registered marks of ACORD <br /> 'ndYWd using Forms Boas Plui SOIATRIE.IwWV.rOm,3Bpufan;IITIplesSw.PUMBNing SDO-20a-1971 <br />