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AC J?" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />12/9/2024
<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(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 holder in lieu of such endorsement(s).
<br />PRODUCER
<br />McGriff Insurance Services
<br />2200 Old Brick Rd Ste A
<br />Glen Allen VA 23060
<br />CONTACT
<br />NAME: Dale Nowery
<br />PHONE FAX
<br />A/c No Ext): 804-678-5022 A/C,No): 888-751-3010
<br />ADDRESS: RICVABCERTS@McGriff.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Westchester Surplus Lines Insurance
<br />10172
<br />12/18/2024
<br />INSURED 35JFHOL
<br />INSURER B: ACE American Insurance CO
<br />22667
<br />Jones Covey Group, Inc.
<br />9595 Lucas Ranch Road
<br />INSURER C: Evanston Insurance Company
<br />35378
<br />INSURER D: Insurance Company of the West
<br />27847
<br />Suite 100
<br />INSURER E:
<br />Rancho Cucamonga CA 91730
<br />INSURER F:
<br />X
<br />MED EXP (Any one person)
<br />COVERAGES CERTIFICATE NUMBER: 2044638625 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />IND
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />/Y
<br />MM/DDYYY
<br />POLICY EXP
<br />MM/DDYYY
<br />/Y
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />G46846217008
<br />12/18/2024
<br />12/18/2025
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence)
<br />$ 1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$ 25,000
<br />10,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L
<br />POLICY � PRO- � LOC
<br />PRODUCTS -COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />CALH08473122
<br />12/18/2024
<br />12/18/2025
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />$
<br />X
<br />Hired PD
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />MKLV2EFX101491
<br />G71769446006
<br />12/18/2024
<br />12/18/2024
<br />12/18/2025
<br />12/18/2025
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />DED RETENTION $
<br />2nd Layer Excess
<br />$ 4,000,000
<br />rD
<br />WORKERS COMPENSATIONWVA506868303
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANYPROPRIETOR/PARTNER/EXECUTIVEN
<br />12/18/2024
<br />12/18/2025
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED?
<br />/ A
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />Professional Liability and
<br />G46846217008
<br />12/18/2024
<br />12/18/2025
<br />Ea Prof Claim/Ded
<br />1 mil/2mil/$10K
<br />Pollution
<br />Ea Poll Cond/Aggr/Ded
<br />1 mil/2mil/$10K
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Excess Liability written with Aspen Specialty Insurance Company, Policy Number EXOOYED24, Term dates 12/18/2024 - 12/18/2025, $5,000,000
<br />occurrence/$5,000,000 Aggregate.
<br />Underlying policies are General Liability, Professional Liability, and Pollution Liability coverage.
<br />Contractors Equipment written with Ascot Insurance Company Policy Number IMM12310001690-02, Effective 12/18/2024 - 12/18/2025, Limit of $500,000 for
<br />Leased or Rented Equipment with $5,000 Deductible except $10,000 Deductible for theft. Special Cause of Loss
<br />Replacement Cost applies to equipment manufactured 5 years or newer and Actual Cash Value applies to equipment manufactured over 5 years.
<br />See Attached...
<br />CERTIFICATE HOLDER CANCELLATION
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Jones Covey Group Inc
<br />9595 Lucas Ranch Rd
<br />AUTHORIZED REPRESENTATIVE
<br />Rancho Cucamonga CA 91730
<br />R
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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