WP0041394 - Laserfiche WebLink

Home Browse Search

SALEENG-01 MHAMILTONGRAVES '4c'oi2o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `� 11/26/2019 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#OE02096 CONTACT NAME: DiBuduo&DeFendis Insurance Brokers,LLC PHONE FAX P.O.Box 5479 (A/C,No,Ext):(559)432-0222 (AIC,No):(559)431-7941 Fresno,CA 93755-5479 ADDRE : INSURERS AFFORDING COVERAGE NAIC# INSURER A:Valley Forge Insurance Co 20508 INSURED INSURER B:Transportation Insurance Company 20494 Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289 4729 W.Jacquelyn Ave. INSURER D:American Casual Company of Reading PA 20427 Fresno,CA 93722 INSURER E:Continental Casualty Company 20443 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. ILSR TR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS rrlrYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR 6015893246 12/01/2019 12/01/2020 DAMAGE TO RENTED 300,000 X PREMI E Ea occurre ce $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4'000'000 POLICY�X J Re- F]LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER $ B AUTOMOBILE LIABILITY COMBINED dent)SINGLE LIMIT $ 1 000 000 X ANY AUTO 6045473729 12/01/2019 12/01/2020 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS � BODILY INJURY Per accident $ AUTOS ONLY AUUTOS ONLD PerOacGdent AMAGE $ C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE 6015893232 12/01/2019 12/01/2020 AGGREGATE $ 5,000,000 DED X I RETENTION$ 10,000 $ D WORKERS COMPENSATION X PER OTA UTE ERH- AND EMPLOYERS'LIABILITY YIN 6020581635 12101/2019 12101/2020 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ Mandatory in NH)EXCLUDED? N/A 1,000,000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Prof./Pollution Liab AEH591895627 12/01/2019 12/01/2020 Each Claim 2,000,000 E Prof./Pollution Liab AEH591895527 12/01/2019 12/01/2020 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) **Actual Certificate to be issued upon request** Certificate Holder is named Additional Insured(including Ongoing&Completed Operations and Primary Non-Contributory Wording)as respects General Liability per attached blanket policy form CNA75079XX(10-16). **Professional/Pollution Liability deductible per claim-$25,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE **SAMPLE CERTIFICATE** 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