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DIMAMAI -01 MMORALES <br /> ACORL7 ` CERTIFICATE OF LIABILITY INSURANCE DAT /14/2D/Y <br /> 1114/2021 <br /> `--� 1 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE 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 ( les) 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 holder in lieu of such endorsement(s). <br /> PRODUCER License # 0525512 CONTACT <br /> NAME: <br /> Teague Insurance Agency , Inc. PHONE FAX <br /> 4700 Spring St. , #400 A/c, No, <br /> Ext): (619) 464-6851 A/C, No) : (619 ) 6684715 <br /> La Mesa , CA 91942-0275 Epp IL . info@teagueins .com <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURER A : Crum & Forster Specialty Insurance 44520 <br /> INSURED INSURER B : Navigators Specialty 36056 <br /> DiMaggio Maintenance , Inc. INSURER C : Insurance CompanV of the West 27847 <br /> PO Box 1637 INSURER D <br /> Carlsbad , CA 92018 <br /> INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER : REVISION NUMBER : <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED . NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 /> INSR ADDL SUBR POLICY EFF POLICY EXP <br /> LTRTYPE OF INSURANCE INSD WVD POLICY NUMBER MM DD DD YYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 ' 000' 000 <br /> CLAIMS-MADE [ XI OCCUR EPK133723 1 /11 /2021 1 /11 /2022 DAMAGE TO RENT ace $ 509000 <br /> PREMISES MED EXP (Any oneperson) $ 55000 <br /> PERSONAL & ADV INJURY $ 13000' 000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000' 000 <br /> X POLICY ❑ JECOT LOC PRODUCTS - COMP/OP AGG $ 21000, 000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 110001000 <br /> Ea accident $ <br /> ANY AUTO FA20BAP02144200 8/20/2020 6/20/2021 BODILY INJURY Per arson $ <br /> OWNEDX SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-0WNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> A UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 41000' 000 <br /> X EXCESS LIAR CLAIMS-MADE EFX116796 1 /11 /2021 1 /11 /2022 AGGREGATE $ 41000' 000 <br /> ri DED I X I RETENTION $ 0 $ <br /> C WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS' LIABILITY WSD503573005 1 /17/2021 1 /17/2022 E ER 150001000 <br /> OFFICER MEMBEER/EXCLUDED?ECUTIVE Y❑ N / A E. L. EACH ACCIDENT $ <br /> (Mandatory in NH ) E. L. DISEASE - EA EMPLOYEE $ 130001000 <br /> If yes, describe under 130003000 <br /> DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25 ( 2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />