SR0082695 - Laserfiche WebLink

Home Browse Search

-1 ® DATE( MM/DD/YYYY) A o CERTIFICATE OF LIABILITY INSURANCE 06/29/2020 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 L 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 CONTACTNAME: Aon Risk Services Southwest , Inc . PHONE FAX i' Houston TX Office (AIC. No. Ext) : ( 866 ) 283 - 7122 A/C , No. : 0800 ) 363 - 0105 NO 5555 San Felipe E-MAIL o Suite 1500 ADDRESS : _ Houston TX 77056 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Ins Co 16535 JWGUSA Holdings , Inc . INSURER B : American Guarantee & Liability Ins Co 26247 and its Subsidiaries and Affiliates 17325 Katy Freeway INSURER C : ACE American Insurance Company 22667 Houston TX 77084 USA INSURER D : AIG specialty Insurance Company 26883 INSURERS : American International Group UK Ltd AA1120187 INSURER F : COVERAGES CERTIFICATE NUMBER : 570082643603 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 . Limits shown are as requested INSR TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY GL0484 0850 EACH OCCURRENCE $ S10001000 CLAIMS-MADE OCCUR DAMAGE TO RENTED $ 1003000 PREMISES Ea occurrence MED EXP (Any one person ) $ 5 , 000 PERSONAL & ADV INJURY $ 530003000 Mo GEN 'LAGGREGATE LIMITAPPLIES PER : GENERAL AGGREGATE $ 5 , 000 , 000 co POLICY X❑ PE LOC PRODUCTS - COMP/OP AGG $ 5 , 000 , 000 000 OTHER: 0 r C ISA H25301900 07 / 01/ 2020 07 / 01/ 2021 COMBINED SINGLE LIMIT "' AUTOMOBILE LIABILITY $ 2 , 000 , 000 Ea accident X ANYAUTO BODILY INJURY ( Per person ) O Z OWNED SCHEDULED BODILY INJURY (Per accident) � AUTOS M AUTOS ONLY PROPERTY DAMAGE HIRED AUTOS NON-OWNED V ONLY AUTOS ONLY Per accident NUNN . Ntfd B X UMBRELLA LIAB X OCCUR AUC484608600 07 / 01/ 2020 07 / 01 / 2021 EACH OCCURRENCE $ 530009000 U SIR applies per policy terns & conditions AGGREGATE $ 5 , 000 , 000 EXCESS LIAB CLAIMS-MADE DED I X RETENTION IN C WORKERS COMPENSATION AND WLRC67455708 07 / 01/ 2020 07 / 01/ 2021 X PER STATUTE oTH- EMPLOYERS ' LIABILITY Y / N work Comp - AOS ER ANY PROPRIETOR / PARTNER / EXECUTIVE E . L. EACH ACCIDENT $ 13000 , 000 O OFFICER/MEMBEREXCLUDED? N / A SCFC67455745 07 / 01/ 2020 07 /01/ 2021 (Mandatory in NH) Work Comp - WI E . L. DISEASE-EA EMPLOYEE $ 1 , 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E . L. DISEASE-POLICY LIMIT $ 11000 ) 000 — E Archit & Eng Prof PSDEF2000726 07 / 01/ 2020 07 /01/ 2021 Aggreagate Limit $ 5 , 000 , 000 — Claims Made - Prof . Liab . Any one Claim $ 5 , 000 , 000 SIR applies per policy ter ris & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance for wood in the USA . See attached addendum for Additional Named insured wood companies . X LLN CERTIFICATE HOLDER CANCELLATION M%4 ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 9E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ama POLICY PROVISIONS , JWGUSA Holdings , Inc . AUTHORIZED REPRESENTATIVE and its subsidiaries and Affiliates 17325 Park Row �X A��st/LYG4:iQ yew IL I Houston TX 77084 USA ©1988 =2015 ACORD CORPORATION . All rights reserved . ACORD 25 (2016/ 03 ) The ACORD name and logo are registered marks of ACORD