COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

JONECOV-02 DADACAYA '4�ORo CERTIFICATE OF LIABILITY INSURANCE FE (MMIDD/YYYY) /27/2020 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) . PRODUCER License # OE67768 CONTACT Almie Dadacay ICA Insurance Services PHONE 130 Vantis (A/C, No, Ext): (949) 297-5530 52002 FAX 130 No) : (949) 297=5960 Suite 250 E-MAIL aimie . dadacay@ioausa . com y@ioausa . com Aliso Viejo, CA 92656 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Colony Insurance Company 39993 INSURED INSURER B : Everest National Insurance Company 10120 Jones Covey Group, Inc. INSURERC : StarStone National Insurance Company 25496 9595 Lucas Ranch Road Ste 100 INSURER D : Travelers Property Casualty Company of America 25674 Rancho Cucamonga , CA 91730 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER : REVISION NUMBER : 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE p D POLICY NUMBER M DD DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 53000 , 000 CLAIMS-MADE OCCUR X X PACE305425 7/1 /2019 7/1 /2020 DAMAGE TOEaENCCT�ante $ 500 ' 000 PREMISESMED EXP (Any oneperson) $ 253000 PERSONAL & ADV INJURY $ 520003000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 51000 , 000 POLICY � JECT F LOC PRODUCTS - COMP/OPAGG $ 53000 , 000 11 OTHER: PRODUCTS POLLUT $ Included B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 , 000 000 Ea accident $ X ANY AUTO CFlCA00102191 7/1 /2019 7/1 /2020 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ 1 A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6, 0001000 X EXCESS LIAB CLAIMS-MADE EXC305426 7/1 /2019 7/1 /2020 AGGREGATE $ 63000 , 000 DED I X RETENTION $ 0 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 710201051 5/1 /2020 5/1 /2021 E.L. EACH ACCIDENT $ 1 ' 000 , OUO OFFICER/MEMBER EXCLUDED? �Y N / A (Mandatory in NH) E. L. DISEASE - EA EMPLOYE $ 11000 , 000 If yes, describe under 110007000 DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ D Leased/Rented Equip. 6602G408239 7/1 /2019 7/1 /2020 Ded : $ 1 , 000 ; 300, 000 A Contractors Poll PACE305425 7/1 /2019 7/1 /2020 550003000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988 -2015 ACORD CORPORATION . All rights reserved . The ACORD name and logo are registered marks of ACORD