HomeMy WebLinkAboutCertificate of Insurance (3)AC"RDO CERTIFICATE OF LIABILITY INSURANCE
`,,,,,,//15/2020
7MMIDDIYYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 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).
PRODUCER
NAMEACT Aliyyah Harvey
Fidelity Insurance Service
AHONN Ext : (510) 548-8200 A/C No): (510) 548-6145
a member of United Valley
E-MAIL
ADDRESS: aharvey@fidelityinsuranceservice.com
801 Allston Way
INSURER(S) AFFORDING COVERAGE NAIC #
Berkeley CA 94710
INSURERA: Liberty Mutual Insurance
INSURED
INSURER B
Sofia Zander Design
INSURER C :
2956 California St.
INSURER D:
INSURER E:
LIABILITY
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
q
Berkeley CA 94703
INSURER F:
COVERAGES CERTIFICATE NUMBER: ULZU0I0I4Z0Z 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
LTR
TYPE OF INSURANCE
AUDL
INSD
bUkJR
WVD
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MM/DDIYYYY
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
BLS2161664032
06/12/2020
06/12/2021
EACH OCCURRENCE $ 1,000,000
TED 500,000
DAMAGE REMISES
PREMISESS Ea
PREMIoccurrence) $
MED EXP (Any one person) $ 15,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'LAGGREGATELIMITAPPLIESPER:
JRO- LOC
POLICY ❑ PRG ❑
OTHER:
GENERALAGGREGATE $ 2,000,000
PRODUCTS-COMP/OPAGG $ 2,000,000
$
AUTOMOBILE
LIABILITY
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
q
COMBINED SINGLE LIMIT $
Ea accident
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accident
$
UMBRELLA LIAB
EXCESS LIAR
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE $
AGGREGATE $
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
PER OTH-
STATUTE I I ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
EL, DISEASE- POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Evidence of Insurance
CERTIFICATE HOLDER rANrFI I ATIr1N
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Evidence of Insurance
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD