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HomeMy WebLinkAboutD D SYSTEMS INC Auto Certificate of Insurance.pdf® ACCO O CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/(YYY) 10/13/2022 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). Pledge Insurance Services 235 N AZUSA AVE STE F CONTAPRODUCER NAME: Edward Fares PHONE 626 339-3090 FAX No): (626) 915-1333 A/ No E t : ( ) E-MAIL edward@piedgeinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA : UNITED FINANCIAL CAS CO 11770 WEST COVINA CA 91791-1356 INSURED INSURE95 : INSURER C : D D System Inc., dba: Ace Cd Inc. INSURER D: 1199 Englewild Drive INSURER E : INSURER F : Glendora CA 91741 L;UVt_KAht_, 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ POLICY PRO LOC JECT OTHER: AUTOMOBILE LIABILITY SINGLE LIMIT iTo-MBINED Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ 2,000,000 A X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X X 00512828-0 10/13/2022 04/13/2023 BODILY INJURY (Per accident) $ 2,000,000 PROPERTY DAMAGE Per accident $ 2,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE PER OTH- ATER $ v DED I I RETENTIONS WORKERS COMPENSATION E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROJECT# EP17500- CANYON LOOP TRAIL IMPROVEMENTS Certificate Holders is/are included as additional insured: City of Diamond Bar, its offices, agents, employees, and other parties specified in the bid documents. primary and non-contributory wording and Waiver of Subrogation apply per policy endosements. CERTIFICATE HOLDER VHIYVGLLH 1 IVIr SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Diamond Bar 21810 Copley Drive AUTHORIZED REPRESENTA IVE Daimond Bar Ca 91765 ©198 5 AC CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACUKU