No preview available
HomeMy WebLinkAboutEL DORADO NATIONAL (CALIFORNIA) INC - INSURANCE CERTIFICATE,aco2O' CERTIFICATE OF LIABILITY INSURANCE 7/1/2020 DATE(MWDD/YYYY) 6/27/2019 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 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 Lockton Companies Three City Place Drive, Suite 900 St. Louis MO 63141-7081 (314) 432-0500 NAME: NEPAX A/C, No, Ext : A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Great American E & S Insurance Company 37532 INSURED El Dorado National (California), Inc. 1422419 9670 Galena Street Rive Riverside CA 92509 INSURER B: Travelers Property Casualty Co ofAmerica 25674 INSURER C : AXIS Surplus Insurance Company 26620 INSURER D : INSURER E : INSURER F : COVERAGES ALLSP CERTIFICATE NUMBER: 14499744 RFVICInN NUMBER: XXXXXXX 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 TYPE OF INSURANCE ADDL INSD SUBR NVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y N PL1744639-02 7/1/2019 7/1/2020 EACH OCCURRENCE_$ 1,000,000 CLAIMS -MADE OCCUR FIR SES ORoccur ence 300 000 MED EXP (Any oneperson) XY� PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY7 JECT LOC Pq PRODUCTS -COMP/OP AGG $ 41000,000 $ OTHER: B AUTOMOBILE LIABILITY Y N TC2J-CAP-8E082581-TILr19 7/1/2019 7/1/2020 Ea aocdeDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XX)XXXX HIRED AUTOS ONLY AUTOS ONLY PROPERDAMAGE $ XXXXXXX $XXXXXXX C UMBRELLA LIAB X OCCUR N N P-001-000123735-01 7/l/2019 7/1/2020 EACH OCCURRENCE $ 5,000,000 �{ AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N TC2JUB- 1 18D4882-19 AOS) 7/1/2019 7/1/2020 PER OTH- X STATUTE ER B B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 N NIA A TRJUB 118D490119 (A� MA TWXJ-UB-8E082206-19�(OH) 7/1/2019 7/1/2019 7/1/2020 7/1/2020 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1 0 ,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT Is 1,000,000 DESCRIPTION OF OPERATIONS below B Garage Keepers Liability N N TC2J-CAP-8E082581-TIL19 7/1/2019 7/1/2020 Blanket $5,000,000 by location DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF FORT COLLINS IS ADDITIONAL INSURED UNDER THE GENERAL LIABILITY AND AUTOMOBILE LIABILFI'Y AS REQUIRED BY WRITTEN CONTRACT. THE INSURNACE EVIDENCED BY THIS CERTIFICATE WILL NOT REDUCE COVERAGE OR LIMITS AND WILL NOT BE CANCELLED, EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE HAS BEEN RECIEVED BY THE CITY OF FORT COLLINS. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14499744 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS 215 NORTH MASON STREET FORT COLLINS CO 80524 ACORD 25 (2016/03) ©1988- ORD CO ORA N. All riahts reserved The ACORD name and logo are registered marks of ACORD