COMPLIANCE INFO_2025 - Laserfiche WebLink

Home Browse Search

'016�h' CERTIFICATE OF LIABILITY INSURANCE 12/2/2024DYYYY) 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 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 endorsements . PRODUCER CONErncTDINA NA ATHEY : ISU INS SERV — BC ENV BROKERAGE PHONE_No ( g16) 939-1080 FAX A/ No 916) 939-1085 tAlr, :( 1037 Suncast Ln Ste 103 E-MAIL ADDRESS, El Dorado Hills , CA 95762 INSURERS AFFORDING COVERAGE NAIC# INSURER WESTCHESTER SURP LINES INS CO. 10172 INSURED ECO—CHEK COMPLIANCE , INC INSURERB: SECURITY NATIONAL INS CO . 19879 P . O . BOX 1394 INSURER STATE COMPENSATION INSURANCE FUND 35076 LAFAYETTE , CA 94549 INSURERD: INDIAN HARBOR INSURANCE CO . 36940 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. LTR TYPEOF INSURANCE POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER MM/DDNY Y M/DD/Y Y X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 CLAIMS-MADE El OCCUR occ ace $ 50 000 X CONT . POLLUTION G47426108 002 09/14/2409/14/25 MEDEXP (Anyoneperson) $ 5 , 000 A PERSONAL&ADV INJURY $ 1 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 r OOO , OOO X POLICY � PRO r LOC PRODUCTS-COMP/OPAGG $ 2 , 000 , 000 JECT OTHER7 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) ANYAUTO SPP1816925 01 09/23/2409/23/25 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED B AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY TATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 1942346-24 12/01/2412/01/25 E.L.EACH ACCIDENT $ 1 , 060 , 000 C OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 110001000 If yes,describe under 1 000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT r r A E&O LIAB . G47426108 002 09/14/2409/14/25 $1 , 000 , 000 OCCURRENCE CLAIMS MADE RETRO : 9/17/10 $2 , 000 , 000 AGGREGATE D RENTED/LEASED EQUIP ISL2870052 06/05/2406/05/25 LIMIT : $75 , 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attachedif more space is required) CERTIFICATE HOLDER AN ELLATI N —FOR INFORMATION ONLY— SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD