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J & L CONSTRUCTORS INC.
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Last modified
6/18/2024 10:52:46 AM
Creation date
6/18/2024 10:52:39 AM
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Contracts
Company Name
J & L CONSTRUCTORS INC.
Contract #
A-2024-069-01
Agency
Public Works
Council Approval Date
5/21/2024
Expiration Date
5/20/2027
Insurance Exp Date
12/3/2024
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ACORID CERTIFICATE OF LIABILITY INSURANCE DATE3/8/2023YYY <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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CON IACI <br /> NAME: <br /> Western Republic Insurance Services (a( C No,Est): 714,536.0500 FAX <br /> No): <br /> 19900 Beach Blvd A ADDRESS: dustin wrinsurance.com <br /> ADDRESS: Cn} <br /> Suite Fl INSURER(S)AFFORDING COVERAGE NAIC <br /> Huntington Beach CA 92648 INSURER A: EVANSTON INS CO 35378 <br /> INSURED INSURER B: <br /> &L Constructors Inc INSURER C: <br /> 29104 Basswood INSURER D: <br /> INSURER E: <br /> Lake Elsinore CA 92530 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 /> ILTR TYPE OF INSURANCE AuuL&usi POLICY EPF POLICY EXP <br /> INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> K COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE K OCCUR PREMISES(Ea occurrence) $ 100,000 <br /> MEDEXP(Any ono person) $ 5,000 <br /> A Y 3AA563115 04/27/2022 04/27/2023 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> K POLICY I IJECOT LDC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMI I $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> —OWNED —SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> —HIRED —NON-OWNED PROPER DAMAGE <br /> AUTOS ONLY _AUTOS ONLY (Per accident) <br /> t) <br /> $ <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A K-EXCESS LIAB CLAIMS-MADE EZXS3078353 04/27/2022 04/27/2023 AGGREGATE $ 5,000,000 <br /> DEL) RETENTION$ $ <br /> WORKERS COMPENSATION PER DI H- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY <br /> OFFICER/MEMBER EXCLUDED?ECUTIVE N/A E.L.EACH ACCIDENT $ <br /> (Mandatory In NH) EA.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> Those usual to the insured's operations.The City of Newport Beach,its elected or appointed officers,officials,employees,agents and <br /> volunteers are named as additional insured per the attached MEGL 0009-01 09 18. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Newport Beach ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 100 Civic Center Drive AUTHORIZED REPRESENTATIVE <br /> Newport Beach,CA 92660 Dw$t(w Kee <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • <br />
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