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Insurance - Trimco Services Inc - 2012-01-24TRIMC -2 OP ID: KG CERTIFICATE OF LIABILITY INSURANCE DATE( /2411YYYY) 01/24172 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(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 endorsements). PRODUCER Ali? Insurance Services,lnc 909- 886.9861 NBC 909- 886 -2013 735 Carnegie Drive, Ste 200 San Bernardino, CA 92408 CONTACT NAME; Michele Callihan PHGNE .909.474 -8769 uC Not 909.886 -2013 EMAIL mcallihan@ailiantinsurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# Bill Fellow, OIC INSURER A: Peadess Insurance Company 24196 09101/12 INSURED Trimeo Finish Inc 3130 W Harvard Street Santa Ana, CA 92704 INSURER B; First Specialty Insurance COrp PREMISES Ea occurrence INSURER C : Seabright Insurance Company 15563 INSURER D ; Golden Eagle Insurance Corp 10536 $ 1,000,000 INSURER E GENERALAGGREGATE INSURER F GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PRO' Loc PRODUCTS - COMP /OPAGG COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- 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. IN SR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM D POLI Y EXP MM/DD LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ix I OCCUR X IRG57236 09101111 09101/12 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 50,000 MED UP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PRO' Loc PRODUCTS - COMP /OPAGG $ 2,000,000 Emp Ben. $ 1,000,000 AUTOMOBILE X LIABILITY ANY AUTO ALLOWNED AUTOESULED U ArOS NON -OWNED HIRED AUTO$ AUTOS BAS181860 09/01/11 09/01/12 E�accMaD $INGLE $ 1,000,000 BODILY INJURY (Per person) $ BOOILYINJURV (Per accitlent) $ PROPERTYD E Pet aoatlenl $ B X UMBRELLA LWB EXCESS LIAR X OCCUR I CLAIMS -MADE IRE57237 09/01/11 09101112 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DEO I X I RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PROPRIETORIPARTNE RIE EREXCLUORVE ECUTIVEV� (Mandatory in NH) H DE SC describe under RIPTIONOFOPERATIONSbelow NIA BB1113239 05/01/11 05/01/12 X WC STATU- OTH- E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Property Section CPS874413 09101111 09/01/12 SEE BELOW IF APPLIES DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) Job: Operations pertaining to named Insured for certholder. Costa Mesa Sanitary District is additional insured as respects general liability per endorsement CG20101185. Costa Mesa Sanitary District 626 W. 19th Street Costa Mesa, CA 92627 t ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE l 9, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE \ V a . 1' . ?9. r- ©1988 -2010 ACORD ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD All rights reserved. POLICY NUMBER: IRG57236 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: As required by written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 ❑