RINCON CONSULTANTS, INC. 4A -2015

Home Browse Search

® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDl1'YYY) 12/15/2015 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(ies) 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 endorsements . PRODUCER Tolman & Wiker Insurance Services LLC #OE52073 196 S. Fir Street PO BOX 1388 Ventura CA 93002-1388 CONTACT Pam Ayerle AIMS PHONE o. Exl (BD5)585-6737 FAX No: (805)585-6837 -MAIL payerle@tolmanandwiker. com INSUREI AFFORDING COVERAGE NAICIf INSURER A:Travelers Prop Cas Co of Amer 025674 INSURED Rincon Consultants Inc. 180 N. Ashwood Ave. Ventura CA 93003 INSURERB:State Compensation Ins Fund 35076 INSURER C INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 AU/WC 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 ADDL INSD SUER WVD POLICY NUMBER POLICY EFF POLICY EXP DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 11 OCCUR DAMAGE TO RENTED PREMISES Eaoccurrence$ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY E PRO- JECT D LOC PRODUCTS-COMP/OP AGO $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ A JX ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BA -50112538 -15 -CAG 12/17/2015 12/17/2016 BODILY INJURY (Per accident) $ PRO PERT Y DAMAGE $ Per accident) NON -OWNED HIREDAUTOS AUTOS _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE OEO RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A I STATUTE ERH B ANY PROFRIETC)WPARTNFF(IEXEOII;;VE rIYIN OFFICEWMEMBER EXCLUDED? J (Mandatory In NH) NIA 9086946-2015 2/1/2015 2/1/2016 E.L. EACH ACC HENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE $ 1,000,000 E.L.DISEASE- POLICY LIMIT $ 1,000 000 DIf yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTO: Certificate Holder is Additional Insured as respects to operations of the Named Insured per form CAT4740215 which applies only as required by written contract during the policy term. t O; City of Santa Ana Housing and Neighborhood Development Department PO Bax 1988 M-26 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 POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE David Shore/PAMELA (c)1988-2014 ACORD CORPORATION. All riahts reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)