|
ACORO0 DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 6/28/2024
<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 CONTANAME: Dale Nowety
<br /> McGriff Insurance Services PHONE FAX
<br /> 2200 Old Brick Rd Ste A A Exit: 804-678-5022 A/c No : 888-751-3010
<br /> Glen Allen VA 23060 ADDRESS: RICVABCERTS@McGriff.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A : Westchester Surplus Lines Insurance 10172
<br /> INSURED 35MIDOCJF INSURER B : ACE American Insurance CO 22667
<br /> Jones Covey Group, Inc.9595 Lucas Ranch Road INSURER C : Evanston Insurance Company 35378
<br /> Suite 100 INSURER D : Insurance Company of the West 27847
<br /> Rancho Cucamonga CA 91730 INSURER E : Aspen Specialty Insurance Co. 10717
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:251960034 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 EFF POLICY EXP LIMITS
<br /> LTfl POLICY NUMBER MM/DD/YYYY MM/DDNYYY
<br /> A X COMMERCIAL GENERAL LIABILITY G46846217006 12/18/2023 12/18/2024 EACH OCCURRENCE $1,000,000 _
<br /> CLAIMS-MADE � OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $1,000,000
<br /> X 10,000 Ded MED EXP(Any one person) $25,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY [X] jEC7 LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY CALHO8473122 12/18/2023 12/18/2024 COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> 1XX
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident $
<br /> AUTOS ONLY AUTOS )
<br /> HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accidentHired PD $
<br /> C UMBRELLA LIAB OCCUR MKLV2EFX101031 12/18/2023 12/18/2024 EACH OCCURRENCE $$5,000,000
<br /> X
<br /> A G71769446004 12/18/2023 12/18/2024
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $$5,000,000
<br /> DED I I RETENTION$ 2nd Layer Excess $$4,000,000
<br /> D WORKERS COMPENSATION WVA506868302 12/18/2023 12/18/2024 X I
<br /> PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER _
<br /> ANYPROPRIETOR/PARTNERIEXECUTIVE N E.L. EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBEREXCLUE N/A
<br /> (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000
<br /> E Professional Liability and EXOOYED23 12/18/2023 12/18/2024 Ta Claim/Ded $1,000,000/$10,000
<br /> Pollution Pollution Cond/Ded
<br /> $1,000,000/$10,000
<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 EXOOYED23, Term dates 12/18/2023 - 12/18/2024, $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 IMM12310001690-01, Effective 12/18/2023 - 12/18/2024, 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 /> 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 AUTHORIZED REPRESENTATIVE
<br /> Rancho Cucamonga CA 91730
<br /> © 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|