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Insurance - Municipal Maintenance Equipment - 2015-12-17
MME -001 OF ID: F ,4�coRo OF LIABILITY INSURANCE DATE Y)CERTIFICATE 121/7/2015 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 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 endorsements . PRODUCER North Valley Ins. Agency, Inc. - 2485 Notre Dame BIVd Ste 370•D Chico, CA 95928 W—C 2 6 2M Don Dahlmeier {%Lia CONTACT PHONE Don Dahlmeier FAX A/C No Xe:530-345-9849 A/C He : 530-345-9857 E-MAIL ADDRESS: INSURER ($) AFFORDING COVERAGE NAIC q 1 IBlJ11dMw Mt W��I IHN71A L„`I' peyll$BY IAiM INSURERA:Insurance Company of the West INSURED Municipal Maintenance Equipment, Inc 2360 Harvard St. INSURER B: INSURERC: INSURER D: Sacramento, CA 95815 INSURER E, DA A ETO RENTED PREMISES Ea occurrence $ 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. INSR LTR I TYPE OF INSURANCE AODL SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD[YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 11 OCCUR EACH OCCURRENCE $ DA A ETO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: PRO- POLICY OTHER: )ECT LOC OTHER' GENERAL AGGREGATE $ PRODUCTS - COMP/OP ACID$ AUTOMOBILE J LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS �_J COMBINED SINGLE LIMIT $ Ea a.,d.mt BODILY INJURY (Par person) $ BODILY INJURY Per accident) $ ( ) PROPERTY DAMAGE Per accitlenf $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A WSA 5032079 00 12115/2015 1211612016 PEROTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,0 E.L. DISEASE - EA EMPLOYEEI $ 1,000,0 E.L. DISEASE -POLICY LIMIT $ 1,000,0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) COSTAME COSTA MESA SANITARY DISTRICT �I�� 628 W 19TH STREET COSTA MESA, CA 92627 DEC 2 2015 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD