SELECTRON TECHNOLOGIES, INC. - 2017

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE 1013ATE(14 DIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S 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 pollcy(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($). PRODUCER W.B. Adams Company General insurance 14737 SW Milliken Way Beaverton OR 97006 _ _ --INSURER CONTACT w B, NAME• Adams Co. PHONE 644 -9945 ,F "2C No), (503) 644.9997 ..._ _WL Nn nfo -MAIL E-MAIL i wbadams.com _ INSURE S AFFORDING COVERAGE _ NAICM_ A, One Beacon Insurance Company AXI LIMITS INSURED Selectron Technologies, Inc. 12323 SW 66th Ave. Portland, OR 97223 INSURERS ; Hartford Casual Insurance Co. A XV SURERC. _. INSURER D;_ �N.SURER E: $1,000,000 INSURER F, _ $1,000,000 COVERAGES CERTIFICATE NUMBER: 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 OF INSURANCE ADOL BUBR POLICY NUMBER POLICY EFF POLICOY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED SL° _ $1,000,000 A X LIABILITY CLAIMADE OCCUR 7110137430001 1/31/14 1/31/15 MEDE%P1Anyons arson $10000 _ PERS NAL &ADV INJURY sl 00 GOOD _ GENERAL. AGGREGATE 2 D000 GEN'L AGGREGATE __.. LIMIT APPLIES PER: PRODUCTS- COMPIOP AGO $2,0001000 $ X POLICY PRO- LOG IFCT AUTOMOBILE LIABILITY COM81NNE�D SINGLE LIMIT 1,000 000 X BODILY INJURY (Per person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS 7110137430001 1/31/14 1/31/15 PROPERTY DAMAGE Tper_accldeeU —� $ $ X UMBRELLA LIAB X _ I OCCUR EACH OCCURRENCE $ 6,000,000 AGGR c Te 6,0001.000___ A EXCESS LIAB CLANS -MADE 7110137430001 1/31114 1/31/16 D D RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY VV (NN ANY PROPRIETORIPARTNER IEXECUTIVtT OFFICER/MEMBEREXCLUDED' �f IMandatory lnNH) NIa 52WBCGD0279 1/31/14 1131/15 X I WC STATU- 1 11-111- I E.A. EACH ACCIDENT - -- — $1,000,000 — E.L. DISEASE- AEMPLOYEE $1,000,000 It yes, describe under ES RIPT ON OF OPERATIONS beI w E.L. DISEASE - POLICYLIMIT $1,000,000 A- Technology Services E & O Aga: $1,000,000 Ded: $10,000 Retroactive Date 01131/2002 7110137430001. 1131114 1/31/15 Each Claim $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAeach ACORD 101, Additional Remarks Schedule. If more Space Is required) City of Santa Ana is additional Insured as respecting General Liability per written contract. Insurance is Primary and Noncontributory per written contract. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLII9Y OVISIONS. ACORD 25 (2010/05) The ACORD name and logo are registered magks of ACORD