INSTALL_2025 - Laserfiche WebLink

Home Browse Search

ACo ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 1644� 03/07/2024 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(les) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Shale Pearson NAME: TLB Insurance Services PHONE Ext): (916) 790-5863 FAX No : (888) 329-8842 CA License #0882095 ADDRESS: shala-pearson@leavitt.com 2358 Maritime Dr, Ste 100 INSURER(S) AFFORDING COVERAGE NAIC # Elk Grove CA 95758 INSURERA : Westchester Surplus Lines Insurance Company 10172 INSURED INSURER B : Travelers Property Casualty Company of America 25674 Walton Engineering, Inc. INSURER C : Service American Indemnity Company 39152 P.O. Box 1025 INSURER D : Travelers Property Casualty Company. 36161 West Sacramento CA 95691 I INSURER F COVERAGES CERTIFICATE NUMBER: 24/25 All Lines RFVICIr1Nt tit 1MRGR• 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 MAYBE 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 LTR TYPE OF INSURANCE AIJUL INSD SU13KI WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY z/ CLAIMS -MADE OCCUR Inc. Professional Liability G47393735002 03/06/2024 03/06/2025 EACH OCCURRENCE $ 11000,000 DAMAGE T TO RE ED PREMISES Ea occurrence $ 50,000 X MED EXP (An one person) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GENTAGGREGATE LIMITAPPLIES PER: POLICY � PES ❑ LOC2,000,000 OTHER: GENERAL AGGREGATE $ 21000,000 PRODUCTS-COMP/OP AGG $ $ B AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED NON -OWNED AUTOS ONLY /� AUTOS ONLY 8108L785302 03/06/2024 03/06/2025 COMBINED SINGLE LIMIT Ea accident $ 1,0001000 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE Per accident $ Uninsured motorist $ 11000,000 A UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE G47393747002 03/06/2024 03/06/2025 •tial""""'•' a'� "tial• EACH OCCURRENCE $ 10 000,000 X AGGREGATE $ 101000,000 DED I X1 RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVEEl OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A SAMTWC10020101 10/01/2023 10/01/2024 /� STATUTE ETH E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000' E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Pollution Liability G47393735001 03/06/2024 03/06/2025 Limit 10000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) To Whom it May Concern Evidence of Insurance 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD