Laserfiche WebLink
A CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDr/YYY) <br />02l17l2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br />not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: <br />PAYCHEX INSURANCE AGENCY INC <br />PHONE (877)266-6850 <br />FAX (585)389-7894 <br />76210705 <br />150 SAWGRASS DRIVE <br />(AM, No, EXt): <br />WC, No): <br />E-MAIL ADDRESS: <br />ROCHESTER NY 14620 <br />INSURER(S) AFFORDING COVERAGE NAiCN <br />INSURER A: Hartford Fire and Its P&C Affiliates <br />00914 <br />INSURED <br />INSURER B : <br />NILA INC. <br />INSURER C: <br />723 W WOODBURY RD <br />INSURER D: <br />ALTADENA CA 91001-5310 <br />INSURER E: <br />INSURER F: <br />ERTIFICATF <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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />L R <br />TYPE OF INSURANCE <br />ADDL <br />SURR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MMIDD YYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIMS -MADE❑ OCCUR <br />DAMAGE TO RENTED <br />PREMISES Me ce <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JECT ❑ LOC <br />GENERAL AGGREGATE <br />PRODUCTS-COMPIOP AGG <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Me accident) <br />ANY AUTO <br />BODILY INJURY (Per Person) <br />ALL OWNED SCHEDULED <br />BODILY INJURY Per accitlenl <br />( ) <br />AUTOS AUTOS <br />HIRED NON -OWNED <br />PROPERTY DAMAGE <br />AUTOS AUTOS <br />(Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS- <br />M <br />AGGREGATE <br />OEO <br />RETENTION $ADE <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY YIN <br />PROPRIETORIPARTNEWEXECUTIVE <br />OFFICEWMEMBER EXCLUDED? <br />NIA <br />76 WEG DS8068 <br />01/16/2020 <br />OV16/2021 <br />X <br />PER <br />STATUTE <br />OTH- <br />ER <br />E.L. EACH ACCIDENT <br />$1.000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,0O0,000 <br />(Mandatory In NH) <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />H yes, tlescdba under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Those usual to the Insured's Operations. Notice of Cancellation will be provided in accordance with Form WC990394, attached to this policy. <br />Risk Management Division BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />20 CIVIC CENTER PLZ FL 4 IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 92701-4058 AUTHORIZED REPRESENTATIVE <br />d'ueo,� -3� Cam,_ pVED <br />©1988.2015 ACORDQC}q�p� '§SY$ servr <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACOr;lr a15k MANA4E <br />13y fa N"", 0 d <br />