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Insurance - Southern California Fleet Service Inc. 2018-03-26
A`� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM DDIYYY) 3/26/2018 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 have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER YouZoom Insurance Services, Inc-NAME:PHONE 6900 College Blvd Ste 1000 CONTACT FAX Eat : 888-240-8803 A/c No), 877-835-1833 EAIC,MAP ADDRESS: AMSewleeCenter arrowhead r .Com INSURERS AFFORDING COVERAGE NAIL# Overland Park KS 66211 INSURERA: Zurich American Insurance Company 16535 CPO164028"1 INSURED SOUTCAL-02 Southern California Fleet Service Inc 34211 Pacific Coast Hwy _ INSURER B: Travelers Pro erty Casual_ Cc of America 25674 INSURERC: American ZUfICh Insurance Company i 49142 INSURERD: Dana Point CA 92629 INSURER E, INSURER F: COVERAGES CERTIFICATE NUMBER: 506303542 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 ADULSUSR INS13 Wi POLICYNUMBER POLICY EFFPOLICYEXP MMMD MMMD LIMITS A X COMMERCIAL GENERAL LIABILITY Y CPO164028"1 3/12018 3/1/2019 EACH OCCURRENCE $1,000,00 _ DAMAGE TO RENTED CLAIMS-MADEIfl OCCUR PREMISES Ea occunence $1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 POLICY [] JEa LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accitlent BODILY INJURY(Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR ZUP71M9342318NF 3/1/2018 3/1/2019 EACH OCCURRENCE $4,000,00 _ AGGREGATE $4,000,00 EXCESSLIAB CLAIMS -MADE DED X RETENTION$ n PlodfCam 02 A $4,000,00 WORKERS COMPENSATION ANUEMPLOYERS'LIABILITY VIN PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEEL EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? F-1 NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ C Garage KeeperslDirect Primary CPO1640285-01 3/112018 3/12019 Limit See Descrip of Ops DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Romantic Schedule, maybe attached if more space is required) Garage Keepers Limits (per location): Loc 01: 2855 Sampson Ave., Corona, CA 92879 - Limit: $1,000,000 Loc 02: 9690 Black Mountain Rd., San Diego, CA 92126 - Limit $500,000 Loc 03: 450 Corporate Drive, Escondido, CA 92029 - Limit $800,000 Loc 04: 11752 Mariposa Rd., Hesperia, CA 92345 - Limit $500,000 Loc 05: 20420 S Susana Rd., Carson, CA 90810 - Limit $800,000 Loc 07: 3301 Sunrise Blvd #H, Rancho Cordova, CA 95742 - Limit $500,000 Loc 08: 1215 N. Fee Ana Street, Anaheim, CA 92807 - Limit $1,500,000 See Attached... CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa Sanitary District 290 Paularino AvenueIn�� Costa Mesa CA 92626 n AUTcHORIZED REPRESENTATIVE C , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: SOUTCAL-02 LOC #: A �R� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY YOUZOOm Insurance Services, Inc NAMED INSURED Southern California Fleet Service Inc 34211 Pacific Coast Hwy Dana Point CA 92629 POLICY NUMBER CARRIER NAIL CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE 09: 4380 Donovan Way, North Las Vegas, NV 89030 - Limit $500,000 10: 5000 E McDowell Rd, Mesa, AZ 85215 - Limit $500,000 Keepers includes On -Hook coverage. Liability is provided under the General Liability coverage part of the policy. and Non -Contributory applies. The Costa Mesa Sanitary District, its elected and appointed officials, agents, officers, volunteers, and employees are as Additional Insured. Day Notice of Cancellation applies. ACORD 101 (2008101) The ACORD name and logo are registered marks of ACORD reserved. ACORDTa CERTIFICATE OF LIABILITY INSURANCE °02126/2o 8 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION State Farm Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brian Hunt, Agent Lic# OE02546 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR INSRDO— - ----�.._---- -- ". POUCYEFFECTIVE LTR NSR TYPEOFINSURANCE POLICY NUMBER y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 5693 Woodruff Ave GENERAL WAOILITV Lakewood, CA 90713 INSURERS AFFORDING COVERAGE NAIC # INSURED Southern California Fleet Services, Inc—---- California INSURERA State Fann Mutual Aulomnblle lneumn eCmpany 251n 25178 -`"-- -- '"-------- INau1xER a !_ 2815 Sampson Ave - ---- _�. ,_ Corona, CA 92879 INsuRER c PERSONAL &ADV I J DRY INSORER U y INSURER_=. 1 IGEN RA AGUREGATE 5 `— 1 _....._. COVERAGES ADDITIONAL INSURED: Costa Mesa Sanitary District 290 Paularino Ave Costa Mesa CA 92626 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TI4C EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL $0 _ DAYS WRITTEN NO [ICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. OUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORRED REPRESENTATV5 Brian Hunt, AGENT © ACORD CORPORATION 1986 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO'THE INSURED NAMED ABOVE TOR THE POLICY PERIOD INDICATED. NO? WIIHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH PHIS CERTIFICATE MAY BE ISSUEC OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSRDO— - ----�.._---- -- ". POUCYEFFECTIVE LTR NSR TYPEOFINSURANCE POLICY NUMBER y POLICY EXPIRATION! LIMITS GENERAL WAOILITV Itt��E..A 10( J�iiaEwCi a i r OMM[RnAiCFNFRALITARRITY CLAIMS MAO£ D OCCUR MFO CYP IA Y 'Fa PERSONAL &ADV I J DRY i '. IGEN RA AGUREGATE 5 `— 1 _....._. 'LAGGR(OAT£LIMIT APPLIES PER - GEN ' �PRODJtT. G(»AP OPAOf 4 ,_ —i r Roticy it 6 LOCI A i X AUTOMOBILE LIABILITY 75-3954-W37 03/01/2018 03/01/2019 ! COMCNE"11INGt.E ut s 7000,000.00 ANY AUTO i I IE a cmp ALL OWNED AUTOS i DPa•.cuiURY - �XI SCHEOU6EIIIAUT08 HIRED AUTOS BODILY Y INJURY t iNON4JWNEDAItTOS IPt .dnt•q - PP a ER'T OA+LACE 1 (Pe eS UO+I) GARAGE LIABILITY I �— =&UTO ONLY £AACCID NT S ' ANY ALTO O"HER TITAN C1 ACG 5 `AUTO ONLY AGE I, EXCESSIUMBRELLALIABILRYRRE i EAUH Ct,WENG5 ` I- _OCCUR CLAIMS)MADE 1 I 5 c DEDUCTIBLE t ( RETENTION S i 5 WC STATU-- QT.i WORKERS COMPENSATION AND 'I _-_ ,TQ{;y LLMI7.>:�. ER ''. EMPLOYERS' LIABILITY EAlEA5L 0 6EN1 5 ANY CUT!VE--- IpF.C9 CERWEMSER.EXCLUAR DED1 j OPFICER'N!BME EMPLOI Et £ u vns c L PRO under :.. P0,,1 'SPECIAL PROYISIDNS hnior+ { '.i -.._. ___ _......._. F DISEASE POLICY LIMi; R.. OTHER I + i I I DESCRIPTION OF OPERATIONS) LOCATIONS! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISIONS ADDITIONAL INSURED: Costa Mesa Sanitary District 290 Paularino Ave Costa Mesa CA 92626 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TI4C EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL $0 _ DAYS WRITTEN NO [ICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. OUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORRED REPRESENTATV5 Brian Hunt, AGENT © ACORD CORPORATION 1986