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Home My WebLink AboutCertificate of Liability Insurancer--+I NCCHAM1 OP ID: NG '4,C4Z7' `' CERTIFICATE OF LIABILITY INSURANCE J DATE ;�,° 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 the terms and conditions of the policy, certain policies may require an endorsement. certificate holder In lieu of such ertdorsemenllsl. policy(ies) must be endorsed. If SUBROGATION iS WAIVED, subject to to the A statement on this certificate does not confer rights PRODUCER aterldge Insurance Services 10717 Sorrento Valley Rd. ran Diego, CA 92121 . S, Guy insurance Agency,lnc, ! 858.452-22 858-452-80 G°'"`i4" Tiffany Blair NM9E: PHarrs tA1 ExB FAX W: O. No): -MkLo. ADDRESS: tblair rateridge.cam i INSURERISj AFFORDING COVERAGE NAIC INSURER A: Assurance Company of America 119305 1 1. INsuREo National City Chamber of CommerceINSURER Naonal City Boulevard I National City, CA 91950 I INSURER E 0901 I NSURER 0 : AJSURER E : SIZIRERL. REVtStON 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 DOCUVENT 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. TA$R LTR TYPE OF INSURANCE ADDL mg %IBA WVr1 I P_OLIcYNUMBER POLICY EFF flAVONYYYI POLICY EYIP IMMIDD,R'YYYI LIMITS A GENERAL LIABILRY COMMERCIAL GENERAL LIABILITY X OCCUR X PAS38912516 09122113 09122/14 EACI-1 OCCURRENCE $ 2,000,DOL X DAI.tAGE TD-RENTED PREMISES [Ea 000urrerw�el 2,406 00C $ , CLANS -MADE MED E)CP[Ai ore parson) $ 10,004i PERSONAL f, AJA1 INJURY $ 2,000,00 GENERAL AGGREGATE $ 4,034,00 GEN'LAJ3 REC-ATE LIMIT APPLES PO'_ICY n , iFcT PER. PROC,..:CTS-COMP/CPAuo $ 4,000,00 El LOC $ A l AUTOMOBILELIABILrY AN( AUTO ALL OWNED HIRED AUTOS SC- DULED MON MVED .gLTCS PAS38912516 09122113 09122/14 CCMISINoD'S(Y6'_ELIMII $ 1,000,00C BODILY IIIJUS.Y (Pe Gerson: $ — BODILY INJURY [Per acadart; $ X — X PRCPk.RTY DAMp,:,E IPer eccicen1) $ $ UMBRELLA LIAR EXCESS LAB r OccuR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ .. DED I RErEMION $ 5 ■ WORKERS COMPENSATION EMPLOYERS' LIABILITY A'dYPRC:PF;iF7Y7RiFA EXCLUDED'? CFF'CERAv h1g_R EXC'_IJDED? (Mandatory In NH) If Yes. descnue under DESCRIPTION OF OPERATIONS IN Y� N 1 A 1^ir STATJ OTH- ER TOP' - NITS ER E L EACH ACCIDENT $ MVP EL DISEASE - EA EMPLOYEE $ a below E L DISFI SE - POLICY LINT $ DESCRIPTION OF OPERATIONS f LOCAT50NS I t'EINCLES [Attach ACORD WI, Addlttanal Remarks Schedule, If more space Is recurred} EI HE CITY OF A T IV1MML CI T T, ITS OFFICIALS, BOARDS COMISSSiOr S; EMPLOYEES -kGEN ► S AND COt i RACTOR4, AS THEIR REUPECTIVE i vTERESTS ;AA) APPEAR ARE NAMED DD1TIONAL INSURED WRESPECT TO GENERAL LIABILITY PER ATTACHED. RE: NAMED ;SURED'S SIGNS LOCATED I!,f THE CITY LIMITS OF NATIONAL CITY I II I I CERTIFICATE HOLDER CANCELLATION NAT1 002 CITY OF NATIONAL CITY • 1243 NATIONAL CITY BLVD, NATIONAL CITY, CA 92050 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 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and Toga are registered marks of ACORD POLICY NLMBER: COMMERCIAL GENERAL LIABILITY CO20100704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This erv'.�oca—ri,on: ,w cam ^ insurance provided under the bIriwving: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or OrgenlzatIon(s): Location(sl Of Covered Operations THE CITY OF NATIONAL CITY, ITS OFFICIALS BOARDS, COMMISSIONS, EMPLOYEES: AGENTS & CONTRACTORS, AS THEIR INTERESTS MAY APPEAR 1243 NATIONAL CITY BLVD. NATIONAL CITY, CA 92050 NATIONAL CITY above, MAI be shown n the Declarations. Iidfurnatibn required incomplete this Schedule, ifnotshovn A. Section II litho Is An Insured Is amended in include as an additional insured the person(s) or organizatbn(s) shown n the Schedule, but only with respect to fiabiltiy for "badly inj-jry"- 'properly damage" or 'personal and advertising 1-Jury" caused, in v...hole or in part, by: 1. Your acts oromissbna: or 2. The act or omissions of those acting on your beha If; in the performance of your ongoing operations far the additional insured(s) at the location(s) desig— nated above. B. With respect to the insurance ctffurded to these additbnal insureds, the -following additional exclu— sions apply: This insurance does not apply to 'bodily n-j.ary' cr "property damage" rYrJArrIng after: 1. Al! work, including materials, parts or equip — merit -furished in ocrnedon with sUcin vrcrk, on the project (other than service, maintenance or repairs) to be performed by or on behalf of tte additional insureds} at lie bcatbn of The covered operations has been completed: or 2, That portion of 'your work" out or which the injury or sr•se:shas been put to Ms r— tended use by any person or organization other than another contractor or suboantraclor en— gaged riperforming c x'rattons -For a pinckpal as a part cfthe same proilect CG 20 10 07 04 Copyright, ISO Properties, Inc., 2004 Page'1 arl ❑