COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

ABLEMAI -CL H AHY DATE (M M/DD/YYYY) CERTIFICATE F LIABILITY INSURANCE 09/26/2016 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 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 C N CT George Petersen Insurance Agency, Inc. AIcO°,,NN, Ext): (707) 6264160 FAX No): (707) 5264175 P .O . Box 3539 Santa Rosa , CA 95402 E- S., info@gpins .com INSURERS AFFORDING COVERA E NAIC p INSURER A : Homeland Insurance Company of New York 34452 INSURED INSURER B : West American Insurance Company 44393 Able Maintenance Inc. INSURER C : State Compensation Insurance Fund 35076 3224 Regional Parkway INSURER D : American Fire & Casual Company 24066 Santa Rosa, CA 95403 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 TYPE OF INSURANCE ADDL SUBR IUDL POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 10,000,000 CLAIMS-MADE Fj; 93 -00-26 -72 -0003 10/11 /2017 10/11 /2018 PREMISES DAMAGE TO TED 50000 X Pollution MED EXP (Any oneperson) 51000 X Proffes -Clalms Made PERSONAL & ADV INJURY $ 1010001000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 10 ,0001000 POLICY ® PECT LOC PRODUCTS - COMP/OP AGG $ 101000,000 OTHER: MOLD 11000,000 B AUTOMOBILE LIABILITY COMaBINED SINGLE LIMIT dano $ 1 ,000,000 X ANY AUTO BAW ( 19) 58661065 04/01 /2018 04/01 /2019 BODILY INJURY Perperson) $ OWNED SCHEDULED AURTEODS ONLY AUUTNOSSWNEp BRODILY INJURY Per accident AUTOS ONLY Al)TOS ONLY FADecEciRdent AMAGE $ k 1 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LfAB CLAIMS-MADE AGGREGATE DED RETENTION $ C WORKERS COMPENSATION X I PERTUT OTH- AND EMPLOYERS' LIABILITY 9073219-18 10/01 /2018 10/01 /2019 1 ,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE Y /aN E.L. EACH ACCIDENT $ FICERIMEMg�� EXCLUDED? N / A '— landetory In NH) E.L. DISEASE - EA EMPLOYEE $ 11000,000 It as, describe under 1 , 000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ D Excess Auto Only ESA (19 ) 58661065 04/01/2018 04/01 /2019 410001000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached If more apace Is required) RE: Proof of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Able Maintenance, Inc, ACCORDANCE WITH THE POLICY PROVISIONS , 3224 Regional Parkway Santa Rosa , CA 96403 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 19884015 ACORD CORPORATION . All rights reserved . The ACORD name and logo are registered marks of ACORD