DULUX PAINTING, INC.-2016 - Laserfiche WebLink

Home Browse Search

/ic_ A—IFft" DATE(MM/DD/YYYY) lw r CERTIFICATE OF LIABILITY INSURANCE 10/20/2016 THIS CERTIFICATE IS 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 ACONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lithe certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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. Astatement on this certificate does not confer rights to the certificate holder in lieu ofsuch endorsement(s). PRODUCER CONTACT POLICY EFF (MM/DD/YYYY) NAME: Golsa Dolatabadi(295033N) PHONE FAX 1451 W 7th St Ste A (A/C, NO, EXT): 310.371-3575 (A/C, NO): 855-320-6748 E-MAIL ADDRESS: gminsuranceservicesl@gmail.com San Pedro CA 90732-3524 INSURER(S)AFFORDING COVERAGE NAIC# EACH OCCURRENCE INSURED INSURERA: HUSDON SPECIALTY INSURANCE COMPANY 25054 INSURER B: DULUX PAINTING — INSURER C: INSURERD: 26 ROCKINGHORSE RD INSURER E: RCH PALOS VRD CA 90275 ---- --- - INSURERF: $ 5,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE: POLICIES DESCRIBED HEREIN IS SUBJECi'TO ALLTHETERMS, EXCLUSIONS AND CONDITIONS Or SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDTL INSD SUER WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 V CLAIMS -MADE X OCCUR DAMAGETO RENTEDPREMISES(Ea Occurrence) $ 100,000 MED EXP (Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 HBD 10007003 GEN'L AGGREGATE UMITAPPLIES PER: GENERALAGGREGATE $ 4,000,000 POLICY PROJECT ❑ LOC PRODUCTS-COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaoccident) BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Peraccident) $ B OWNEDMJTOS SCHEDULED ONLY AUTOS PROPERTY DAMAGE (Peraccident) $ HIREDAUTOS NON -OWNED ONLY AUTOSONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS HAS CIMS -MADE DED RUENTION$__ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTHER $ E.L. EACHACCIDENT $ ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVEOFFICER/MEMBER EXCLUDED? (Mandatory in NH) C N/A E.L.DISEASE-EA EMPLOYEE 1 GL DISPASE- POLICV LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION ACORD25(2016/03) 31-1769 11-15 ©1988-2015 ACORD CORPORATION, All Rights Reserved The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF SANTA ANA DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W ITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE GOLSA DOLATABADI 10/20/2016 20 CIVIC CENTER PLAZA M-11 cANLT[iANA—_—GA___92zfLt -----_—.__. ACORD25(2016/03) 31-1769 11-15 ©1988-2015 ACORD CORPORATION, All Rights Reserved The ACORD name and logo are registered marks of ACORD