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Home My WebLink AboutR J NOBLE COMPANY - Blanket Insurance 7/1/70CERTIFICATE OF LEATHERBY INSURANCE SERVICE INSURANCE BOX 5347 FULLERTON, CALIFORNIA 92635 (714) 879-8903 (213) 691.0718 CERTIFICATE City of Huntington Beach ISSUED TO Department of Public Works P. 0. Box 190 Huntington Beach, California 92648 NAMED R. J. Noble Company INSURED 15505 Lincoln Avenue P. 0. Box 620 Orange, California 92669 DECEIVE D DEPT. OF PUBLIC WORKS �! 17 1975 HUNTINGTON BEACH. CALIF. THIS IS TO CERTIFY that the fallowing described policies and/or certificates are in force and expire as indicated herein: KIND OF INSURANCE INSUROR POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY COMPENSATION L e a t h e r by EFF 7/ 1/ 7 4 STATUTORY WORKMEN'S COMPENSATIONInsurancpEXPC n n t i 13.111 fiftIFORNIA COMPENSATION — BODILY INJURY LIABILITY $ .000 EACH PERSON EFF (INCLUDING AUTOMOBILE) $ 000 EACH OCCURRENCE EXP E .000 AGGREGATE PROD. PROPERTY DAMAGE $ .000 EACH OCCURRENCE EFF GENERAL S 000 AGGREGATE EXP AUTOMOBILE E 000 EACH OCCURRENCE COMBINED SINGLt: LIMIT BODILY Leatherby CL0115070 EFF7/l/7q $ 300 .000 EACH OCCURRENCE INJURY AND PROPERTY DAMAGE Insurance Co. EXPContinu ous and aggregate General & Auto EFF Liabilit EXP AUTOMOBILE PHYSICAL DAMAGE COMPREHENSIVE EFF $ FIRE AND THEFT $ COLLISION OR UPSET EXP LESS S DEDUCTIBLE LOSS PAYABLE TO REMARKS All Operations This certificate is not a policy and of itself does not afford any insurance. Nothing oontained in this certificate shall be construed as extending coverage not afforded by the policy(ies) shown above or as affording insurance to any insured not named above. This policy shall not be cancelled nor materially reduced in coverage until after 10 days written notice of -such cancellation or reduction in coverage shall have been mailed to this certificate holder. ' LEATHERBY INSURANCE SERVICE DATE January IS, 1A75 Pi 0 BY-1 AUTHORIZED FORM 148-C REPRESENTATIVE /_4.l.✓� CYPRESS INSURANCE COMPANY 306 WEST AVENUE 26, LOS ANGELES 31, CALIFORNIA CA 3-2341 CIMMCATE OF INSURANCE DATE: 9/2 2/67 City of Huntington Beach ISSUED TO: p . 0. Box 190 ADDRESS: Huntington Beach, California L NAME OF INSURED EMPLOYER R. J. NOBLE COMPANY ADDRESS OF INSURED EMPLOYER: BOX 620, ORANGE V CALIFORNIA POLICY NO: 95-3—LA THIS IS TO CERTIFY that we have issued to the above named employer a valid Workmen's Compensation Insurance Policy on a form approved by the Insurance Commissioner of California effective 1 OJ 1 / 6 7168 JOB: all operations CYPRESS INSURANCE COMPANY BY PRESIDLNT U+�3 This Certificate, complies in form with Section 3800 of the Labor Code of California Z4 i THE ATTACHED CERTIFICATE OF INSURANCE SHOWS EVIDENCE OF THE RENE14AL OF THE WORKMEN'S C011WENSATION INSURANCE FOR THE R. J. P3OBLI CONifl?ANY, THIS CERTIFICATE: REPLACES THE CERTIFICATE WHICH YOU PRESE-M'LY HOLD IN YOUIR FILE. IF THERE ARE ANY QUESTIONS, PLEASE CALL OUR OFFICE. HARRISON, Z17PPEGNO & BRISTOL 122 WEST THIRD STREET SANTA ANA, CALIFORNIA PHONE (714) 547-0921 NITtU F-AUIFIC INSURANCE COMPANY • CERTIFICATE A MEMBER OF UNITED PACIFIC INSURANCE GROUP OF INSURANCE HOME OFFICE: TACOMA, WASHINGTON In Effect on Date of This Certificate This is to certify that the policy described below has been issued by the UNITED PACIFIC INSURANCE COMPANY, as insurer, only to the insured named below. Any requirements or any provisions in contracts or agreements between the insured and any other person, firm or corporation shall not enlarge, alter or amend the definition of insured or any of the terms, conditions, exclusions, or limitations of the policy described below. That policy, subject to all of its limitations of liability, coverages, hazards, exclusions, provisions, conditions and other terms, is in full force and effect as of the date this certificate was issued. Name of insured R. J. NOBLE COMPANY Address of insured P. 0. BOX 620, ORANGE, CALIFORNIA Policy Number CLP 12159 Effective 7-1-67 Expires 7-1-70 COVERAGES I LIMITS OF LIABILITY MULTIPLE LIMIT PLAN: Bodily Injury Automobile $ 500,000.00 Each Person $ 1,000,000.00 Each Occurrence Liability Other than Automobile $ 500,000.00 Each Person $ 1.1000,000.00 Each Occurrence $ 1, 000,000.00 Aggregate Products -, Completed Operations Property Damage Automobile $ 1,000,000.00 Each Occurrence Liability Other than Automobile $ 1,000,000.00 Each Occurrence $ 1,000,000.00 Aggregate SINGLE LIMIT PLAN: Bodily Injury Liability Automobile $ Each Occurrence and Property Damage Liability Other than Automobile $ Each Occurrence $ Aggregate In accordance with the above, the policy insures the liability of the insured named above arising from the follow- ing operations and locations: ALL OPERATIONS OF THE INSURED THE CITY OF HUNTINGTON BEACH IS NAMED AS A CO-INSURED, BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE OPERATIONS OF R. J. NOBLE CO. FOR WORK PERFORMED WITHIN THE CITY OF HUNTINGTON BEACH. IF POLICY IS CANCELED, WRITTEN NOTICE WILL BE GIVEN. This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be construed as extending coverage not afforded by the policy shown above or as affording insurance to any insured not named above. Except as specifically provided for in this certificate, United Pacific Insurance Company has no duty to notify the party to whom this certificate is addressed as to any changes or cancellation of the policy and shall not be responsible for any failure to do so. Date JUNE 16, 1967 �J To CITY OF HUNTINGTON BEACH PRESIDENT P. 0. BOX 190 ~~0 ZE ECVQ BRISTOL bd Address HUNTINGTON BEACH, CALIFORNIKountersigned by___ AUTHORIZED REPRESENTATIVE 0-284 1-66