1997-0707_HOLLAND-LOWE CONSTRUCTION, INC._Insurance Certificate CORD
1' DATE(MM/DD/YY)
07/07/97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
HUMMER INSURANCE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1182 VIA VERDE AVE COMPANIES AFFORDING COVERAGE
SAN DIMAS CA 91773 COMPANY
(909) 394-5100 FAX: 394-5102 A CALIFORNIA COMPENSATION
INSURED COMPANY
RAMIREZ CONSTRUCTION INC B
20815 CURRIER RD COMPANY
WALNUT CA 91789 C
COMPANY
I D
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.
COTYPE OF INSURANCE POLICY NUMBER I EFFECTIVE POLICY EXPIRATION LIMITS
DATE(MM/DD/YY)DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL UABIUTY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ _
CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ _
OWNER'S&CONTRACTOR'S PROT I EACH OCCURRENCE S
FIRE DAMAGE(Any one fire) $
MED EXP(Any one person) $
AUTOMOBILE UABIUTY
COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) S
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE S
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE S
EXCESS UABIUTY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND X TORY LIMITS OER
EMPLOYERS'LIABILITY EL EACH ACCIDENT $1, 0 0 0, 0 0 0
A THE PROPRIETOR/ INCL G974138770 4/18/97 4/18/98 EL DISEASE-POLICY LIMIT 51, 000, 000
PARTNERS/EXECUTIVE —
OFFICERS ARE: X EXCL EL DISEASE-EA EMPLOYEE $1, 000, 000
OTHER
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C
r
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS R')
C')
f,t,l
O.y m N G
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN&•ATED BEFORE THE
HOLLAND-LOWE CONSTRUCTION, INC. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
541 N. MAIN STREET, SUITE 104-350 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
CORONA, CA 91720-2043 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY
CITY OF SAN JUAN CAPISTRANO OF ANY KIND N TF COMPANY, ITS AGENTS OR REPRESENTATIVES.
32400 PASEO ADELANTO AUTHORIZED RE TAT E
USAN JUAN CAPISTRANO, CA 92675
ACORD:25$t4 SSI GACORD CORPORAT ON 1988;