KNOWLWOOD ENTERPRISES, INC. - 2018

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOIVYYYI THIS CERTIFICATE IS ISSUED AS A 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(les) must 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). PRODUCER NAME: CONTACT Erika Schmidt Tagrisk Insurance Services PHONE(714) 699-9345 ii FAX (]19) 613-0]11 (.AIC NN�ExU: WC,Nol: -_ 17011 Beach Blvd E-MAIL SS, eschmidt@tagrisk.com ADDRE Suite 205 INSURER(S) AFFORDING COVERAGE _ NAICN Huntington Beach CA 92647INSURERAAMCO Insurance Company _ 19100 _ INSURED - INSURER B:Nationwide Mutual Insurance Com an NDT Inc. and Knowlwood Enterprises Inc. INSURER C: DBA: Knowlwood INSURER D: 17564 Newhope Street Suite H INSURER E: Fountain Valley CA 92708 INSURER F: COVERAGES CERTIFICATE NUMBER:17-18 GL LL 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. INSR LTRi I TYPE OF INSURANCE ADDL Ngurn SUBR n I POLICY EFF POLICYNUMBER '.MMIDDIYYYY POLICY EXP ---- MM(DDrTyYYI LIMITS A _ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Larry Anaya/ERII{A -'f i; EACH OCCURRENCE -D MAGE TO RENTED PREMISES Eaoccurrence $ 2,000,000 300,000 $ $ 5,000 X N ACP BPF 7812162960 4/1/2017 4/1/2018 MED EXP (Any one person) 2,000,000 I PERSONAL B ADV INJURY GEN'LAGGREGATE LIMIT APPLIES PERI, JECT _ LOC POLICY[::�. J GENERAL AGGREGATE PRODUCTS - COMP/OP AGO _$ $ 4,000,000 $ 4,000,000 OTHER: $ AUTO _ MOBILE LIABILITY COMBINED SINGLE LIMIT IEe accideng_ $ _1_,000,000 _ $ ANY AUTO BODILY INJURY (Per person) ALL OMEDB AUTOS x] AUTOSSCHED ACP ACP BA 7812162960 4/1/2017 4/1/2018 BODILY INJURY( PeraccidenQ l,$ X X NON HIRED AUTOS —_ AUTOS PROPERTY DAMAGE Peraccidenl _ _ $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ I$ _EXCESS LIAB CLAIMS -MADE AGGREGATE DED I I RETENTION$ Is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE - NI OFFICER/MEMBER EXCLUDED? IBJ NIA. PER 0TH - STATUTE ER E.L EACH ACCIDENT_ S -- $ (Nbmdatory in NH) E.L. DISEASE - EA EMPLOYE If yes, describe under - -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A LIQUOR LIABILITY ACP BPF 7812162960 4/1/2017 4/1/2018 EACH OCCURRENCE $2,000,000 GENERAL AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is secured) Location: 1801 East Chestnut Avenue Santa Ana, CA 92701 The Certificate Holder is included as Additional Insured. � .a evA CFRTIFICATF Hni nFR QAMCFI I ATInM -iiii I INS U 1988-ZO14 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) SHOULD ANY OF THE ABOVE DERIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana and Their THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Respective Officers, Employees, ACCORDANCE WITH THE POLICY PROVISIONS. Agents, Volunteers, and Representatives AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92701 "�------ Larry Anaya/ERII{A -'f U 1988-ZO14 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)