Loading...
1993-1123_C.B. ELECTRIC_Insurance Certificate ` . ISSUE DATE(MM/DD/YY) • I 11/23/93 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND W BURNS INSURANCE BROKERAGE CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 34071 LA PLAZA SUITE 210 POLICIES BELOW. "ANA POINT CA 92629 COMPANIES AFFORDING COVERAGE (714 ) 240-8350 COMPANY A 142401436 FAX LETTER SAFECO INSURANCE COMPANY COMPANY B INSURED LETTER FINANCIAL INDEMNITY COMPANY B Electric . COMPANY `+ 114 Avenida Sierra LETTER COMPANY .an Clemente CA 9267 LETTER 77=0 ,u "7- /147---)/,.{97-'' (714 ) 492-3013 COMPANY E LETTER COVERAGES 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $1,000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $1,000, 000 CLAIMS MADE I IOCCUR. SL 2285548 07/23/93 07/23/94 PERSONAL&ADV.INJURY $1, 000, 000 OWNERS&CONTRACTOR'S PROT. EACH OCCURRENCE $1, 000,000 FIRE DAMAGE(Any one fire) $ 50,000 MED.EXPENSE(Anyoneperson) $ 5, 000 IG AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $250, 000 HIRED AUTOS C 3822874 11/23/93 05/23/94 BODILY INJURY NON-OWNED AUTOS (Per accident) $500 000 GARAGE LIABILITY PROPERTY DAMAGE 100 000 EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM / / / / AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION / / / / EACH ACCIDENT $ AND DISEASE--POLICY LIMIT $ EMPLOYERS'LIABILITY DISEASE--EACH EMPLOYEE $ OTHER / / / / DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ALL OPERATIONS OF THE NAMED INSURED ADDITIONAL INSURED: SEE PAGE TWO ( 2 ) ATTACHED TO THIS DOCUMENT FkYll=llkI~Nt:t > ' ANCEI.I. '�I�3N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ITY OF SAN JUAN CAPISTRANO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 32450 PASEO ADELANTO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE *AN JUAN CAPISTRANO, CA. 92675 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. VA TTN: RON S IEVERS i AUTHORIZED REPRESENTATIVE Ai LkR1)25 ..Cfl AC OP!PANI l#TIO i99(1: PAGE 2 11-23-93 CHARLES D BROWN DBA: C B ELECTRIC CERTIFICATE TO CITY OF SAN JUAN CAPISTRANO ET AL ADDITIONAL INSUREDS : The City and the Community Redevelopment Agency, its elected or appointed officers, officials, employees and volunteers are included as insureds withregard to damages .