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Insurance - Tunnelworks Services Inc. 2020-02-04T I IRI AI C_4 (TP in* IM AC h F LIABILITY INSURANCE CERTIFICATE Gl DATA 041202m 42/04x2420 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 949-941-9480 gW.CT Philip E Hakopian , Cornerstone Commercial 8. (AICN No , Extl: 909-94'1-9080 � d� N,I.908-g4i-�50 Personal Insurance Services 9340 Baseline Road, Ste 103 Mass, p Icorners anelnsurance.org --- I INSURERISI AFFORDING COVERAGE WC Rancho Cucamonga, CA 91701 Philip E Hakopian --- /y{� �j 10000430 0,00 INSURERA State Compensation Ins Fund 2,47n43,047 tNSUaEa B Evanston Insurance Company 35378 - INSURED Tunneiworks Services, Inc ; INSURER C'. Starstone National Insurance Idler, lPhRAadeelphla Street 90601�INSURERE: INSURER D : Colony Speciality 136927 -- t INSURER F COVERAGES toLK I Ir1ii./A i c 11WMDIM rz:THIS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IS TO CERTIFY THAT ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ � POLICY EFF , POUDY EXP iLTR LIMITS !NSR TYPE OF INSURANCE — EADi.iB� IN POLICY NUMBER Sp 1,�,000 B DOMMERCIAL GENERAL LIABILITY PENT 300,4700 )() c X ;MKLV5PBCUti1155 10124%2019 10124120243 t° D n CSP307294 07/21/2019:07121/20201��� , ��w,� ���a Pi ( � F — 5,0430 �, Polutlon Ltabliit-_.-._._._ ._.,..,. t = r;: - NA- S.. 40V :r� AJR' � s � _ /y{� �j 10000430 0,00 l 2,47n43,047 F Gr A t' T HER I NED AUTOMOBILE LIABILITY_ -- t r., _ FP.DP R a` DAMAGE y m n UMBRELLA LlAB !► ' =r,R 2,000,000 } EXCESSLIA3 ..A r A 189224H191ALI 10/24120"19 10/2412020 �{�G P� � 2,000,000 'DED R TE'N fi)N y }WORKERS A COMPENSATION AND EMPLOYERS' LIABILITYt Y I N, 9099073-19 09/081/2019 05/08/202{3 1,400,0430 v € INT I'�l'' I"'i*'zxE 4.�7i ``?iT-I•cJlri, ., .f ,'!:, I-"--�a .m ...... iii E #'E€ R c�.w. �E N I A �-- �j _ E D EASE EA EI'w 0YEl 1,%3043,1311 �GAsndatory In 1 S S t f st..) S ?r , ifJtS OP ..3�'E'" ... AT,NS ✓elrer) I .� ..,.Irk✓v. :�{� i.tK�#;.T 1 3000 t 000 I { f t i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Costa Mesa Sanitary District, its directors, officials, officers employees, additional insured Elan et agents and volunteers are named as per endorsements from carrier attached. RE: Costa Mesa Sanitary Sewer Siphon COSTAME 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 Ave Costa Mesa, CA 92626 AUTHORIZEDREPRESENTATNE .J ACORD 25 (2016/03) V llititf-LUl�R4vRv �.vr�rvr�rrrvr�. r,►ey+aa aa6..o••. The ACORD name and logo are registered marks of ACORD DATE JMMIDONYYY) CERTIFICATE OF LIABILITY INSURANCE _ �_ /4/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AE OF ATIVEINSUSURLAYN©E DOES NOTNEGATIVELY AMEND, CONSTITUTE AEND OR ALTER THE CONTRACT BETWEENCVERAGE AFFORDED BY THE POLICIES THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE OF REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED previsions 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). License # OG19762 N ACT PRODUCER _ �; PHCJNE Momentous Insurance Brokerage Inc IArc, No, Ext)- (898) 933- 710 f tom, °I:(8'f 8) 933"27 5101 Sepulveda Blvd., #560 nAiL—_ _ Van Nuys, CA 91411►r?.._____ _ �_ . �r�` _�_ .,r nnafcssnrc MAIC# INSURED Tunnelworks Services Inc. ' INSURER c 13502-1-1 Whitler Blvd. Ste 165. Whittier, CA 90605 INSURER E: INSURER F : -- --- 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. _ i POLICY EFF t POLICY EXP ; INSR ADDL(SUBR3 POLICY NURNI3ER } + IMMIRiI]lYYYYi i LIMITS T 'TYPE OF INSURANCES , COMMERCIAL GENERAL LIABILITY � i EACH OCCURRENCE_ i DAMAGE TO RENTED CLAIMS -MADE OCCUR MED IXP Aar cin$ Psrso I 5 INJURY 3-- _LNAL ADV i' "t AGGREGATE LIMIT APPLIES PER ggNEERAL AGGREGATE,_. — � -- �_ �y PRi J� TS COMPrP? AGG ' S PR _ POLICY 9EGT._.s SOC } S OTHER COMBINED SINGLE LICIT S 1,000,( A AiIFOCtBILE LIABILITY ( j X ANY AUTO i BAU40000019527 12112/2019 ; 12112!2020 BODILY ,3 i,�.3R1° Wer person, _ _ - -'. OWNED SCHEDULED �ILy EN IL f�Y Per accident�� AUTOS ONLY m AUTOS ; PROPERTY DAMAGE _ _ _ . _ 1 Per accsde nt I A TTWS ONLY __ AUTO ONLY UMBRELLA LIAR ! OCC£�r2 EXCESS LIAS ? CIAiP1S Ikt E DEG ; RETENTION S i WORKERS COMPENSATION _ AND EMPLOYERS' LIABILITY Y f ANY PROPRIETOR 'RARTNER;EXEe UTi VE N � A IlFarsdat rry in NN EXCLUCsELI 3' Yes, describe under L IPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Mesa Sanitary District, its directors, officials, officers, employees, agents and volunteers are additional Insured where Required by written contract, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Costa Mesa Sanitary District ACCORDANCE WITH THE POLICY PROVISIONS, 290 Paularino Ave. Costa Mesa, CA 92626 �A�UOaIZED REPRESENTATIVE ACORD 25 (2016103) 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD nape and logo are registered marks of ACORD qi 0 W 0 AL OA I This endorsement modifies insurance provided under the following: I he followirig is added to the Other Insurance Conoiton and supersedes any provision to the contrary: Primary And Noncontributory Insurance This nsurance (s prmary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that. (1) The additional insured is a Named Insured under suci other i,,surance, and ACT I 411#11M."Myli (2) You have agreed in writing P a contract or agreement that this insLirarce would he primary and would not seek contribution from any other insurance available to the additior.al insured, 0 Ir)&,jrance Services Office, Inc_ 2012 Page i of I CG 20 0104 13 COMMERCIAL GENERAL LIABILITJ CG 20 10 07 02 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s), La�cation�(s) Of "o i As agreed to by written contract ol, agreement Ali iocaticins Information required t,:) complete this Schedule, 1 not shown above, will be shown in the Declarations, A, Section 11 — Who Is An Insured is amended tIt include as an add1ional irsured the persons'i, organiZation(s) shown in Iie Schedule bul onl with respect to liability for "bodily injury", "proper darnage" or "personal and advertising injur caused, whole or in part by: 1. Your acts or orrissions, or 2. The acts or omissions of those acting on yo b.-haif, in the performance of your orgoing operations f the addit.onal insured(s) at the locationt, designated above. B. Witrespect to tie insurance afforded to these additional insureds, the following additional exclusions apply; This insirarce does rot apply to "bodily injury" or .. property damage" occurring after work, incliding materials parte or equipment furnished in connection w1h such work, or, the project (other thar. seRrice, maintenance or repairs) to be performed by or on behalf ol the acclitional insured(s) at the location of tne covered operations has been completed, or 2. That portion of "your work" out of which the injury or damage arises has been put *0 its intended use by any person or organizatior other than another contractor or subt;ortractor engaged in performing operat�ians for a principal as a part of the same project : ISO Properties, Inc,, 2004 Page 1 of 1 13 CG 20 10 07 04 0391MAMUM COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 10 is 0 r .0 1 MUM plwlgr, Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations As agreed to by wriften contractor agreement All 'ovations I Information required to complete this Schedule, f not shown above., wil! be shown in -he Nclarations, I C-ection If — Who Is An Insured is amended to �nclucle as an additional insured the person(s) or- #rganization(s) shown ir t1he Schedule, but only with respect to liability for "bodily injury" or "prDperty damage" caused, in whole or in part, by "yox work" at :nc location designated and described in the schedule ot this endorsement performed for that addition9l insired and included in the '*products - completed operations hazard". Oc ISO Properties, Inc., 2004 Page I of 1 13 CG 20 37 07 04 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US liq 11 E=M The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: Vie waive any right of reccvpry we may have aga;rst the person or crganization shown in the Schedule above because of payments we make for Tijury or damage ansing out of your ongoing operatioris or #. your work" done under a contract with that person or organization ard included in the "products - completed operations hazard", This waiver applies orly to the person or orgarizatioi showr in the Schedule above C Insurance Services Office, Inc., 2008 Page I of I CG 24 04 05 09 California Automobile Insurance Company - Company Profile - Bes... Rating Services http://ratings.ambest.com/SearchResuIts.aspx?AltSrc=9 California Automobile Insurance Company AMB #: 002646 NAIC #: 38342 FEIN #: 952971307 Mailing Address P.O. Box 54600 Los Angeles, CA 90054 United States Web: www.mercuryinsurance.com Phone: 323-937-1060 Fax: 323-857-7116 View Additional Address Information AM Best Rating Unit: AMB #: 018195 - Mercury Casualty Group Assigned to insurance companies that have, in our opinion, an excellent ability to meet their Rmnow ongoing insurance obligations. BEST AEwdlent View additional news, reports and products for this company. Based on AM Best's analysis, 058411 - Mercury General Corporation is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure. View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: A (Excellent) Affiliation Code: g (Group) Financial Size XIII ($1.25 Billion to $1.5 Category: Billion) Outlook: Stable Action: Affirmed Effective Date: January 28, 2020 Initial Rating Date: June 30, 1981 Long -Term Issuer Credit Rating View Definition Best's Credit Rating Analyst Rating Office: A.M. Best Rating Services, Inc. Associate Director : Robert Raber Senior Director: Gregory T. Williams Note: See the Disclosure information Form or Press Release below for the office and analyst at the time of the rating event. Disclosure Information Disclosure Information Form View AM Best's Rating Disclosure Form Press Release AM Best Affirms Credit Ratings of Mercury 1 of 4 2/5/2020, 7:08 AM Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Workers' Compensation Complaint and Request for Action/Appeals Contact Information Financial Statements PDF's Annual Statements Quarterly Statements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer 1 of 2 COMPANY PROFILE Company Information Old Company Names https://interactive.web.insurance.ca.gov/companyprofile/companyp... CALIFORNIA AUTOMOBILE INSURANCE COMPANY 4484 WILSHIRE BOULEVARD LOS ANGELES, CA 90010 800-824-6194 Effective Date MERCURY INDEMNITY COMPANY 12/05/1988 Agent For Service RANDALL PETRO 555 WEST IMPERIAL HIGHWAY BREA CA 92821 Reference Information NAIC #: 38342 [California Company ID #: [2343-2 Date Authorized in California: 12/12/1979 [License Status: — J UNLIMITED_NORMAL _ J Company Type: Property & Casualty -- — ---- LState of Domicile: CALIFORNIA back to top NAIC Group List NAIC Group #: 0660 MERCURY GEN GRP Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS 2/5/2020, 7:10 AM Evanston Insurance Company - Company Profile - Best's Credit Ra... Rating Services Evanston Insurance Company AMB #: 003759 NAIC #: 35378 FEIN #: 362950161 Domiciliary Address Ten Parkway North Deerfield, IL 60015 United States Web: www.markelcorp.com Phone: 847-572-6000 Fax: 847-572-6389 http://ratings.ambest.com/CompanyProfile.aspx?ambnum=2646&... AM Best Rating Unit: AMB #: 003191 - Markel North America Insurance Group Assigned to insurance companies that have, in our opinion, an excellent ability to meet their F'nanew 26'"0" Re �ecsr ongoing insurance obligations. A EkcWkmt View additional news, reports and products for this company. Based on AM Best's analysis, 058405 - Markel Corporation is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure. View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Best's Credit Rating Analyst Rating: A (Excellent) Affiliation Code: g (Group) Financial Size XV ($2 Billion or Category: greater) Outlook: Stable Action: Affirmed Effective Date: December 13, 2019 Initial Rating Date: June 30, 1983 Long -Term Issuer Credit Rating View Definition i Rating Office: A.M. Best Rating Services, Inc Financial Analyst: Ana Daley Director: Jennifer Marshall, CPCU, ARM Note: See the Disclosure information Form or Press Release below for the office and analyst at the time of the rating event. Disclosure Information Disclosure Information Form View AM Best's Rating Disclosure Form Press Release AM Best Affirms Credit Ratings of Markel Corporation and Most Subsidiaries 1 of 4 2/5/2020, 7:11 AM Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Workers' Compensation Complaint and Request for Action/Appeals Contact Information Financial Statements PDF's Annual Statements Quarterly Statements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer https://interactive.web.insurance.ca.gov/companyprofile/companyp... COMPANY PROFILE Company Information EVANSTON INSURANCE COMPANY TEN PARKWAY NORTH, STE. 100 DEERFIELD, IL 60015 Old Company Names Agent For Service TODD CROUTCH 100 WEST BROADWAY, SUITE 650 FONDA AND FRASER LLP GLENDALE CA 91210 Reference Information Effective Date NAIC #: 35378 California Company ID #: 4861-1 Date Authorized in California: 10/01/2004 License Status: N/A Company Type: ACCREDITED REINSURER State of Domicile: ILLINOIS back to top NAIC Group List NAIC Group #: Lines Of Business 0785 MARKEL CORP GRP The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. back to top © 2008 California Department of Insurance 1 of 1 2/5/2020,7:11 AM StarStone National Insurance Company - Company Profile - Best's... Rating Services http://ratings.ambest.con/CompanyProfile.aspx?ambnum=2512&... StarStone National Insurance Company AMB #: 002512 NAIC #: 25496 FEIN #: 951429618 Mailing Address P.O. Box 100165 Columbia, SC 29223 United States Web: www.starstone.com Phone: 201-743-7700 Fax: 201-743-7701 View Additional Address Information AM Best Rating Unit: AMB #: 088985 - StarStone Insurance Bermuda Limited Assigned to insurance companies that have, in our opinion, an excellent ability to meet their ongoing insurance obligations. View additional news, reports and products for this company. nW Rig L BITE AExoelkwA - Based on AM Best's analysis, 055579 - Enstar Group Limited is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure. View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: Affiliation Code: Financial Size Category: Outlook: Action: Effective Date: Initial Rating Date: A- (Excellent) g (Group) XI ($750 Million to $1 Billion) Stable Affirmed December 06, 2019 June 30, 1949 Long -Term Issuer Credit Rating View Definition Best's Credit Rating Analyst Rating Office: A.M. Best Rating Services, Inc. Associate Director : Scott Mangan Director: Steven M. Chirico, CPA Note: See the Disclosure information Form or Press Release below for the office and analyst at the time of the rating event. Disclosure Information Disclosure Information Form View AM Best's Rating Disclosure Form Press Release AM Best Affirms Credit Ratings of StarStone 1 of 4 2/5/2020, 7:12 AM Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Workers' Compensation Complaint and Request for Action/Appeals Contact Information Financial Statements PDF's Annual Statements Quarterly Statements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer 1 of 2 https://interactive.web.insurance.ca.crov/companyprofile/companyp... COMPANY PROFILE Company Information STARSTONE NATIONAL INSURANCE COMPANY P.O. BOX 100165 COLUMBIA, SC 29202-3165 800-845-2724 Old Company Names OLYMPIC INS CO TIG INDEMNITY COMPANY TORUS NATIONAL INSURANCE COMPANY TRANSAMERICA INDEMNITY COMPANY Agent For Service Vivian Imperial 818 WEST SEVENTH STREET SUITE 930 LOS ANGELES CA 90017 Reference Information Effective Date 01/01/1981 11/17/2010 12/01/2015 09/24/1993 NAIC #: 25496 f California Company ID # __][291_4 Date Authorized in California 12/29/1944 - --- - -- [License Status: --- UNLIMITED -NORMAL Company Type: Property & Casualty tate of Domicile: �I DELAWARE back to top NAIC Group List NAIC Group #: 4725 Enstar Grp Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE LIABILITY MARINE 2/5/2020, 7:13 AM Colony Specialty Insurance Company - Company Profile - Best's C... Rating Services http://ratings.ambest.con/CompanyProfile.aspx?ambnum=2512&... Colony Specialty Insurance Company AMB #: 002619 NAIC #: 36927 FEIN #: 341266871 Mailing Address P.O. Box 469012 San Antonio, TX 78246 United States Web: www.argolimited.com Phone: 804-560-2000 Fax: 804-560-4820 View Additional Address Information AM Best Rating Unit: AMB #: 058448 - Argo Group International Holdings, Ltd Assigned to insurance companies that have, in our opinion, an excellent ability to meet their FirandW 91nmgffi Ftafmg esu ongoing insurance obligations., View additional news, reports and products for this company. Based on AM Best's analysis, 058448 - Argo Group International Holdings, Ltd is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure. View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Best's Credit Rating Analyst Rating: Affiliation Code: Financial Size Category: Implication: Action: Effective Date: Initial Rating Date: A u (Excellent) g (Group) XIV ($1.5 Billion to $2 Billion) Negative Under Review November 07, 2019 June 28, 1993 Long -Term Issuer Credit Rating View Definition Rating Office: A.M. Best Rating Services, Inc Senior Financial Analyst: Jieqiu Fan Senior Director: Daniel J. Ryan Note: See the Disclosure information Form or Press Release below for the office and analyst at the time of the rating event. Disclosure Information Disclosure Information Form View AM Best's Rating Disclosure Form Press Release AM Best Places Credit Ratings of Argo Group 1 of 4 2/5/2020, 7:13 AM Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Workers' Compensation Complaint and Request for Action/Appeals Contact Information Financial Statements PDF's Annual Statements Quarterly Statements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer 1 of 2 https://interactive.web.insurance.ca.gov/companyprofile/companyp... COMPANY PROFILE Company Information COLONY SPECIALTY INSURANCE COMPANY P.O. BOX 469012 SAN ANTONIO, TX 78246-9012 800-456-8458 Old Company Names Agent For Service Melissa DeKoven 2710 Gateway Oaks Drive, Suite 150N Sacramento CA 95833-3505 Reference Information Effective Date NAIC #: 36927 California Company ID #: 5572-3 Date Authorized in California: 03/11/2010 License Status: UNLIMITED NORMAL Company Type: Property & Casualty State of Domicile: OHIO back to top NAIC Group List NAIC Group #: 0457 Argo Grp US Inc GRP Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY FIRE LEGAL INSURANCE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER TEAM AND VEHICLE back to top 2/5/2020, 7:14 AM