Laserfiche WebLink
- -� DATE(MM /DD /YYYVj <br />�`� -�"zOu CERTIFICATE OF LIABILITY INSURANCE DSresaD,z <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 (jOV�RAGE AFFOR!<jP.,D �H� POLICIES <br />�y <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEENTHE 'ISSUING "INSU E (S),- THORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate M1older is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVE, subject to <br />tM1e terms and conditions of the policy, certain policies may require an endorsement. A statement oh this certificate does not confeF"itights to the <br />certificate holder in lieu of such end orsement(s). - <br />PRODUCER <br />AOn RISk SerVl C05 NOrLF1Ca5t, InC. <br />New York NY Offi Ce <br />CONTACT <br />NAME: <br />(NC Nino. EYt): (866 263 -7122 ac No : (847) 953 -5390 <br />E -MAIL <br />1[39 Water Street <br />New York NY 10038 -3551 USA <br />ADDRESS: <br />INS URER(S) AFFORDING COVERAGE <br />NAIL p <br />INSURED <br />INSURER A: CharLis Speci al Ly InSUranCe Company <br />26883 <br />X C'r0% BUST ne55 SerVi ces, LLC. dba <br />of ciliated Computer Services <br />INSURER B: <br />INSURER C: <br />2828 N. HdSkell AVe_ <br />Dallas TX 75204 USA <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />TI -11S 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 ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLVSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />ILTR <br />TYPE OF INSURANCE <br />HSR <br />WVO <br />POLICY NUMBER <br />MM /OO /YYW <br />MM /DD/YYW <br />LIMITS <br />(�y /y ��� � �y'/J /��//� +� ` y{ /� <br />VclPfl s(!G!A'SG eJ6Lt�rG6N V /Pf.�r/�O� ✓7YQ <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />DAMA E T RENTED <br />COMMC -RCIAL GENERAL LIABILITY <br />PREMISES Ea o <br />CLAIMS -MADE � OCCUR <br />MED EXP (Any one person) <br />PERSONAL 8 ADV INJURY <br />GENERAL AGGREGATE <br />G5N'L AGGREGATE LIMIT APPLIES <br />PER: <br />PRODUCTS - COMP /OP AGG <br />POLICY PRO- <br />LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />c lea <br />BODILY INJURY (Per person) <br />ANY AUTO <br />BODILY MJURY (Per accitlenq <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />TT. ��- / V }__, jJ /- <br />.S i \_j <br />!!_�� y � q <br />V L�1V l <br />PROPERTY DAMAGE <br />Par accieam <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />E %CESS LIAB <br />CLAIMS -MADE <br />ll U i it ti I. i <br />- ll <br />OED <br />RETENTION <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITY Y/N <br />cln Ll';� �,1 <br />Y ieLLU I�:: <br />WC STATU- <br />TORY LIMITS ORFI <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR /PARTNER / E %ECl1TNE <br />OFFICER /MEMBER E %CLUDEDO � <br />N / A <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatary In NH) <br />Ir yes, eescriba eneer <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />A <br />E &O- ProfLi abPri <br />019326533 <br />05/26/2012 <br />05/26/2013 <br />Aggregate <br />$10,000,000 <br />SIR applies per policy Ler <br />5 & Condi <br />ions <br />SIR <br />$7,500,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ABacM1 ACORD 101, Atltll[ional Ramarka SeM1atlul¢, If mor¢ space la requlretl) <br />e- vidence of Coverage. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />BUCk COn SUI tan LS, LLC <br />AUTHORIZED REPRESENTATIVE <br />14911 Quorum Drive, Suite 200 <br />Dallas TX 75254 USA <br />(�y /y ��� � �y'/J /��//� +� ` y{ /� <br />VclPfl s(!G!A'SG eJ6Lt�rG6N V /Pf.�r/�O� ✓7YQ <br />©'1988 -20'10 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20'I O /OS) The ACORD name and logo are registered marks of ACORD <br />`tu <br />a <br />U <br />O <br />2 <br />N <br />0 <br />O <br />L <br />V <br />i <br />tY <br />U <br />