ORGANIZATIONAL QUALITY ASSOCIATES - 2016

Home Browse Search

A� TMR CERTIFICATE OF LIABILITY INSURANCE 8022 DATE (MMIDD/YYYY) 9/8/2016 THIS CERTIFICATEIS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PROD LER PAYCHEX INSURANCE AGENCY INC/PAC 250881 P: F: (888) 443-6112 9 O PO BOX 015 33 SAN ANTONIO TX 78265 CONTACT NAME' (NOPHHOO,NgEvl): (AIc,Ne). (888) 443-6112 E-MAIL ADDRESS : INSURERR) AFFORDING COVERAGE NAIC# INSURER A: Twin City Fire Insurance Ca 29459 INSURED ORGANIZATIONAL QUALITY ASSOCIATES INC. 2802 MOORINGS WAY SE SOUTHPORT NC 28461 INSURER B'. INSURER C'. INSURERD: INSURER E'. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LNSB TYPE OFINSURANCG Aldi SUER POLICYNUMBGR POLICYCF'F Mh//DD/YYY POLICYCXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE❑OCCUR DAMAGE TO RENTED $ PREMISES IF occurrence) MED EXP (Any ons psrsea) $ PERSONAL B ADV INJURY a GERD AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY PRO LOC ECT PRODUCTS - COMPIOP AGG y OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (En accident) S BODILY INJURY (Par parson) 5 ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident); PROPERTY DAMAGE HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Peraccldent) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LAB CLAIMS -MADE AGGREGATE oac RETENTIONS WORN6RS C'OMPfiNSAT(ON ANDFADVOYERS'UARILITY PER OTH- y' STATUTE ER E.L, EACH ACCIDENT 1, 000,000 ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? NDUd toryin NH) ❑ MIAA 76 WEG G118529 03/19/2016 03/19/2017 E.L. DISEASE -EA EMPLOYEE $1, 000,000 If yes, describe under OPERATIONS be DESCRIPTION un low E.L. DISEASE - POLICY LIMIT 11r 000r 000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION © 1988.2015 ACORD CORPORATION. All rights res? All ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Cit of Santa Arid Y BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn. : Purchasing Department AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER PLZ �%� SANTA ANA, CA 92701 / © 1988.2015 ACORD CORPORATION. All rights res? All ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD