Supporting Documentation · Mar 26, 2024
111-24 Exhibit A.pdf
428838e03108cdb65c6126c19198c5e7d933ea2eda71aa4c53f55797052c03b7Indexed text · page 71
Show all pagesACORD’ C— CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNVYYY) 2/24/2024 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ‘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 certificate holder in lieu of such endorsement(s). IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 PRODUCER (661) 266-9390 [Re Noy (6500266-9382 Driscoll & Driscoll Insurance Agency, Inc. ovusss. Cexts@driscollanddriscoll.com 41235 11th St West, Suite B INSURER(S) AFFORDING COVERAGE Nal # Palmdale CA 93551 INSURERA:GuideOne National Insurance Company meuneD INSURER 8 Nationwide Cleaning & Restoration Services Inc INSURER € INSURER D 101 Hudson st INSURER E Jersey City NI 07302 INSURER F: COVERAGES CERTIFICATE NUMBER:CL2422425244 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCES LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE 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. ADDL |SUBR Se ewer ROR) noucyawarn See, |e, crs X | COMMERCIAL GENERAL LIABILITY ] EACH OCCURRENCE A 1,000,000 A ] cuams-mane occur | | ey 50,000 ] x|yY fF 2/21/2024 | 2/21/2025 | men EXP (Any one persen) |S 5,000 |_| | PERSONAL BADV INJURY | $ 1,000,000 | GEN'L AGGREGATE LIMIT APPLIES PER. | GENERAL AGGREGATE. $ 2,000,000 | | poucy |_| BS Loc PRODUCTS -COMPOPAGG | $ 2,000,000 omHER a S COMBINED SINGLE LIMIT "AUTOMOBILE LIABILITY Ea ocodert) s [__] anvauro | BODILY INJURY (Per person) | § ince” aed | BODILY INJURY (Per accider’) | $ if OWNED DANAGE wcpumoe |_| tor [ian $ | $ |_| owerecatins oor | EACH OCCURRENCE s Excess LIAB Lcuamms.naace | | ASGREGATE s veo
LY INJURY (Per person) | § ince” aed | BODILY INJURY (Per accider’) | $ if OWNED DANAGE wcpumoe |_| tor [ian $ | $ |_| owerecatins oor | EACH OCCURRENCE s Excess LIAB Lcuamms.naace | | ASGREGATE s veo | [rerention s | s WORKERS COMPENSATION 1 Baa on AND EMPLOYERS LIABILITY inl | | [stare |_Tee IETOF EREXECUTVE | EL, EACH ACCIDENT s JOFFICERMENBER EXCLUDED? LJ as | EL. OSEASE -EAEMPLOYEE | 5 tyes. desonibe under | DESCRIPTION CF OPERATIONS below | EL. OSEASE-poucyumm | $ A | conte Pollution Liability x | ¥ | exvsez015703-00 | avaayaoas | av2ss20zs | Peco /Amy .Ms2m A | Professional Liability Ev562025703-00 | averseoas | ay2xy20as | cuimariase 1,000,000 | DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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. Kose Craver” ACORD 25 (2014/01) INS025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
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