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PACIFIC COAST CABLING - 2009
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PACIFIC COAST CABLING - 2009
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Last modified
1/3/2012 2:18:09 PM
Creation date
11/20/2009 11:36:04 AM
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Contracts
Company Name
PACIFIC COAST CABLING
Contract #
A-2009-148
Agency
Finance & Management Services
Council Approval Date
9/8/2009
Expiration Date
8/30/2011
Insurance Exp Date
1/1/2010
Destruction Year
2016
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~ X00 9 - 1 Y~ <br />ACORO,a CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY,7 <br />12/31/09 <br />PRODUCER Lic #oE6776e 1-949-297-5962 <br />ioA Insurance Services <br /> <br />130 vantia, Suite 165 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />A11so Viejo, CA 92656-2703 <br />Kenneth c. Salazar <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED INSURERA-Travelera Property Casualty CO. <br />Pacific Coast Cabling, Inc. <br />dba PCC Ne trork Solutions <br />INSURER B: Travelers Indemnity <br />9340 Eton Avenue INSURER G:Travelera Casualty 6 Surety <br />CA 91311 <br />Chatarorth INSURER D: <br />, INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <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 BV 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 />INSR DD' POLJCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />A GENERAL LIABILITY 630-3558P4B9 Ol/Ol/10 O1/O1/11 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 300,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $10,000 <br /> X Add'1 Inad/Primary PERSONALBADV INJURY $1,000,000 <br /> X Waiver of Subrogation GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO- LOC <br />H AUT OMOBILE LIABILITY SA3559P57B O1/O1/10 O1/O1/11 <br />COMBINED SINGLE LIMIT <br />$ 1 , 000 , 000 <br /> X ANY AUTO (Ea accident) <br /> ALLOWNED AUTOS .\i'z iZO VED r <br />AS 1 Q~ P' ISM BODILY INJURY <br /> SCHEDULED AUTOS . (Per person) $ <br /> HIRED AUTOS - <br />/ <br />~ <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS „ (Per eccitlen[) <br /> Laura ti i.,. _.:.cedy <br />PROPERTY DAMAGE <br /> <br />Assis(a~.~' <br />i(y Attorney <br />(Perersitlent) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br />A EXCESSNMBRELLA LIABILITY CVP355 BP4 B9 O1/O1/10 <br />Ol/O1/11 <br />EACH OCCVRRENCE <br />$9,000,000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $9,000,000 <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> <br />C <br />WORKERS COMPENSATION AND HACR-UH-3985P64-7-10 Ol <br />/O1/10 <br />O1/O1/11 WCSTATU- OTH- <br />X <br /> EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED'! X <br />E.L. DISEASE-EA EMPLOYEE <br />$1,000,000 <br /> If yes. tlescribe untler <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />General Liability Blanket Additional Inaurad includes Primary cording par form #CGD2460805. General <br />Liability Blanket Waiver of Subrogation par form #CGP4170708. Workers Compensation Waiver of Subrogation <br />Ae: A11 California Operations of the Named Inaurad The City o£ Santa Ana, its officers, amployeea, agents, volunteers <br />and representatives era nomad as Cart Holders/Add'1 Inaureda as required by rritten contract par attached form. <br />CFRTIFIC ATE HOLDER CANCELLATION rtExcent 10 days for non-pal/ment of premium. <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of SaT1t8 Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30~ DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Attn: InaurallCe Servi Ca9 Divi Bi On M-12 <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Cantor Plaza <br /> REPRESENTATIVES. <br />Banta Ana, CA 927D1 AUTHORIZED REPRESENTATIVE <br /> <br />ACORD 25 (200'1/08) kima ©ACORD CORPORATION '1988 <br />14086220 <br />r-~ J f <br />
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