Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PROOF OF INSURANCE (2022 - 2023) CLOSED
,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY)9/1/2022 01/27/2022 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(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). ......... PRODUCER LOCKTON COMPANIES 3657 BRIARPARK DRIVE, SUITE 700 PHONE FAY ... HOUSTON TX 77042 E-MAIL 866-260-3538 1NSURr-PLS)± FORDING.COVERAt91E _„. .... NAICN INSURER A: The Charter Oak Fire Insurance Cof pan 25615 INSURED CSA Service Solutions, LLC. jNSURER B: Traa221tv Co ofArnpericaa 25674 463631 dba EMSAR INSURER C ;r,QrUM & FOrs r, Ia n Ir " c a _ 4452' 9208 Waterford Centre Blvd, #150 INSURER O: Austin TX 78758 INSURER E:. .. INSURER F' COVERAGES CERTIFICATE NUMBER: 16720020 IREVIS)ON NUMBER: XXXXXXX THIS M TO CERTIFY' THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE. INSURED NAI�EO GROVE I OR 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 LTR' TYPE O INSURANCE AND,,,, , INSb WVD ��POLICY NUMBER POi'ut F Y .. or: IPdSR. DDL SUtI POLICY EXP LIMITS MMPD��"'CMY COMMERCIAL GENERAL LIABILITY 630- 9914A. 02/ 2 01 /0'11' X EACH OCCURRENCE $ 1 00 OCCUR MED / n rl �• M CLAIMS -MADE �zwror 100 00 L_n�� 3 O000 _. X $ DAMS P AvM oeeq ersrc�a $ Y Y PF,RSONAI 4 ACYV'jtjj RY S 1 Q:� 0 MaEN"IL.AGGREGATELIMIT APPLIESPER: ' N"zF.N'ELdAI ACOI~p.E AT"E ,,,,, $ 000� - X I POLICY[X JECT ❑LOC PR 000 �:"I".4MPIR7'PF4G0` $Se'e6 q ' ... OTI"dElt: $ AUTOMOBILE LIABILITY ILO�50ar N e 58�Nf's"I..E LIMIT $XXXXXXX NOT APPLICABLE lC:wa ac�ndeuwp) ANY AUTO BODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY (Per acr d6rn) $ XXXXXXX AUTOS ONLY AUTOS '"�""'"""" HIRED NON -OWNED IaOPERTY A'MA�GE` $ XXXXXXX AUTOS ONLY AUTOS ONLY I qTr ,y,iCtlanl $ 100 B X UMBRELLA LIAB X C4:I.Jfi CUP-OT911736 02I01/202. 01/01/202 EACH OCCURRENCE $ 110001 �000 EXCESS LIAB L.+AIM&MAOE Y Y AGGREGATE 00 00O RETENTION ........ ....... B AND EM�P45.OYERCOMPENSATION . LI BILITYI $IVE NN NIA Y UB6N98422A 09/01 /2021 09/01/'202 E kAALH ACCIDENT $ 1 000 000 ANYOFFICEMMEMBER EXCLUDED. ❑ (INandatary in NH) EL DkS%r',SE'. - EA EMPLOYEE $ 1,000 000 d yN.4 dM4 WRWFri!. MMWYIAP '.. DF",RtiwrsrN0: OPi��+ATION5 ",Ion E u.. r l$ ASE a POLICY I Mur $ i 00 000 _,_ y Y - TCM-102301 11I01/ " C Technology E&O and 021 11/01f202 See Attached Professional Liability Y DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE, HOLDER CANCELLATION See AttacRments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16720020 ............. AUTHORIZED REPRESENTATIVE El Segundo Fire 350 Main St El Segundo CA 90245 ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rig is reserved The ACORD name and logo are registered marks of ACORD Attachment Code : O565158 Master ID: 1462664. Certificate |O: 16127253 The General Liability and Umbrella Liability policies include a blanket automatic additional insured [provis,ion] that confers additional insured status to the certificate holder only ifthere ieawritten contract between the named insured and the certificate holder that requires the named insured honame the certificate holder aonnadditional insured. |nthe absence ofsuch acontractual obligation mothe part of the named insured, the certificate holder is not an additional insured under the policy. The General Liability, Umbrella Liability,, and Workers' Compensation/EL policies inctude a blanket automatic waiver of subrogation endorsement [provision] that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. In the absence of such a contractual obligation on the part of the named insured, the waiver of subrogation feature does not apply. The General Liability policy contains a special endorsement with "primary and noncontributory" wording. CONTINUATION DESCRIPTION OF OPERATION SILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS (Use oplW If more All policies (except Workers' Compensation/El-) include a blanket automatic additional insured [provision] that confers additional insured status to the certificate holder only if there is a written contract between the named Insured and the certificate holder that requires the named insured to name the certificate holder as an additional insured. In the absence of such a contractual obligation on the part of the named insured, the certificate holder is not an additional insured under the policy. All policies include a blanket automatic waiver of subrogation endorsement [provision] that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. In the absence of such a contractual obligation on the part of the named insured, the waiver of subrogation feature does not apply. ACORD 25 (2016103) Certificate Holder ID: 16720020 Attachment Code : D564693 Master ID: 1463631, Certificate ID: 16720020 Technology E&O and Professional Liability Policy Number: TCM-102301 Carrier: Crum & Forster Specialty Insurance Co Policy Term: 11/01/2021 - 11/01/2022 Limits: $5,000,000 Aggregate $5,000,000 Each Claim $50,000 Retention Technology E&0 and Professional Liability Retro Date: 09/1/2003 - $2,000,000 limit & 9/1/2017 - $3,000,000 xs $2,000,000 Attachment Code : D603537 Master ID: 1463631, Certificate ID: 16720020 P,r,oducts/Com leted 0 erations L� ,ily — Policy Number: ZPP-16P23481 Issuing Company: Travelers Property and Casualty Company of America Effective: 2/1/22-1/1/23 Limits: $10,000,000 General Aggregate $10,000,000 Each Occurrence $25,000 Deductible - Each Claim