ALL AMERICAN ASPHALT (LOCAL STREET SLURRY SEAL 2013-14)

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A ' CERTIFICATE OF LIABILITY INSURANCE -DATE 06/19/201414 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LIC #0829370 1-925-244-7700 CONTACTNAMCertificate Department Edgewood Partners Insurance Centers (EPIC) PHONEFAX [Irvine Branch] wC,Ap,�„(925) 244 7700 _...�Lc No1:.(925) 901-0671 _ P.O. Box 5003 E-MAADDRESS: EPICcertsBEdgewoodlns.com Sen Ramon, CA 94583 INSURERS AFFORDING COVERAGE NAIC# _ INSURER A: ARCH SPECIALTY INS CO 21199 INSURED INSURER B: ZURICH AMER INS CO116535 All American Asphalt INSURERC: NATIONAL UNION FIRE INS CO OF PITTS 119445 P.O. BOX 2229 _ INSURER D: INSURER E: Corona, CA 92578-2229 INSURER F ! $ COVERAGES CERTIFICATE NUMBER: 40276401 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDDIYYW POLICY -E —XP MMIODNYVY LIMITS A GENERAL LIABILITY GPP002265805 08/01/1 08/01/14 EACH OCCURRENCE $ 1,000,000 X.. COMMERCIAL GENERAL LIABILITY DAMAOETO RENTED ......100, PREMISES Ee ocom.11ce $ 000 CLAIMS -MADE ❑X OCCUR MED EXP (Any ono person) $ PERSONAL &ADV INJURY _ $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS CONFIDE AGO $2,000,000 $ POLICYM PRO LOC JPCT B AUTOMOBILE LIABILITY _ BAP557108801 08 Ol 1 08/01/14 COMBINEDSINGLE LIMIT Ea accident 2,_000,000 BODILY INJURY (Per parson) _ $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILYINJURY(Peraoddenl) $ PROPERTY ede $X HIRED AUTOS X ON -OWNED $ C UMBRELLA LIAB X OCCUR BE11665540 08/01/1 08/01/14 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X EXCESS ILIAD CLAIMS -MADE DEC X RETENTION $10, 000 F0110W1 -Form $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMSER EXCLUDED? NIA WC593205700 OB O1 1 / / 08/01/14 X WC STATU- OTH- TO V LIMIT E E.L EACH ACCIDENT ------- $ 11000,000 " --'—"—'-- (Mandatory inNH) El DISEASE - EA EMPLOYE $1,000,000 Ifyas',descrlbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is race red) RE: City of Santa Ana - Project #14-68121 Local Street Slurry Seal 2013-2014 [2] Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) AHilgen-IRV 40276401 © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 USA ACORD 25 (2010105) AHilgen-IRV 40276401 © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD