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ACC>RV CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />04/23/2024 <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 NAME: Michael Greenwood <br />A/CNNo Et): 714-744-4119 FAX No : 714-744-4255 <br />Michael Scott Greenwood <br />ADDRESS: mscottgreenwood@gmail.com <br />17853 Santiago Blvd Ste 107-233 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Incline Casualty Ins Comp <br />11090 <br />Villa Park CA 92861 <br />INSURED <br />INSURER B : Lloyds of London <br />INSURER C : Siriuspoint America Insurance Company <br />38776 <br />Elite Executive Charter, LLC. <br />INSURER D : <br />13281 Eton Place <br />INSURER E : <br />Cowan Heights CA 92705 <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 />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />5ST11201-01 <br />08/12/2024 <br />01/24/2025 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE X OCCUR <br />DAMAGE TO RENTED PREMISES Ea occurrence <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY PRO ❑ LOC <br />JECT <br />PRODUCTS-COMP/OPAGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />5ST11201-01 <br />01/24/2024 <br />01/24/2025 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2000000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED X SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />XHIRED <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />NON -OWNED <br />AUTOS ONLY /� AUTOS ONLY <br />A <br />UMBRELLA LIAB <br />X <br />OCCUR <br />5ST11201-01 <br />01/24/2024 <br />01/24/2025 <br />EACH OCCURRENCE <br />$ 3,000,000 <br />X <br />AGGREGATE <br />$ 3,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N <br />WC11653200 <br />02/23/2023 <br />02/23/2024 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />OFFICER/MEMBEREXCLUDED? <br />(Mandatory in NH) <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />B <br />Sexual Abuse & Molestation <br />W35OBF230101 <br />06/01/2023 <br />06/01/2024 <br />Each Victim <br />$1,000,000 <br />A <br />Comp & Coll <br />5ST11201-01 <br />01/24/2024 <br />01/24/2025 <br />Less $2,500 Ded <br />$305.000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />proof of coverage <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 />AUTHORIZED REPRESENTATIVE <br />ounce <br />ACORD 25 (2016/03) <br />— b:D © 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />rights reserved. <br />