WALLMAN, RACHEL, DBA: DOODLEBUGS ANIMAL ADVENTURES

Home Browse Search

A� H CERTIFICATE OF LIABILITY INSURANCE DA5/20/2019rY) 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 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 NAME: Michael Plouffe Specialty Insurance, LTD. P.O. Box 16901 BOON Ext. 203-931-7095 A"� No): 203-931-0682 EMAIL ADDRESS: s P Y certificates ecialt insuranceltd.com INSURER(S) AFFORDING COVERAGE NAIC# West Haven, CT06516 INSURER A: United States Fire Insurance Co. 21113 INSURED Doodlebugs Animal Adventures c/o Rachael Waltman 3024 E. Chapman Ave. #186 Orange CA 92869 INSURER B ; INSURERC: INSURER D 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF Nuamn YYYY POLICY EXP MM/DDIYYYY LIMITS A x COMMERCIALGENERAL LIABILITY CLAIMS -MADE X OCCUR USP2844256 1/1/19 1/1/20 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP iAny one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L x N AGGREGATE LIMIT APPLIES PER POLICY PRO- JECTLOD GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR ,�'j �, EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE QJ DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH)`\``� If yes, describe under DESCRIPTION OF OPERATIONS below NIA �,/ X)Q °\ � y., PER DER - STATUTE ER E. L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYE $ E, L. DISEASE -POLICY LIMIT $ A Accident medical US1025248 1/1/19 111/20 Max. Benefit $10,000 Coverage Deductible $100/Claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa an, its officers, agents and employees as additional insured. Coverage is Primary and Noncontributory. CERTIFICATE HOLDER CANCELLATION The City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Michael H. Plouffe © 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD