COMPLIANCE INFO_2025 - Laserfiche WebLink

Home Browse Search

Client#: 2079581 ABLEMAI1 CR ,M CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 10/01/2025 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(fes) 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEA T Rhonda Scialpi USI Insurance Services NW CL1 PHONE ... 503 224-8390 FAX 610 362-8130 826 NE Multnomah, Suite 1500 EE-MAIL E'`t�` --.-.- LAIC,Na): Portland, OR 97232 ADDRESS,_rhonda.sciaipi@usl rhonda,scialpi@usi.com 224-8390 tNSURER(S)AFFORDING COVERAGE NAIC III F INSURER A;Zurich American insurance Company 16535 INSURED INSURER B : Able Maintenance, Inc. - -- 3224 Regional Parkway INSURER c: INSURER D Santa Rosa, CA 95403 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 CONTRACTOR 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. INSR .._ _.._.-- --._---__ -...----------- -�ADDLSUBR -- - POLICY EFF- POLICY EXP .. . . LTR TYPE OF INSURANCE INSR !WVD1 POLICYNUMBER (MMIDDIYYYYI�MM/DDIYYYY) LIMITS _. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ ; $ ppqqMM ��pp - ------ _i `..PREMISESIE Occurrenael_ -$ CLAIMS-MADE OCCUR i ! MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- -- - _...---- ___ POLICY ❑ JECT LOC PRODUCTS-COMP/OP AGG j $ _ OTHER; j ! $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -- j �..Ea accident _ ANY AUTO I BODILY INJURY(Per person) $.. ------. ---__---_ OWNED 1 SCHEDULED 7 BODILY INJURY(Per accident) $ _-- AUTOS ONLY _ AUTOS -.__ AUTOS ONLY NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY (Per accident)___ - - UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB �-CLAIMS-MADE' j AGGREGATE $ DED i RETENTIONS --__ -- - -- _$ OFFICERIMEMBER EXCLUDED? !.NIA;A ,10/O1/ZO28 X ,PER OTH - A WORKERS COMPENSATION 8897913 10/01/2025 AND EMPLOYERS'LIABILITYZUT�- - —Eft i ANY PROPRIETORIPARTNERIEXECUTIVEa E.L.EACH ACCIDENT $1,000 QUO (Mandatory In NH) N E.L.DISEASE EA EMPLOYEE $1,000,000 tT yyea,describe under - DESCRIPTIONOFOPERATIONSbelow E.L.DISEASE $1,000,000 I i I i DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule, maybe attached If more space Is required) RE: Removing Gas pumps & Tanks 1409 Grove St. LLC, Managing Members of the LLC: Marc Opperman, Scott Silveria and Joe Belli are named as Additional Insured with respects to General Liability per attached. CERTIFICATE HOLDER CANCELLATION 1409 Grove St. LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 280 Kinley Dr. ACCORDANCE WITH THE POLICY PROVISIONS. Healdsburg, CA 95448 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S51099954/M51070548 PDNZP