Laserfiche WebLink
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST EU titLUVV 3-iHVt til=tnl IJJucv ,v i nc iar.�v�+-� ,.....,�� ��.'-.- . -• • — —_. _ . <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM no <br />BZSERVI-01 KDULIN <br />CERTIFICATELIABILITY <br />DATE (MMlDD71'YYY) <br />NSURANCE_ <br />3130/2021 <br />_I <br />THIS CERTIFICATE IS ISSUED AS A MATTER <br />OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR <br />NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE <br />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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate <br />holder in lieu of such endorsements . <br />Coo TACT Laurie Graves <br />PRODUCER <br />I Inszone Insurance Services, LLC <br />�+----'-- <br />R1CNNo, Ext): (916) 503-4813Irl INC, No):(916) 636-0134 <br />2721 Citrus Road <br />E •MAtL <br />I Suite A <br />:Igraves@inSZDneins.C4rn <br />ADDRE <br />Rancho Cordova, CA 95742 <br />INSURER(S) AFFORDING COVERAGE i NAIC # <br />_ _ <br />INSURERA:Axis Surplus Insurance CompanyI <br />.-.--.__._- ---'-------------- <br />INSURER a :infinity Select Insurance Company <br />20260 <br />INSURED <br />INSURER C : Berkshire HathawayHomestate Companies <br />2004+8 <br />BZ Service Station Maintenance, Inc, <br />i <br />P.O. BOX 933 <br />INSURER D; <br />West Sacramento, CA 95691 <br />INSURER—_ <br />�I INSURER F <br />COVERAGES CERTIFICATE <br />NUMBER: REVISION <br />NUMBER: <br />nn, ,nv ❑coins <br />COND1TiON OF ANY CONTRACTOR OTHER DOCUMENT WITH 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 />TYPE OF <br />INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />l <br />CLAIMS -MADE L OCCUR <br />L AGGREvRTE LiMI- APPLIYS PER: <br />POLICY � jE Q � LOC <br />AUTOMOBILE LIR8ILITY <br />R I ANY AUT^v <br />.__y CWhJED r' <br />AUTOS ONLY <br />HIR�Q <br />AU, ;050NLY <br />UMBRELLA <br />LIAB <br />EXCESS LIAB <br />C iWORKERSCOMPENSATION <br />LAND EMPLOYERS' LIABILITY <br />SCHEDULEC <br />AUTOS ��yy <br />AU OS rONLY <br />OCCUR <br />CLAIMS-A1ADE <br />YtN <br />�IN1A <br />POLICY <br />P20001971-02 <br />211 <br />512 0 21 <br />811912020 <br />a/151aoaz <br />8119/2021 <br />1�r27taoao; 1012r12o21 <br />OF OPERATIONS / LOCATIONS i VEHICLES IACORD 101, Addttiona! Remarks Schedule, may be atYachad if more space is required) <br />Of insurance <br />LIMITS <br />z, <br />�1 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE YUILL BE DELIVERED !N <br />Verlficaiion Of 1nSUranC2 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2018/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />