Laserfiche WebLink
ACC)Ra CERTIFICATE OF LIABILITY INSURANCE <br />`a..- ' <br />DATE(MWDDIYYYY) <br />1 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 />CONTACTNAME: Michael Greenwood <br />Michael Scott Greenwood <br />17853 Santiago Blvd Ste 107-233 <br />PHONE 714-744-4119 FA% 714-744-4255 No Alc : <br />ADoaless• mscottgreenwood@ mail.com <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURERA: Incline Casualty Ins Comp <br />11090 <br />Villa Park CA 92861 <br />INSURED <br />INSURER B: Lloyds of London <br />INSURER C: Sirius olnt America Insurance Company <br />38776 <br />Elite Executive Charter, -I-C. <br />13281 Eton Place <br />INSURER D <br />INSURER E <br />INSURER F: EEL <br />Cowan Heights CA 92705 <br />COVERAGES CERTIFICATE NUMBER: RFVISICIN NIIMRFR- <br />THIS 15 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 />rypE OF INSURANCE <br />ADDL <br />SUBS <br />POLICYNUMBER <br />POLICY EFF <br />MWDDIYI'YY <br />POLICY EXP <br />MMIDO YY <br />LIMITS <br />77 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE /� OCCUR <br />5ST11201-01 <br />08/12/2024 <br />01/24/2025 <br />EACHOCCURRENCE <br />$ 2,000,000 <br />DAMAGE TO RE <br />PREMISES Ea ocourroncel <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />GENT <br />AGGREGATE U MIT APPLIES PER: <br />POLICY 0 PRO-JECT ❑ LOC <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />PRODUCTS -COMPIOPAGG <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 />EOMaBI EDtSINGLE LIMIT <br />$ 2,000,606 <br />BODILY INJURY (Per person) <br />$ <br />AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY X AUTOS <br />IxANY <br />BODILY INJURY Per accident <br />( ) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A <br />UMBRELLA LIAB <br />X <br />OCCUR <br />5ST11201-01 <br />01/24/2024 <br />01124/ 0025 <br />EACH OCCURRENCE <br />$ 3,000,000 <br />AGGREGATE <br />$ 3,000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEC RETENTION$ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBEREICLUDED9 <br />N/A <br />WC11653200 <br />02/23/2023 <br />02/23/2024 <br />X I STATUTE I IOTH <br />ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />B <br />A <br />Sexual Abuse & Molestation <br />Comp & Coll <br />W35OBF230101 <br />5ST11201-01 <br />06/01/2023 <br />01/24/2024 <br />06/01/2024 <br />01/24/2025 <br />Each Victim <br />Less $2,500 Ded <br />$1,000,000 <br />$306.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I 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 />/ b <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />