Insurance - Hamers - 1998-07-24 a1:111:1/® CERTIFICATE OF LIABILITY INSURANCE ••°07/298,/
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Dealey, Renton & Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
.License #0020739 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
3 Hutton Centre Suite 450 COMPANIES AFFORDING COVERAGE
Santa Ana CA 92707
COMPANY
A St. Paul Fire 8 Marine A} y
INSURED COMPANY
B RECEIVED
Robin B. Rimers & Assoc. Inc. COMPANY
234 E. 17th Street #205
Costa Mesa CA 92627 C
JUL 2 7 1998
COMPANY
D
COVERAGES
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPRATCN UNITS
LTR DATE (MMAD/YY) DATE (MMADM') /
A GENERAL LIABILITY RP06645006 07/27/98 07/27/99✓ GENERAL AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OP AGG 5 2,000,000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY 5 1,000,000 /
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 5 *1,000,000 V
FIRE DAMAGE(Any one fire) 5 •1 n,c I u,ded
MED EXP(Any one person) 5 5,000
A AUTOMOBILE LIABILITY RP06645006 07/27/98 07/27/99 COMBINED SINGLE LIMB 5 1 000,000
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Pe person) 5
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Pe accident) 5
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY EA ACCIDENT 5
ANY AUTO OTHER THAN AUTO ONLY.
EACH ACCIDENT $
_ AGGREGATE 5
EXCESS LIABILITY EACH OCCURRENCE 5
UMBRELLA FORM AGGREGATE 5
OTHER THAN UMBRELLA FORM 5
WORKERS COMPENSATION AND TOR STWO FR OITY I IMRS FR
EMPLOYERS'LIABILITY EL EACH ACCIDENT 5
THE PROPRIETOR/ INCL EL DISEASE POLICY LIMIT 5
PARTNERS/EXECUTIVE —
OFFICERS ARE EXCL EL DISEASE EA EMPLOYEE 5
OTHER
DESCRIPTION OF OPERATION S,LOCATIONSNEHICLESSPECIAL ITEMS Oa W. '1_an_CI O
RE. ALL OPERATIONS OF NAMED INSURED �/L�J�VVL..++J"� V
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED/ C V=k -_b �-�
FOR GENERAL LIABILITY PER THE ATTACHED ENDORSEMENT '/
(A11 *FXCFPT 10-DAY NOTICE FOR NOB PAYMENT OF PREMIUM.
CERTIFICATE•HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
',✓
DSTA MESA SANITARY DISTRICT EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
TTN: JOAN REVAK // • 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
O. BOX 1200
/ BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
COSTA MESA CA 92628
OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. ,
AUTHORIZED REPRESENTATIVE ...... ^�\jk' \�K1Q'�.
11COAQ 258{11851 . . . . . . - t� 71 Q"Cf11/AVON 1988 .
C52
GENERAL ENDORSEMENT
In consideration of an additional premium of N/A , it is hereby understood and agreed that
he following applies.
[ X ] ADDITIONAL INSURED
COSTA MESA SANITARY DISTRICT
is/are Additional Insured/s as respects to work done by Named Insured
[ ] PRIMARY COVERAGE
With respect to claims arising out of the operation of the Named Insured, such insurance as
afforded by this policy is primary and is not additional to or contributing with any other insurance
carried by or for the benefit of the above Additional Insured/s
[ ] WAIVER OF SUBROGATION
It is understood and agreed that the Company waives the right of subrogation against the above
Additional Insured/s for project described in certificate attached hereto
[ ] CROSS LIABILITY CLAUSE
The naming of more than one person, firm or corporation as insureds under this policy shall not,
Ior that reason alone, extinguish any rights of one insured against another but this endorsement,
nd the naming of multiple insureds, shall not increase the total liability of the Company under this
policy
[ X ] NOTICE OF CANCELLATION
It is understood and agreed that in the event of cancellation of the Policy for any reason other than
non-payment of premium, 30 days written notice will be sent to the following by mail
COSTA MESA SANITARY DISTRICT
P O BOX 1200
COSTA MESA, CA 92628
In the event the policy is canceled for non-payment of premium, 10 days written notice will be
sent to the above.
Policy No RP06645006 Effective Date: 7/27/98
Insurance Company• ST PAUL FIRE & MARINE
Issued to ROBIN B. HAMERS & ASSOCIATES, INC
a , Issue Date 7/24/98
�uthorized Representative
lizabeth Franks