COMPLIANCE INFO_2023 - Laserfiche WebLink

Home Browse Search

BZSERVI-01 JGINES ,d►`co�2v CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 2//22/222/2023 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(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 CNATACT Laurie Graves NAME: Inszone Insurance Services, LLC PHONE FAX 2721 Citrus Road , Suite A (A/c, No, Ext): (916) 5034813 (AIC, No): (916) 636-0134 Rancho Cordova, CA 95742 nDoRlEss: Igraves@inszoneins . com INSURERS AFFORDING COVERAGE NAIC # INSURER A : Starstone Specialty Insurance Co . 44776 INSURED INSURER B : InfinitV Select Insurance Company 20260 BZ Service Station Maintenance, Inc. INSURER C : Insurance Com an of the West 27847 P.O. Box 933 INSURER D : West Sacramento, CA 95691 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 CONTRACT OR 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LTR I D WVD MM/DD MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 , 0001000 CLAIMS-MADE FX ] OCCUR L86445231 AEM 2/15/2023 2/15/2024 DAMAGE TO RENTED 100 ,000 PREMISES (Ea occurrence) $ MED EXP (Any oneperson) $ 10 ,000 PERSONAL & ADV INJURY $ 11000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2, 0000000 X POLICY F JECT E] LOC PRODUCTS - COMP/OPAGG $ 2,000, 000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 ,000 , 000 Ea accident $ _ X ANY AUTO 504610143114001 8/19/2022 8/19/2023 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY AUUTOS ONLY Peer accidentDAMAGE $ UMBRELLA LIABH OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ C WORKERS COMPENSATIONOTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE WSA 5062715 02 10/27/2022 10/27/2023 1 ,Op0,p00 OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory In NH) E. L. DISEASE - EA EMPLOYEE $ 1 , 000 ,000 If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ 15000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) Verification Of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Verification Of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION . All rights reserved . The ACORD name and logo are registered marks of ACORD