Laserfiche WebLink
ACORD CERTIFICATE OF LIABILITY INSURANCE TE (MMND Y) <br />DA <br />*,, 07/ <br />23/2013 <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: the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION I$ WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER GONIAUI <br />Ken Noden <br />NAME; <br />Wigmore Insurance Agency, Inc. alc No Exi: 714.979.6543 rAw,Nal:714,549. 9943 <br />2970 Harbor Blvd. #215 Aooaess: commercial Owigmorei ns, com <br />License #0811959 INSURER(SI AFFORDING COVERAGE NAICO <br />Costa Mesa, CA 92626 INSURERA: Golden Eagle Ins Co. 10836 <br />INSURED UNION INVESTMENTS INC DBA STONE SHINE INSURER H: The Granite State Ins. Co. 23809 <br />2110 E MCFADDEN #G INSURER C: <br />SANTA ANA, CA 92705 INSURER D: <br /> INSURERS: <br /> INSURER P : <br />CUVEMAUES (;EK I IFICATE NUMBER: 2013 Auto and WC REVISION NIIMRFR- <br />THI IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED H INSURED NAMEDABOV OR THE POLICY PERIOD- <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICHTHIS <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 />LTR TYPE OFINSURANCE INSR MO POLICYNUMBER MMIOD/YYYY MMIDDNYYY LIMITS <br /> GENERALLIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY <br />- PREMISES Ea occurenae) $ <br /> CLAIMS-MADE F <br />] OCCUR HIED EXP(My one persan) $ <br /> PERSONAL &ADV INJURY $ <br /> <br /> GENERALAGOREGATE $ <br /> <br /> GENL AGGREGATE""IT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> POLICY JECT LOC $ <br /> AUT OMOBILE LIAR ILITY BA677932 0611012093 06/1012014 - <br />Ea accident g 1 000,00 <br /> x ANY AUTO <br />ALLOW BODILY INJURY (Per persan) $ <br />A NED <br />AUTOS SCHEDULED <br />AUTOS <br />NON <br />BODILY INJURY (Per s:dtlen[) <br />$ <br /> <br />HIRED AUTOS -ONINED <br />AUTOS <br />Per ncaidon0 <br />$ <br /> <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> EXCESSLIAa CLAIMS-MADE <br />AGGREGATE <br />$ <br /> <br /> DED RETENTION$ $ <br /> WORKERS COMPENSA70N <br />AND EMPLOYERa LIABILITY YIN 06525729 0710112013 07/01/2014 X <br />TORY LILIITS ER <br /> <br />B ANY PROPRIETORJPARTNERJEXECUTIV <br />O <br />EXCLUDED? <br />NIA EL EACH ACCIDENT $ 1,000,00 <br /> FFICER/MEMBER <br />ntlfl <br />if <br />d Ip NN) <br />if e9 dEscrida under E.L. DISEASE - EA EMPLOYE $ 1,000 QO <br /> Y <br />DEBCRIPTION OF OPERATIONS bel <br /> ow E.L. DISEASE- POLICY LIMIT $ 1,000,00 <br /> O" <br />,G <br />D ESCRIPTION OF OPERATION S' 1 LOCATIONS I VEH IDLES(Aaach AC0RD W1, Addl Nor A R am arks S ch eau la, if mars sp ac o l a rdRu If d,R <br />o <br />Y <br />A/ <br /> <br />??O <br />` <br />? <br />?Q <br />e <br />l <br />c"1p <br />VGC <br />Pti <br /> <br /> <br />I.HIV VCLLHIIVN " <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 )1...ysw..41 ?..? <br />Pr of only document Timoth Wicmo re G128 <br />© 1088-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Exhibit C