Insurance - Southern California Fleet Services - 2018-03-26CERTIFICATE OF LIABILITY INSURANCE
DAT3/26/20118YY)
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(ies) 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
6900 College Blvd
Ste 1000
CONTACT
NAME:
PHONE FAX
ec. No EXU: 888-240-8803 AIC No: 877-835-1833
ADDRESS: AMSeN!ceCenter@arrowheadgrp.com
INSURERS AFFORDING COVERAGE
NAIL#
Overland Park KS 66211
INSURER A: Zurich American Insurance company
16535
3/1/2018
INSURED SOUTCAL-02
Southern California Fleet Service Inc
34211 Pacific Coast Hwy
INSURERS: Travelers Property Casually Co of America
25674
40142 _
INSURER C: American Zurich Insurance Company
INSURER D:
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
ADDL
J=
SUER
wyn
POLICYNUMBER
POLICYEFF
MMMD
POLICY EXP
MMMO
LIMITS
A
GENERAL LIABILITY
Y
CP01640285-01
3/1/2018
3/112019
EACH OCCURRENCE $1,000,000
DAMAGE TO
TXCOMMERCIAL
CLAIMS -MADE O OCCUR
PREMISES Ea... soca 1 $1,00.000
MED EXP (Anyone person) $ 5 000
PERSONAL B ADV INJURY $1,000,000
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $2000.00
GEN'L
PRO -
POLICY ❑PRO- ❑ LOC
PRODUCTS-COMPIOPAGG $2,000,00
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
Ea accident
BODILY INJURY (Per person) $
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Peraccimmt
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
S
X
UMBRELLA LIAB
X
OCCUR
ZUP71M9342318NF
3/12018
3/12019
EACH OCCURRENCE $4,00,00
AGGREGATE $4,000.00
EXCESS LIAB
CLAIMS -MADE
DED I X I RETENTION $a
ProU/Com O A $4,000,00
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
PER OTH-
STATUTE ER
ANYPROPRIETOR/PARTNEWEXECUTIVE
E . EACH ACCIDENT $
OFFICEMMEMBEREXCLUDED7 ❑
NIA
EL.DISEASE -EA EMPLOYEE $
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT $
C
Garage Keepers/Direct Primary
CPO16402854H
3/12018
3/12019
Limit See Descnc. OF (.p=
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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...
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 Costa Mesa CA
I Ilei
Costa Mesa oA venue n AUTHORIZED REPRESENTATIVE
rinhfe rcenrvnd
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: SOUTCAL-02
LOC #:
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
POLICYNUMBER
CARRIER
NAIL CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY
09: 4380 Donovan Way, North Las Vegas, NV 89030 - Limit
10: 5000 E McDowell Rd, Mesa, AZ 85215 - Limit $500,000
Keepers includes On -Hook coverage.
Liability is provided under the General Liability coverage park of the policy.
r and Non -Contributory applies. The Costa Mesa Sanitary District, its elected and appointed officials, agents, officers, volunteers, and employees are
as Additional Insured.
Day Notice of Cancellation applies.
I.r�T. J F.XWWITIT.111111
The ACORD name and logo are registered marks of ACORD
AN rinhfc r ... n d
ACORD,M CERTIFICATE OF LIABILITY INSURANCE
°oti26/20181
PRODUCER
State Farm Insurance
THIS IFISSUED
ON YC ANDCONFERSNOM INFORMATION RIGHTS PON THE CERFIICATTE
Brian Hunt, Agent Lic# OE02645
5693 Woodruff Ave
oLakewood, CA 90713
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_
INSURERS AFFORDING COVERAGE NAIC #
INSURED
INSURER Btam Fern Mutual Automobile lneuranee Company 25171 25178
------_"-"- -- "_-- __—'- --J'"-'
Southern California Fleet Services, Inc.
2815 Sampson Ave
Corona, CA 92879
INauraR
INSURER
INSNiFN D
PREM! F t
INSURER E. -
MEt1 FXPSA y- }wus
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO'TVvITHS-ANDD
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY
PAID CLAIMS,
INSR DO' UMBER
POLICY NUMBER
-. POLICY IMM DIWI [POLICYEXPIRATION!
+ LIMITS
GENERAL LIABILITY
F-ACH0 CJRREM E
rN
MAGY"TCSkTI: T _..
( MMERCOV GCNERAL( ABILITY
PREM! F t
i_IA'NISMADE �GC;;I'RI
MEt1 FXPSA y- }wus
PE SOUAL BADV INJURY 5
Gk NERAL ACGREGAT E S
- _
i DEN'L AGGREGATE UWT APPLIES PER
1PROMRT5 GOMPIJP ADD it
I ( p �—f
t
A X1AUTOMOBILELIABIUTY
j ---I .75-3954-W37
03/0112018 03101/2019 COMBINED SINr,Le LIMIT I'I s 1,000,000.00
XeANYAUTO
(Ea ac tl»nl)
ALI OWNED AiACI$
/N DCHFOULEp AUT09 �
: BODILY INJURY
I i [F'U P s� 5 _
HIRED AUTOS-
' B09E Y INJURY
t NON OWNED AU[OD'
t I
(Pe a le^q {•S
- I
PR+F[ YO MAGI
j GARAOELIABILITY 1
AUTOONL{ _AAC IOENT &
i~
ANY AUTO 1
OTHERTHAN LA ICC S
- - -
AUTO ONLY'. AGC F
EXCESSIUMBRELLA LIABILITY
EACL C' CURRENCE
Om .C-AIMSMAD-
AGGR FATE c
..� DEDUCTIBLE_..
S
_.. _
RETENTION 5 I
i,.. S
AND
WC STAT U- OT'rl
IgRXltfkll5:..
EMPLOY5COAIPENSATION
'.. EMPL OVERS' LIABILITY
ANYROPR(ETORIPAR"NEWEXECUIIVE
LL EAGHACLIUFNY `
- 4 _-
OFFICLRWEMBER EXCLUDED9
-
E.L DISEASE- EMPLOYEE! 5
t _ _. .... _ _
uVV Iesalb¢
'. SPECNL PROVISIONS loefow
E L. CL.oASc POLICY UMI C i $
i OTHER
� I
DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES t EXCLUSIONS ADDED BY ENDORS SENT I SPECIAL PROVISIONS
ADDITIONAL INSURED:
Costa Mesa Sanitary District
290 Paularino Ave
Costa Mesa CA 92626
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL X20 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO $0 SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Brian Hunt, AGENT
CORPORATION 1988