HomeMy WebLinkAboutInsurance Cert 12.13.18ACC)RO CERTIFICATE OF LIABILITY INSURANCE D
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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(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policias may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsemen
PRODUCER N
CONTACT
PHONE
EMAIL
ADDRESS:
INSURER (S) AFFORDING COVERAGE N
NAICrM
INSURER A-. NIA N
N/A
R0023"AWXP -17-49 I
INSURED I
INSURER B: NIA N
NIA
INSURER c : American Zurich insurance Company 4
40142
INSURER D : NIA N
NIA
Bakersfield, CA 93380 I
INSURiAR E
INSL#RER F:
THIS fS 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.
POLICY EFF POLICY EXP
L R TYPE OF INSURANCE P CYNUMSER D MWD LIMITS
COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $
DAMAGE RENTED
CLAIMS-MADE E OCCUR R nce $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY 0 JE O- LOC PRODUCTS- C{}Mi'(OP Ado $
5
OTHER:
AUTOMOBILE LIA131UTY 1N LE LIMIT
E accident $
ANY AUTO BODILY INJURY (Per person) S
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS PROPERTY DAMAGE
HIRED NON -OWNED Per accident $
AUTOS ONLY AUTOS ONLY
UM6RELLALIAS OCCUR EACH OCCURRENCE $
Fj(CW LIA9 I CLAIMS -MADE AGGREGATE $
DED I I RETENTION $
C WORKERS COMPENSATION WC M6600 -15 1 19 X STA UTE ER
AND EMPLOY€RS' LIABILITY Do8s col apply to the Monopolistic E 1,000,000
ANYPROPRIETOMPARTNERIEXECUTIVE Y J N .L. EACH ACCIDENT $
OFFICERIMEMBEREXCLUDED4 a NIA States ND, OH, WA, and 1,0M,000
(Mandatory In NH) t �� E.L. DISEASE - EA EMPLOYEE S
If yes, describe under Puerto Rico, or the Virgin Islands E.L. DISEASE - POLICY LIMIT $ 1'000,000
DESCRIPTION OF OP IONS below
DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES (ACORD 101, Addl fanal Remarks Schedule, maybe attached it more space Is requlmd)
RE: RE: license #970529
omtractors State License Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
c/b P.O. BOX 82515 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Bakersfield, CA 93380 ACCORDANCE WrrH TKE POLICY PROVISIONS.
AuTHoRMED REPRESENTATIVE
of Marsh USA Inc.
John C Hurley _ ®• "' —'-'�' I•� -�- -�.
O 1988.2016 ACORN CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
omtractors State License Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
c/b P.O. BOX 82515 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Bakersfield, CA 93380 ACCORDANCE WrrH TKE POLICY PROVISIONS.
AuTHoRMED REPRESENTATIVE
of Marsh USA Inc.
John C Hurley _ ®• "' —'-'�' I•� -�- -�.
O 1988.2016 ACORN CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD