WP0037369 - Laserfiche WebLink

Home Browse Search

09/25/2017 06:11 FAX 4156427055 CANON Q 004/007 A ?a® CERTIFICATE OF LIABILITY INSURANCE DA os/23120z�2o/D°"Y,rY) 17 TMS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS UERTIFIUAlh UUES NO1 All[-IKMAIIVtLY UK Nh(iAIIVLLY AMtNU, L7,11=NU UK AL1CK IHC GUVCKAWL AHFUKUCU ElY THE POLICIES DGLOW, THIS CCRTIPICATE OF IN31URANCE DOES NOT CON3TITUTE A CONTRACT BETWEEN THE 100VINQ IN$UREK(.9), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the torma and conditions of the policy, certain polioiea may require an endoraemcnt. A statement on thio ccrtifieatc docs not confer rights to the oohifiooto hold— in liou of o—in ondoroomont(o). PRODUCERNAME MARSH USA INC,. Holt Tnlnluc col leoC, cl uTC i4nn SOUTHFIELD, MI 48076 Atm. douolQiroupc4ptive:ccruequoatt,Omamh.com ME, PHONE FAX l4lC_ Nn swt= [A/C- Nol: E R AO.DRFSS:_ . . IN3ORER � ATORDINO COVERAOG NAIL N R0025&COMP--GW-17-18 San Fr INSURER A ; Zurich American Insurance Company 16535 INSURED INSURERS: American Zurich Insurance Company 40142 Smith -Emery San Francisco AA FII FYD (Any one nnr¢nn) i 10,000 1940 Oakdale Avenue INSURER c ; INSURERD: San Francisco, CA 94124 INSURER E: $ INSURER F : AUTO C:CIYrRAAr'7 cr'RTIr'I�:ATr' hlllMl9rR. 0111_00rolioE0-00 RI-W101CIN IJt1MBFR.0 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. IIV.7RType LTR OCINCV 4APIG`G Ano J OR J Uoy NUMOCII rpLlC:i err MMID rpuG'i rxr MM/ODM I IMITS A X COMMERCIALGENERALLIABILITY CL4ILAS-MODE O OCCURCMICCC GLO3486742-13 ndlnil9r117 041011901R CA "OCCUPPrMI.0 It 1.nn1),nnn DAMAGE TO C o RENTED e .snn.nnn AA FII FYD (Any one nnr¢nn) i 10,000 PERSONAL L ADV INJURY : 1,nnn,nnn GEN'L AGGREGATE LIMIT APPUES PER. X POLICYFX] JECT- n LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTO MOD ILC LIADILITY n 11Y 1,UTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED hUTOE NON -OWNED ALRGB MBI ID SINGLE LIMIT e a a ent RMI I Y INA IRY IPar n-—) R BODILY INJURY (Per accident) $ PROPERTYDAMAGE S ror ooua 1 UMBRELLA UA8 EXCESS LIAR HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION S $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLU0ED7 Y (Mandatory in NH) If yes, dssrribe under DESCRIPTION OF OPERATIONS below NIA WC348668014 Does not apply to the Monopolistic States (N D. OH, WA, and W`), Puerto Rico, or the Virgin Islands 04/0112017 04/01/2018X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE -1=OUCT' LiMi T E 1COO,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) GERTIl7IGATE I IVLDER GAN GELLATIVPI Smith -Emery San Francisco SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1940 Oakdale Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Francisco, CA 94124 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE of Marsh USA Inc. John C Hurley ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) Thc-ACORD name and logo am rardistarcd mnrlrc of At ORr] Received Time Sep -25, 2017 6:20PM No,2359