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��- -, DIMAMAI -01 MORALES <br /> ACORO DATE (MMIDD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 1 /13/2020 <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 License # 0525512 CONTACT <br /> Teague Insurance Agency, Inc. <br /> 4700 Spring St., #400 (A/C, N ,Ext): (619) 464-6851 �AAic, No): (619) 668-4715 <br /> La Mesa, CA 91942-0275 aI DRIESS : info@teagueins . com <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURER A : Crum & Forster Specialty Insurance 44520 <br /> INSURED INSURER B : Everest Denali Insurance Company 16044 <br /> DiMaggio Maintenance, Inc. INSURER C : Insurance Company of the West 27847 <br /> PO Box 1637 INSURER D : <br /> Carlsbad, CA 92018 <br /> INSURER E <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER : 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> L D D IDD (MMIDDNMI <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000 ' 000 <br /> CLAIMS-MADE OCCUR EPK129624 1 /11 /2020 1 /11 /2021 DAMAGE TO RENTED 50 , 000 <br /> PREMISES Ea occurrence $ <br /> MED EXP (Any oneperson) $ 51600 <br /> PERSONAL & ADV INJURY $ 1 , 000, 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2' 0001000 <br /> POLICY X JERCOT- El LOC PRODUCTS - COMP/OPAGG $ 2 , 0001000 <br /> OTHER: $ <br /> BAUTOMOBILE LIABILITY COacccidentSINGLE LIMIT $ 1 , 000,000 <br /> ANY AUTO CF3CA00162-191 8/20/2019 8/20/2020 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY X AUTOS BODILY INJURY Per accident $ <br /> X AUTOS ONLY X AUTOS oNED PeoaccRdentDAMAGE $ <br /> $ <br /> A UMBRELLA LIAB I X OCCUR EACH OCCURRENCE $ 41000' 000 <br /> X EXCESS LIAB CLAIMS-MADE EFX114350 1 /11 /2020 1 /11 /2021 AGGREGATE $ 4'0001000 <br /> DED X RETENTION $ 0 $ <br /> C WORKERS COMPENSATIONX STATUTE EORH <br /> AND EMPLOYERS' LIABILITY WSD503573003 1 /17/2020 1 /17/2021 150001000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N / A <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1 , 000 , 000 <br /> If yes, describe under 1 ,000, 000 <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS . <br /> AUTHORIZED REPRESENTATIVE '.. <br /> ACORD 25 (2016/03) © 1988 -2015 ACORD CORPORATION . All rights reserved . <br /> The ACORD name and logo are registered marks of ACORD <br /> I <br /> t <br />