COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

A°►`"R12119/2019 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/ 019 Y) 9 THIS CERTIFICATE IS ISSUED ASA 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 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 Catherine Montoya NAME : Milestone Risk Management & Insurance Services A/CNNo Ext) : (949) 852-0909 FAX No): (949) 852- 1131 License No. OB72766 E-MAIL cmontoya@milestonepromise. com ADDRESS: 8 Corporate Park, Suite 130 INSURER(S) AFFORDING COVERAGE NAIC # Irvine CA 92606 INSURERA : Everest Indemnity Insurance 10851 INSURED INSURER B : Everest National Ins, Co. 10120 Wayne Perry, Inc. INSURER C : Ohio Casualty Insurance Company 24074 8281 Commonwealth Ave. INSURER D : INSURER E : Buena Park CA 90621 INSURER F : COVERAGES CERTIFICATE NUMBER: 19-20 Master 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 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 CLAIMS-MADE ❑X OCCUR DAMA ET RE TED 300 , 000 PREMISES Ea occurrence $ X Contr. Pollution Liab. $ , M/$2M MED EXP (Any one person) $ 25 , 000 A X Prof. Liab. Claims Made $ 1M/$2M EF1ML00079191 12/31 /2019 12/31 /2020 PERSONAL & ADV INJURY $ 11000 , 000 HT AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 220003000 POLICY ❑X PRO El LOC PRODUCTS - COMP/OPAGG $ 220003000 JECT OTHER: XCU Silent $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 110002000 Ea accident X ANYAUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED EFlCA00044191 12/31 /2019 12/31 /2020 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 101000 , 000 A X EXCESS LIAB CLAIMS-MADE EFlC000052191 12/31 /2019 12/31 /2020 AGGREGATE $ 1010001000 DED I X RETENTION $ 0 $ WORKERS COMPENSATIONX STATUTE EORH AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT $ 110001000 B OFFICERIMEMBEREXCLUDED? N / A CA10003737191 12/31 /2019 12/31 /2020 ( Mandatory in NH) E. L. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 If yes, describe under 11000 , 000 DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ Installation Floater Installation Llmt/Ded $250K / $2 , 500 C Rented/Leased Equipment BM02059216368 12/31 /2019 12/31 /2020 Rented/Leased Limt/Ded $ 150k / $2 , 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) RE: Evidence of Coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN "PROOF ONLY" ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -t_ © 1988-2015 ACORD CORPORATION . All rights reserved . ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD