Laserfiche WebLink
JONECOV-02 DADACAYA <br />NCE <br />CERTIFICATE OF LIABILITY INSURANCE <br />DAD/YY <br />TE (MM/D <br />[:s/24/2DNYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER License # OE67768 <br />IOA insurance Services <br />130 Vantis <br />Suite 250 <br />Aliso Viejo, CA 92656 <br />NACT <br />NA <br />PHONE , (949) 297-5962 FnAIC No : (949) 297-5960 <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE MAIC q <br />INSURER A: ColonyInsurance Company 39993 <br />INSURED <br />INSURER B:Philadelphia Indemnity Insurance Company 18058 <br />Jones Covey Group, Inc. <br />INSURER C: Everest National Insurance Company 10120 <br />9595 Lucas Ranch Rd Ste 100 <br />INSURER D : <br />INSURER E : <br />Rancho Cucamonga, CA 91730 <br />INSURER F: <br />07/01/2017 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSROLICY <br />LTR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />AUTHORIZED REPRESENTATIVE <br />POLICY NUMBER <br />POLICY EFF <br />EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 5,000,00 <br />CLAIMS -MADE ®OCCUR <br />PACE305425 <br />07/0112016 <br />07/01/2017 <br />DAMAGE TO "'ENT <br />PREMISES Ea occurrence $ 500,00 <br />MED EXP (Any one person) $ 25,00 <br />PERSONAL & ADV INJURY $ 5,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 5,000,00 <br />PRODUCTS - COMP/OP AGG $ 5,000,00 <br />POLICY ] jE E LOC <br />OTHER:$ <br />AUTOMOBILE LIABILITY <br />COMBINED IN LELIMI $ 1,000,00 <br />Ea aa;ident <br />BODILY INJURY (Per person) $ <br />B <br />ANY AUTO <br />PHPKI 514144 <br />07/0112016 <br />07/01/2017 <br />BODILY INJURY (Per accident) $ <br />ALL OWNEDX SCHEDULED <br />AUTOS AUTOS <br />X HIRED AUTOS X NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE $ 2,000,00 <br />AGGREGATE $ 2,000,00 <br />A <br />X <br />EXCESS UAB <br />CLAIMS -MADE <br />EXC305426 <br />07101/2016 <br />07/01/2017 <br />DED I X I RETENTION $ ® <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? ® <br />(Mandatory In NH) <br />N / A <br />CA10002046161 <br />05/01/2016 <br />05/01/2017 <br />R E <br />X STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,00 <br />E.L. DISEASE - EA EMPLOYE $ 1,000,00 <br />E.L. DISEASE - POLICY LIMIT $ 1,000,00 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Llab. <br />PACE305425 <br />07/01/2016 <br />07/01/2017 <br />5,000,00 <br />A <br />Contractors Poll. <br />PACE305426 <br />07101/2016 <br />07/01/2017 <br />5,000,00 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Proof of Coverage. <br />DEC 0 '72016 <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014/01) <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBE B 1�16LLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />, C/G <br />ACORD 25 (2014/01) <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />