Loading...
Insurance - Pro-Pipe, Inc. - 2023-08-01Client#: 1982221 NATIOUND1 YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/8/01/2023 ....... 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 R 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Insurance Services, LLC/CL t� 201 Alhambra Circle, Suite 1401 REC Coral Gables, FL 33134-5108 � 7 305 669-6000 AUG 5 - X23 INSURED Costs �,� Pro -Pipe, Inc. �t� � fin, 47 Discovery #250 �/'/Djsukt -,l Irvine, CA 92618 CONTACT Andrea Vargas PHONE 305 669-6000 FAX AIC, No Ext). A/C, No): E-MAILss, Andrea.Vargas@usi.com ADDREINSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Steadfast Insurance Company 26387 INSURER B: American Guarantee & Liability Ins Co. 26247 Zurich American Insurance Company 16535 INSURER C: P y INSURER D: Travelers Casualty & Surety Co. of Amer 31194 INSURER E INSURER F : EACH OCCURRENCE s2,000,000 COVERAGES CERTIFICATE NUMBER! RFVISION NIIMRFIR 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 CONTRACTOR 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X. COMMERCIAL GENERAL LIABILITY X X GPL247567400 08/01/2022 08/15/2023 EACH OCCURRENCE s2,000,000 CLAIMS -MADE ^I OCCUR PREMISES EaoccTuDnce $100,000 MED EXP (Any one person) s5,000 X Contractors Pollution PERSONAL &ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY X JECT LOC GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OPAGG $2,000,000 _ $ COMBINED SINGLE LIMIT Ea accident 2,000,000 OTHERr— ---- - - ------- — X BAP433518800 08/01/2022 C AUTOMOBILE LIABILITY X 08/15/202 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident $ EACH OCCURRENCE $10,000,000 SXS254496900 08/15/2023 B UMBRELLA LIAB X OCCUR 08/01/2022 AGGREGATE $10 000 000 X EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ X WC424797600 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? � N / A 08/01/2022 08/15/2023 -- PER OTH- ST TUTE ER EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D Inland Marine QT6306T179634TIL22 08/01/2022 08/15/202 500,000 Leased/Rented DED 5,000 A I Professional Liab GPL247567400 08/01/2022 08/15/202 2,000,000E/4,000,00OA DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Branch #63. The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to Costa Mesa Sanitary District, its directors, officials, officers, employees, agents and volunteers, only with regard to work performed by or on behalf of the named insured. The General Liability policy contains a special endorsement with Primary and Noncontributory wording, when required by written (See Attached Descriptions) Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 290 Paularino Ave ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa, CA 92626 -TU" �ll57i AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S41026857/M41025295 SAPZR T ,. DESCRIPTIONS (Continued from Page 1) contract. The General Liability policy provide a Blanket Waiver of Subrogation when required by written it contract, except as prohibited by law. The General Liability policy includes an endorsement providing that 30 days notice of cancellation will be given to the Certificate Holder by the Insurance Carrier. SAGITTA 25.3 (2016/03) 2 of 2 #S41026857/M41025295