Laserfiche WebLink
CORD CERTIFICAT OF LIABILITY INSURANCE <br /> DATE(MNVDD/YYYY) <br /> PF JCER (916)443-0200 FAX (91W43-0251 THIS CERTIFICATE IS OWED AS A MATTER OF INFORMATION <br /> Owen Dunn Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> License Number: 0670167 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 2831 G Street Suite 200 <br /> Sacramento, CA 95816-3721 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED DCM Construction & Services, Inc. INSURERA: Gulf Insurance Co. c/o Hull & Co. <br /> 7172 Regional Street #139 INSURERB: State Compensation Ins. Fund <br /> Dublin, CA 94568 INSURERc: Greenwich Insurance Company <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINI <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSRDD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR INSR LIMITS <br /> GENERAL LIABILITY GU7122174 02/01/2004 02/01/2005 EACH OCCURRENCE $ 3,000,00 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,00 <br /> CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,00 <br /> A X Pollution Incl . PERSONAL&ADV INJURY $ 3,000,00 <br /> X jProfessional Liab. GENERAL AGGREGATE $ 3,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> POLICY X PROJECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND 713691104 10/01/2004 10/01/2005 X I WC sTATU' OTH- <br /> EMPLOYERS'LIABILITY TORY LIMITS ER <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,00( <br /> OFFICER/MEMBER EXCLUDED? <br /> E.L.DISEASE-EA EMPLOYEE $ 1,000,00( <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00( <br /> OTHER $3,000,000 Each Claim <br /> Installation Flter <br /> C <br /> 2496164 06/01/2003 06/01/2004 $176,800 Limit <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Re: License # 781351 <br /> *'Upon non-payment of premium, 10 day notice of cancellation applies. <br /> CERTIFICATE LDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Contractors State License Board BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> PO Box 26000 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> Sacramento, CA 95826 AUTHORIZED REPRESENTATIVE <br /> Shell Cam bell SMX <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />