|
AC RO O�DA
<br />�r CERTIFICATE OF LIABILITY INSURANCE DA10/25/2017�Y)
<br />THIS CERTIFICATES ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY
<br />AMEND, EXTEND ORALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOESNOT CONSTITUTE A CONTRACT BEf W EEN THE ISSUING INSURER(S),
<br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AN DTHE CERTIFICATE HOLDER.
<br />IMPORTANT: Ifthe certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. U SUBROGATION IS WAIVED, subjectto the termsand
<br />conditions of the policy, certain policies may require anon dorsement. A statement on this certiRcatedoes not ccnfar rights to the certl0cate holder In lieu ofsuch endorsement(s).
<br />PRODUCER CONTACT
<br />NAME: Blake E. Cornish
<br />Blake Cornish(2925320) PHONE FAX
<br />8816 S Sepulveda Blvd Ste 108 (A/C, NO, EXT); 310-215-3638 (A/C, No): 310-496-0827
<br />EMAIL
<br />Los Angeles CA 90045-4852
<br />ADDRESS: bCDrnis @ armersagentQom
<br />. T
<br />INSURED
<br />CONSTANT & ASSOCIATES INC. A-2016-240
<br />3655 TORRANCE BLVD STE 430
<br />TORRANCE CA 90503
<br />COVERAGES
<br />CERTIFICATE NUMBER:
<br />INSURER F:
<br />REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS5UEDTO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
<br />1NSURER(S)AFFORDINGCOVERAGE
<br />NAIC N
<br />IN$URERA:
<br />Truck Insurance Exchange
<br />21709
<br />INSURER B:
<br />Farmers Insurance Exchange
<br />21652
<br />INSURER C:
<br />Mid Century Insurance Company
<br />21687
<br />j INSURER D:
<br />STATE FUND
<br />1N,
<br />INSURER E:
<br />MM/DD/YYYY)
<br />INSURER F:
<br />REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS5UEDTO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE
<br />E SHOWN MAY
<br />POLICIES DESCRIBEDHER£INISSUBJ£CTTOALLTHETERMS,EXCLUSIONSANDCONDITIONSOFSUCHPOLECI�
<br />HAVE BEEN REDUCED BY PAI 1) CLAIMS-
<br />INSR
<br />AODTL
<br />TYPE OF INSURANCE
<br />SUBR
<br />_
<br />POLICYNUMBER
<br />LIMITS
<br />�
<br />POLICY EFF
<br />-
<br />POLfCY EXP
<br />LIMITS
<br />LTR
<br />1N,
<br />YVVO
<br />MM/DD/YYYY)
<br />(MM/DD/YYYY)
<br />j
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS MADE a OCCUR
<br />DAMAGE TORENTED
<br />$
<br />PREMISES (Ea Occurrence)
<br />75,000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 2,000,000
<br />C
<br />Y
<br />N
<br />604655924
<br />06/04/2017
<br />06/04/2018
<br />GEN'L AGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />X POLICY PROJECT LOC
<br />PRODUCTS
<br />$ 2,000,000
<br />OTHER:
<br />$
<br />AUTOMOBfLELIABILITY
<br />COMBINEDSINGLE LIMIT
<br />$ 1,000,000
<br />(Ea accident)
<br />ANYAUTO
<br />BODILYINJURY(Perperson)
<br />$
<br />C
<br />OWNEDAUTOS SCHEDULED
<br />ONLY X AUTOSBODILY
<br />INJURY (Per accident)
<br />$
<br />604655924
<br />06/04/2017
<br />06!04/2018
<br />,,
<br />PROPERTY DAMAGE
<br />_
<br />$
<br />HIREDAUTOS X NON -OWNED
<br />ONLY AUTOSONLY
<br />(Peraccident)
<br />UMBRELLALiAB
<br />OCCUR
<br />EACHOCCURRENCE
<br />$ 1,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />606264956
<br />06/04/2017
<br />06/04/2018
<br />AGGREGATE
<br />$ 1,000,000
<br />.-.-.-._
<br />$
<br />DED I , RETENTION $
<br />WORKERS
<br />ANDE
<br />EMPLO RS' LIABILITY
<br />STATUTE OTHER
<br />$
<br />PROPRIETORIPARTNER/
<br />EACHIDENT
<br />1,100000
<br />EOFFICERMEaANY
<br />NlN/A 150620-2016 01/11/2017
<br />01/11/2018 E.L.DSSEEAEMPLOYEE
<br />.....
<br />D EXCLUDED? In
<br />1,000,00�9i
<br />If yes, describe under DESCRIPTION OF
<br />OPERATIONSbelow
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />..,...re,
<br />AGGREGATE LIMIT:
<br />$3,000,000
<br />E ERRORAND OMISSIONS Y RTP0006942 01/10/2017
<br />01/10/2018 PER CLAIM:
<br />$2,000,00
<br />.................. ---------------------- - .. .-.-...._. .. _ �..
<br />DESCRI PrION OF O PERATIONS/LOCAr IONS/ VEHICLES (ACORD 101, Additl oval Rem arks Schodp le, may he attached if more space Is required)
<br />ocatiom 3655 TORRANCE BLVD STE 430, TORRANCE, CA 90503
<br />Certificate holder, its officers, agents, and employee are named as additional named insured In regards to general liability per attached SP04470197.
<br />10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT
<br />CERTIFICATE HOLDER CANCELLATION
<br />_-
<br />SHOULDANY
<br />_.NOAETBEFORE xPIRAN
<br />EMPLOYEES.AND PREWILL BE DEEIVEDIN�CORDANCEWHTHEPO POLICY ION
<br />S. .............
<br />20 CIVIC PLZAUTHORIZED ESETATVE ��
<br />ACORD 25 (2016/03) (DI 988-2015ACORD CORPORATI . All Rights Reserved
<br />31-1769 11-15 p �°The ACORD name and logo are registered [narks of ACORD ) A
<br />
|