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DULAC ENTERPRISES, DBA BIG RED BUS
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DULAC ENTERPRISES, DBA BIG RED BUS
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Last modified
4/11/2019 2:02:15 PM
Creation date
4/11/2019 1:55:15 PM
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Contracts
Company Name
DULAC ENTERPRISES, DBA BIG RED BUS
Contract #
N-2019-058
Agency
COMMUNITY DEVELOPMENT
Expiration Date
3/31/2020
Insurance Exp Date
1/1/1900
Destruction Year
2025
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A� h® CERTIFICATE OF LIABILITY INSURANCE <br />DATE/22/20 9i <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(les) 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 />TIB Transportation Ins Brokers <br />425 West Broadway, Suite 300 <br />Glendale CA 91204 <br />CONTACT <br />NAME: ArcJaure ul <br />PHONE FAX <br />N E : 618-246-2800 Arc Nal: 818-246-4690 <br />noMDRRESS, ajauregui@tibinsurance.com <br />INSURERS) AFFORDING COVERAGE <br />NAIC N <br />INSURER A: Scottsdale Insurance Company <br />41297 <br />3121/2020 <br />INSURED BIGRE-1 <br />Dulac Enterprises dba: Big Red Bus <br />James Dulac <br />INSURER B: General Star Indemnity CO <br />37362 <br />INSURER C: Northfield Insurance Co. <br />INSURER D: <br />1810 E. 5th St. <br />Long Beach CA 90802 <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1090907123 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 />INSR <br />R <br />TYPE OF INSURANCE <br />DDL <br />AINSD <br />SUER <br />MD <br />POLICYNUMBER <br />MMIDD�Y <br />POLICY EXP <br />LIMITS <br />C <br />X COMMERCIAL GENERAL LI ABILITY <br />WS383372 <br />3/21/2019 <br />3121/2020 <br />EACH OCCURRENCE $2,000,000 <br />CLAIMS -MADE 1XI OCCUR <br />DAMPREM SES Eaoccurrence $100,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL &ADV INJURY $2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $3,000,000 <br />X POLICY PRO- <br />JECT F-1 LOC <br />PRODUCTS - COMP/OP AGO $3,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />CAS0102939 <br />6/16/2018 <br />6/16/2019 <br />COMBINED SINGLE LIMIT <br />Fa accident $ 000,000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />B <br />UMBRELLA LIAB <br />X <br />OCCUR <br />IXG419167D <br />6/16/2018 <br />6/16/2019 <br />EACH OCCURRENCE $4,000,000 <br />AGGREGATE $ <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVEF7EL <br />EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />N I A <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mandatory, In NH) <br />If yae de6orlbe andel <br />DintOF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana, It's Officers, Agents, and Representative are named as additional insured in regards to genepL liability pe a ed endorsement. 30 <br />day written notice of policy applies. Vehicle schedule Attached. <br />Pz 1%� <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014/01) <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />20 Civic Center Paza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />ACORD 25 (2014/01) <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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