HomeMy WebLinkAboutIzimarian Roofing & Sheet Metal 10.03.2022 V2AC 40R"
DATA (MM/Dl /YYYY)
CERTIFICATE
9/28/2023
-
THICERTIFICATE IS ISSUED
MATTER OF INFORMATION ONLY Y ANI I Iw R IVB -RIGHTS H " UPON 1 THS CERTIFICATE HO
LDER. THIS
EIRTIFICAT'E`OEIC.; NOT AFFIRMATIVELY: OR, NEGATIVELY AMEND- EXTEND.`OIC ALTER THE OVE RAAFFORDED Y t -HE i POLICIES
ti
BELOW.. THIS CERTIFICATE:OF INSURANCE O RIOT ONSTITUT A CONTR A TTi EEN. FINE ISSUING INSURER(S), AUTHORIZED
REPENTATLVR PRODUCER, AND. THE CERTIFICATE HOL,DlER. :
.IMPORTANT.. It the certificate..holdet Is an ADDITIONAL INSURE01 the p0110y ,lest must have ADDITIONAL INSURED, provisions or be endorsed.,
If UROGAT'I N I WAIV py UbJec.t to.. the terms 'ind conditions of th poflc certainoIi Ie May r wire. an endorsement . A. statement on
this certificate oes not confer.
rightslo the c+ rtd#w+c�t holder p� INe� �f � h en orse ent(s).
i ER AC
PROD -U
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AMr1iit. Cr alIien
Arthur., Ga.11a0h r Isk Management Services,
LLC
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299-1 1 925�953w670 .
21 1: NOrth. C aljfornia Boulevard. �o E � ..c No
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MAIL
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License#: QQ INSURER A . As; oci ted:11�I du tries `Irlsurarice C��, 1 n 23 40
INSURED I MIF�0C�-01.
INSURER I3 ., Redwood Fire �I�d C��s��llt� In~��Irir�CeCo Al X1673
l m rias Roofing Shea Metal
INSPIRER C ;. 4��Iifdrnia Aut�rX1C#bI II���Ir�n+�e + ons a!n 33.342
229 S. Railroad Av rw _ .~� .~
S an M eO C 9 01-$339
INSURER.Ij .
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I3 � I N N M EPCOV AGES ERTIFI ATE. N1U9�
THIS IS TO OERTIFY THAT THE PO_ LI IE; O IIV JRI�PJ E LI T D BELOW: .HAVE V BEEN ISSUED TO T1 -1E IN UREIC NAMED AB, ' VE FOR THE PC�L.ICY PERIOD
1Nf 10ATED:
NOTWITHSTANDING ANY REQUIREMENT, TERM 'OR CONDITION. OF ANY CONTRACT ["JIB OTHER DOCUMENT WITH REEF' CT TO WHICH THIS
CERTIFICATE MAY BE` SSUED .+OR MAY -PERTAINT'HE IN$URANCE AFI ORDED BY -TME POLICIES DE �RIQ1�D 1-II�R IN IS SUBJECT `l" ALLTHE TERMS
CERTIFICATE- HOLDER CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
IRAT�N►ATE '-EREQF, WILL �E DELIVERED EX :IN
L 1 ACCORDANCE WITH THE POLICY PROVISIONSY
own of O A t0s Hills
3"iV
. Fremont
Lot Ales H_illSA 9024AUTHORIZE
D. RrINr�rirr...
SSA
Ile
01988-2015 ACO RD CORPORATION. All rights. reserved.
A+ ORD 25 (201 103) The ACORD name and 10go ;ire registered marks of ACORD
E LIJSiON �N OC I�JI;IITI+DNS (I" S J I f PC LI IES. UIVILI S I C UV MAY HAVE BEEN REI UUED RY. I'AII� L�11M' :
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-TYPE OF INSURANCE'INSQ
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POLICY NUMBER
MM/DD/YYYY
M /DD/Y
LIMIT
.X
O01MIUII Fii IAN.d IFMIMI I�CAN,LIAI ILl 1f.
AES 10489.50 Q
10/1/20 3
1011 /�024EA
.M C.CUI N E
1,OOn,t OQ.
,
.f
D M AD
�.� CLAIMS -MADE OCCUR
PREM{SES E€� occurrence
$ 00,000
MED'�XP Any ane pars
$ 5OQ0
/PER OCC.PERSONAL
& AD1l INIURY
1,000000 :
MIT:APPLIES PER
GEN'L"AGGREGATE, L :
I
GENERAL AGGREGATE
00'00.0
PR6—
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POLI, IwOC
JEQT,
PRC I IGTS-.CC�MN /QP AGS2,000:000:..
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B a o00o0 2
10/1/202
10/1%2024
M INE.D INOL'E-LIMIT ".'
$ fi,000,000
ANY ALIT(? .
BODILY INJURY (Per persons
$
QINNECGhiEC�-t"JI�E'G?
AUTOS ONLY
� �
_ .
AUTOS
E3t�CJILY INJURY (per accident).
HIRED
..NON -OWNED
PI�t�PERTY N�AMAGE
AUTOS ON LY
,gLJTC7 ONLY_
:
Per accident
$ is
UM R5L L A L A
( .CCUR
EACH.00OURRENO
EXCESS LIAR .
CLAIMS -MADE
:AGGREGATE,
RETEN iN
�$
B
WORKERS COMPEN AITO10/1/2023P
(ZWC412402
10/1 /2024
0 h . THr
AND EMPLOYERS' LIABILITY Y/N.:
ANYPR.0PRIET0R/PAkrNEXECUTIVE
:.:
Ei EAOH.:ACCIDEN.1 .
$1 000.1-000
OFFIOER/MEMREREXCLUDED?
N 1A
i H)
E.L.DISEASE EAEMPLOYEE.,
00(Mandatary 0:
Ifi�s; -describe .under
DESCRIPTION OF OPERATIONS below .
E.,Li DISEASE T POLICY LIMIT
_
$1100010.00
DESCRIPTION OF OR15RATIONS 1 LOCATIONS / VEHICLES: (ACORD 101, Additional Retbaft Schedule, may be attached if mores ace is required
ISE,. Evidence 4f: CCVercelge
CERTIFICATE- HOLDER CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
IRAT�N►ATE '-EREQF, WILL �E DELIVERED EX :IN
L 1 ACCORDANCE WITH THE POLICY PROVISIONSY
own of O A t0s Hills
3"iV
. Fremont
Lot Ales H_illSA 9024AUTHORIZE
D. RrINr�rirr...
SSA
Ile
01988-2015 ACO RD CORPORATION. All rights. reserved.
A+ ORD 25 (201 103) The ACORD name and 10go ;ire registered marks of ACORD