BUCKNAM INFRASTRUCTURE GROUP INC. - 2015

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.4�RbP CERTIFICATE OF LIABILITY INSURANCE DATE 2015 Y) la/o3/2ols 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 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(s). PRODUCER Willi. of Illinois, Inc. NAMEADT c/a 26 Century Blvd H.O. Box 305191 Nashville, M 372305191 USA JP5-7378 IFAX N P1•B09.467-2]09 E-MAIL ADORE :cextiEicates@willie.cre INSURERS AFFORDING COVERAGE NAIC 0 anta Ma, CA 42701 INSURER A:Conti... tal Caeualt Cam an 20443 INSUREDSucknam In£rastxucture Group, Inc. INSURER B: DA A - TEO PREMISES Ea orr n e 3588 Seagate Way, Salta 230 0 ..... id., CA 92056 INSURER C: _INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:W3202544 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, I`7R TYPE OF INSURANCE AO L e R POLICY NUMBER POLICY EFF MMIIO�NYYY LIMITS Att.: Pemhasing Department COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR ff� anta Ma, CA 42701 , [.. ax'o EACH OCCURRENCE $ DA A - TEO PREMISES Ea orr n e MED EXP(Any one29re0n) $ PERSONAL &AOV INJURY $ GENT. AGGREGATE LIMIT APPLIES PER: POLICY [:]JECT LOC GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ S OTHER: AUTOMOBILE LIABILITY C MSINEUSINGLE LIMIT$ Ea add.,t) BODILY INJURY (Per pemon) S ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Por accident) $ HIRED AUTOS AUT -OWNED PROPERTY tDA�_ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTIONS g WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPMETOP/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA I_LPER OTH- STAT T CR C.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEd $ (Mandatory in NH) II yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS be. A P.f... i ... I Liability MCH288359757 09/16/2015 09/16/2016 $2,000,000 Per Claim $2,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD itl1. Additional Remarks Schedule, may be attached I(more space Is required) REVIEWED BY: r p EUNICE HEREDIA(PGOF7 CERTIFICATE HOLDER CANCELLATION _--- ©1088-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SR ID:30760743 BATC'H:Batch N: 188407 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City 0£ Santa Me AUTHORIZED REPRESENTATIVE Att.: Pemhasing Department 20 Civic Center Plaza ff� anta Ma, CA 42701 , [.. ax'o ©1088-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SR ID:30760743 BATC'H:Batch N: 188407