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Insurance - Avram Electric 2018-07-30
A�ORO' AVRAELE-01 CERTIFICATE OF LIABILITY INSURANCE DLINAR Z DATE(MM/DDIYYYY) 07/30/2018 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 C TACT Builders Advantage Insurance Services 107 Main Street PHONE Eat. (916)784-9793 PAIC,Na: .supp0 buiidersadvantageins.com Roseville, CA 95678 INSURE S AFFORDING COVERAGE NAIC p 11/12/2017 INSURER A:Associated Industries Ins. Co - 23140 EACH OCCURRENCE E 1,000,000 INSURED INSURER B: MIHICLUIV Insurance Company 27553 INSURER C:SOUtbefrl Insurance CO I 19216 Avram Electric INSURERD: 10235 Vogue Lane Jurupa Valley, CA 91752 INSURER E INSURER F B COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADX INSID SIM POLICY NUMBER POLICY EFF POLICY EXP LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X X AES1049425 11/12/2017 11/1212018 EACH OCCURRENCE E 1,000,000 DAMAGE TO RENTED 50,000 PREMISES IF, t=umnaH MED EXP (My one E 5'000 PERSONAL &ADV INJURY $ 1.000'000 GEN'L AGGREGATE pLRIMaIT APPLIES PER: X POLICY El JECT F-1 LOC OTHER' GENERAL AGGREGATE E 2.000'000 PRODUCTS -COMP/OPAGG 2,000,00 B AUTOMOBILE LIABILITY - ANY AUTO ONMED SCHEOULE0 IAUTOS ONLY X AUU�TOSyW.MNEEpp AUTOS ONLY AUTO OtdLV BAD40000010344 11/13/2017 111131201$ COMBINEOSINGLE LIMIT E 1,000,000 BODILY INJURY Per E BODILY INJURY Per accident woa meMADE S UMBRELLA W1B EXCESS LIAB OCCUR =S -MADE EACH OCCURRENCE AGGREGATE DED RETENTIONS W$0 C WORKERS COMPENSATION EMPLOYERS' LIABILIT/ ANY PROPRIETORIPARTNER/EXECUTNE Y/N QFFICd,ERRaFIMEXCLUDED? 1 an story n ) Ues, describe under E,des�SC1,000,000 DE RIPTIONOFOPERATIONSbelm NM OWC1006693 12/01/2017 12/01/201$ X PERAND I STAT E ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E 1,000,000 E.L. DISEASE -POLICY LIMIT E T. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 1011 Additional Remarks Schedule, ma be amched S morepa space Is required' Additional Insured status applies to The Costa Mesa Sanitary District, its elected an appointed officials, agents, officers, volunteers and employees under the Commercial General Liability Policy subject to attached endorsement 30 days notice for non-payment of premium 10 days all other. Primary and Non -Contributory applies to the General Liability Policy. RE: Various Locations CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Costa Mesa Sanitary District 290 Paularino Ave \N/^p Costa Mesa, CA 92626 THE ACCORDANCE WITH THE POLICY PRODATE VISIONS. WILL BE DELIVERED IN AUTNOiID:ED REPRESENTAl1VE ' �O (� ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: [Ke]rSIIrA 1000]Gluts]011A:7_laI/e1:31IIII11YKH0I:11:L•[e3:1119l:49 A. Section II — Who Is An Insured is amended to include as an additional insured any person or or- ganization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy. Such person or or- ganization is an additional insured only with re- spect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are com- pleted. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying servic- es, including: a. The preparing, approving, or failing to pre- pare or approve, maps, shop drawings, opi- nions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional in- sured(s) at the location of the covered operations has been completed; or b. That portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: AES1049425 00 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: All persons or organizations where required by written contract with the Named Insured Information The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'your wont' done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ® Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER:AES1049425 00 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s): Location and Description of Completed Operations All persons or organizations where written contract with the Named Insured requires additional insured completed operations coverage. This form does not apply to your work on residential property Information required to complete this Schedule if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by 'your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: AES1049425 00 COMMERCIAL GENERAL LIABILITY NX GL 009 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE (THIRD -PARTY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Third Party: All persons or organizations where required by written contract with the Named Insured (Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing work.) Paragraph 4. of SECTION IV: COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance: With respect to the Third Party shown above, this insurance is primary and non-contributing. Any and all other valid and collectable insurance available to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. NX GL 009 08 09 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission