Project 139 - Insurance - Casada Construction - 1996-01-26 , . - ...., .....?
•
ACORD. CE RTIFICAT E O F LIABILITY SU RA N" C.E•
DATE(MWDDNY) ,
1-26 96 •
•
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
BIGNER INSURANCE AGENCY INC ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
736—B EAST LINCOLN AVENUE COMPANIES AFFORDING COVERAGE
ORANGE CALIFORNIA 92665 COMPANY
A TRANSAMERICA INSURANCE GROUP
INSURED
COMPANY
B
STEVE CASADA COMPANY
DBA STEVE CASADA CONSTRUCTION C
1426 ALLEC STREET COMPANY
ANAHEIM, CALIFORNIA 92805 D
... . .
ppi.TRAcips• • • ;
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
LTR POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
DATE(MNVDDNY) DATE(MWDDNY)
A GENERAL LIABILITY
GENERAL AGGREGATE
H 4
COMMERCIAL GENERAL LIABILITY
PRODUCTS COMP/OP AGO $ 5,000 000
$ 1,000,000
1.1.CLAIMS MADE X OCCUR 91/1114—CA9505532 5-11-95 5-11-96 PERSONAL&ADV INJURY $ 1,000,000
111 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE s 5,000,000
X XCU, CONTRACTUAL FIRE DAMAGE(Any o e fire) $ 50. 000_
X BROAD FORM PROPERTY DAMAGE MED EXP(Any one person) $ 5,000
A AUTOMOBILE LIABILITY $ 5 000 000
COMBINED SINGLE LIMIT
ANY AUTO
X A• LL OWNED AUTOS 91/1/14—CA9505532 5-11-95 5 11-96
BODILY INJURY $
X S• CHEDULED AUTOS (Per pe n)
—X H• IRED AUTOS BODILY INJURY $
X NON.OWNED AUTOS (Pe accident)
PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT I$
ANY AUTO
OTHER THAN AUTO ONLY.
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND IIIIMe VI- . .
EMPLOYERS'LIABILITY
EL EACH ACCIDENT $
THE PROPRIETOR/ INCL EL DISEASE POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE- EXCL I EL DISEASE EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
COSTA MESA SANITARY DISTRICT ITS ELECTIVE BOARD OFFICERS AGENTS AND EMPLOYEES
ARE NAMED AS ADDITIOANL INSURED
CMSD PROJECT 1112100-139 — CONGRESS PUMP STATION ABANDONMENT
. . ... . .. . . .. . . .... . . . .. . . . . . .
CERTIFICATEHo.pgri • • • • • • CANCELLATION
•
COSTA MESA SANITARY DISTRICT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
P 0 BOX 1200 EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL nalFALOPOTH MAIL
77 FAIR DRIVE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
COSTA MESA CALIFORNIA 92628-1200 EARPAIAInMMaPIX44-kitgRRX.IfbettttkI4101001COVXDOX
OCXXEXXICX DeOrKILOLIQXKOMXXiNflX10061tianCtIKK
AUTHORIZ REPR ENTATIVE
I
AORIS 25-S-(14. . . .. . . : - 0 ACORDtORPORATION 1988'
...
PAR I IIUIvMI!I:R. 9ai1i1/ -cA9505532 COMMERCIAL GENERAL LIAUILIIY
Illln
ENDOICIENIENI CHANCES I IIE POLICY PLEASE HEAD IT CAREFULLY
ADDITIONAL INSURED OWNERS, LESSEES OR
CON FRACIORS (FORM Q)
rid, couture:Herrl nlvdilie Inrurnuce, plvvirled under the following'
COMMERCIAL GFNEI?AL LIAI3ILII4 CUVFRAGU PAR L
cc;flruuLE
lime of Per on or Orgarilrnllnri:
COSTA MESA SANITARY DISTRICT ITS ELECTIVE BOARD, CMSD PROJECT 1112100L139
OFFICERS AGENTS AND EMPLOYEES CONGRESS PUMP STATION ABANDONMENT
(II no entry appear abovr b,lonn limn Ierluired to complete IN endoi semen) will be chow' In the Declara-
Ilons as applicable lo Ihl cadoi renienl )
WHO IS AN IfISUREU (Section II) h anmIJud In hu;lude 8. an Tutored the Person or organlzallon shown In lino
Schedule but only with turned to Il:rbillly ;irking out of your wort for Thal Insured by or for you.