Laserfiche WebLink
Acoao® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD YY)(Y) <br />`� <br />1 11/10/2021 <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 <br />CONTACT <br />NAME: <br />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />PHONE (888) 202-3007 FAX No): <br />5 Concourse Parkway <br />E-MAIL <br />ADDREss: contact@hiscox.com <br />Suite 2150 <br />Atlanta GA, 30328 <br />INSURERS AFFORDING COVERAGE <br />NAICk <br />INSURERA: Hiscox Insurance Company Inc <br />10200 <br />INSURED <br />INSURER B : <br />AimTD LLC <br />751 S Weir Canyon rd, Ste 157-158 <br />INSURER C: <br />Anaheim, CA 92808 <br />INSURER D : <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 <br />LTR <br />OF INSURANCE <br />ADOLTYPE <br />JIM <br />SUD <br />POLICY NUMBER <br />MM/DDA'Y <br />MMIDD EXP <br />LIMIT$ <br />COMMERCIALGENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one careen) <br />$ <br />PERSONAL S ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLI ES PER: <br />GENERALAGGREGATE <br />$ <br />POLICY JECOT1:1 LOG <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Par accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Par ewitlem <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERVLIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETORIPARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICERIMEMBEREXCLUDED7 ❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />N <br />UDC-1827497-EO-21 <br />09/30/2021 <br />09/30/2022 <br />Each Claim: <br />$ 2,000,000 <br />Aggregate: <br />$ 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />©1988-2015 ACORD CI <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />