AJ PORTABLES, INC. - Laserfiche WebLink

Home Browse Search

ACC)RDr CERTIFICATE OF LIABILITY INSURANCE °07/24/2020Y' 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 State Farm Insurance: Wendy Truong 9011 Garvey Ave. Suite B Rosemead, CA 91770 ININSURERS NAME, MARITZATINAJERO PHONE 26 382-1490 ac Nn: 626 3 2-1496 EMAIL ADOREss: Maritza.Tina'ero.uzlm statefarm.com AFFORDING COVERAGE NAIC# INSURER A: Stale Farm Mutual Automobile Insurance Company 25178 INSURED Jennifer Cammack DBA AJ Portable Restroom 31942 Via Oso Trabuco Cyn, CA 92679-3900 INSURER B: INSURER C: 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 TYPEOFINSURANCE ADDL SUER POLICY NUMBER PWDEYEFF MMIDD/YYYY POLICYEI(P POLICY LIMITS GENERAL LIABILITY ❑ ❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR DAMAGEPREMISESS RIENI ( RENTED occurrence) $ MED EXP (Any one parson) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP ADS $ POLICY F PRO- LOG $ A AUTOMOBILE LIABILITY ❑ Eaeccc'anISINGLE LIMIT $ 1.000,000 URY (Per BODILY INJperson) $ ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS 475-9570-A09-75A 06I20/2020 O6/2012021 BODILY INJURY (Peraxident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per e_Im m $ $ X Comp- 100 X Col..-100 UMBRELLAUAB OCCUR ❑❑ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEMEXECUTIVE OFFICEIMEMBER EXCLUDED? ❑NIA❑ TORY LIMITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under i2E�QBIEIIQN QL OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A UMBI: $000)500,000 UMPD: $3,500 $3,6 E 475.9570-AO9-75A 06/2012020 06120/2021 MED: 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) VEHICLE(S:) 20071SUZU NPR FLATBED VI N: JALC4B 16577000723 20081SUZU NPR TANK VIN: JALE5W16787300214 2006 GMV STAKE TRUCK VIN: JBDB4B16667019792 20191SUZU NPR -HD VIN:54DC4W1 B5KS800204 2017 DODGE 5500 VIN: 3C7WRMDL8HG760781 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 MARITZA TINAJERO ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD �.e K19K MYN8gflReNt UlWBlon £/;J' "+r RREVIEWED61APFRO, BY: ,, r 4 , I /" !'�FdNG�t+a IC, Ir:,Qr!✓reA4 19"WO Risk Management Analyst