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PROOF OF INSURANCE (2023) CLOSED
OP ID: MN ,a►�oRo CERTIFICATE OF LIABILITY INSURANCE D 01/0YY) 01I07/2022022 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 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 CONTACT Alliance Mgt. & Insurance Sery NAAM PHONE Michelle A Nowell FAX 355 'Vi'ai Vera Cruz #7 (lug, rt�. 760-471-7116 (Arc, Nagy: 760-471-9378 CA A ent)Broker Lic# 0737966 E"MAIL mnoweil amiscor om San arcos, CA 92078 ADDRES&° @ - p° PRODucrR Michelle A. Nowell r.ircwrrmrzx arrr,TRAVI-3 INSURED I ravis Investigations Jeffrey A Travis 7045 Mariner Way Long Beach, CA 90803 A:Peleus Insurance Com INSURER C ; INSURER D c INSURER E t COVERAGES CERTIFICATE NUMBER: REVISION NUMBER° NAIC # 34118 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, ......... AOOt ISUBFt ......... ......... ...... ......... POLICY EFF POLICY EXP - INSR -.. ......... ........ .- TYPE OF INSURANCE LTR _ IIj,l,\I POLICY NUMBER. MM/DD/XYYY MMPOOIY'YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY ''. PKV0001322 01/06/2022 01/06/2023 0(MAC''57T7iEffTErJ' PREMISES,(Ea occurrence) S 100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) S 5,000 X Errors & Omission : PERSONAL & ADV INJURY S 1,000,000 � NI RAI... Ar OI F <,ro TE s . �S 5,000,000 G E NI AG GIRf GA F E 1LIk1lFAP: PI IES PI R PRODUCTS COMP/OPAGG 1,000,000 X !POLICY LOC AUTOMOBILE LIABILITY COMBINED SINt::I E l...11t(I"r S 1,000„000 A ANY AUTO PKV0001322 01 /06/2022 01/06/2023 (Ea accidenn, "'� BODILY INJURY (Pei p i on) S ALLOWNED AUTOS --- ,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,--- I?ODIIYINJI.)RY(I'E;raccid¢;ril) S ' SCHEDULED AUTOS I'Id01'F'Id'CV 1)AMA61:. X HIREDAUTOS S (PER ACCIDEN 1") X NON -OWNED AUTOS 5 ......,. . ........... .... ..... „ .......... UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DE::.1DUCFIBLE. S RE'rE1N"rION S 91s WORKERS COMPENSATION '. '. WC S-6AR.u... i iTl-L. AND EMPLOYERS' LIABILITY YIN .... FQRY..L NNIC Tyx LN ........ ...... ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/ A (MandatoryIn NH) E L DISEASE - EA EMPLOYEE S If yes, describe under ..... ....... ........ .......... ..... .... DESCRIPTION OF OPERATIONS below F I DI I ASI POLICY LIIVII I S DESCRIPTION. OF OPERATIONS i LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Proof of insurance, This certificate is void if altered. Certificate Holder may be added upon request. Investigations, CA -- L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Travis Investigations ACCORDANCE WITH THE POLICY PROVISIONS. 7045 Mariner Way Long Beach, CA 90803 AUTHORIZED REPRESENTATIVE afa;c� © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: MN ACORO DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 01/07/2022 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 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 CONTACT Alliance Mgt. & Insurance Sery PHONE Michelle A Nowell PAX 355 Via Vera Cruz #7 (Arc, Nau Exty. 760-471-7116 Icn 1(�p 760 471-9378 CA A ent/Broker Lic# 0737966 E-MAIL mnowegli amiscor.Com San Marcos, CA 92078 ADDRESS; .._ __ .. , . , . PRODUCER TRAVI-3 Michelle A. Nowell ro lcrr urp rI, r- 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, ".._,,,,,, ,,,,, , , , .... N AO R IC`Y EXP TYPE OF INSURANCE........... bL SU POLICY NUMBER....... R MMIDDII(EFF „ MMI DDfYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,,000 A „ X COIaInrERCIAI GENERAL RAI LIAE31LITY X 11111,=601322 01/06/2022 01/06/2023 PRESSES, (�aTrvkvTaraa:YC}® ..s.. .IVIED 100,000 ,....._ �._ CLAIMS MADE _X_., OC(:,I..)R Y_XI' „(Any one hararan) 5.... ....... 5,000 X Errors & Omission PERSONAL. & AIDV INJURY $ 1,000,000 GENERAL AGGREGATE S 5,000,000 GEN'L A€3GRECAnELIMIrAPIIll:f,>PER RODUCIS COMP/OPACG S 1,000,000 Rrd(a AUTOMOBILE LIABILITY COME INP D SINGLE I.MAI'T S 1,000,000 A ANY AUTO PKV0001'322 01/06/2022 01/06/2023'(Eaacci (E ,a �iJciryr�nl) .. . ... INJURY (Per l:>eison) ALL OWNED AUTOS.......4i9G.)IC)IL..Y „ II`�Jl1EiY (E ��r ac r.,ortenYj e 5..... .......... SCHEDULEDAUTOS P ROW ERFY I)ANIAGE:. X HIRED AUTOS (PE: R ACCll:: EN I ) S X NON -OWNED AUTOS S UMBRELLA LIAB OCCUR '.. .,. EACH OCCURRENCE ee ............. _ S EXCESS LIAB CLAIMS -MADE I AGGREGATE S . DEDUCTIBLE ..:.., , , .... $ RETENTION S WORKERS COMPENSATION '.. (AC S"TATU- OTH, AND EMPLOYERS'LIABILITY Y/N wR " ANY PROPRIETOR/PARTNER/EXECUTIVE """""" I I AG E I AC C IDEN f S OFFICER/MEMBER EXCLUDED? N / A ""' --------- -- (Mandatory in NH) .... A YE E L DI LACSI E P4 EMPLOYEE'S If yes, describe under DESCRIPTION OF OPERATIONS below El DISEASE - POLICY I IMII F S DESCRI TPON OF OPERATION'S I LOCATIONS f VEHICLES (Attach ACORD 141„ AddItlon�al Remarks Schedule, if more space is required) Or n e County Fire pluthQritY„ its officers, officials employees and the vo a e rs are additional ins red with respects to work performed by the named insured. Investigations, CA -- CERTIFICATE ORANG-8 Orange County Fire Authority James Aguila SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1 Fire Authority Road AUTHORIZED REPRESENTATIVE Irvine, CA 92602 Uk PIL�� © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: MN ACORO DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 01/07/2022 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 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 g �CONTACT Michelle A Nowell 365 Via Vera Cruz #7 W No _ �u Alliance Mgt. & Insurance Sery .FAk EMI 0 471 7116 .,,,,, _ ,.��1� 760-471-9378 _ CAA enOBroker L'ic# 0737966 SS mnowell{ amisc0 com Saic I ar os, CA 92078 PRODUCER A970RE CUSTOMERlle A. ll ID p, TRAVI-3 INSURED I ravis Investigations Jeffrey A Travis 7045 Mariner Way Long Beach, CA 90803 INSURER(S) AFFORDING COVERAGE NAIC q INSURERA:Peleus Insurance Company 34118 INSURER B : INSURER C INSURER D : INSURER E : CnVFRArFS CFRTIFICATF NIIMRFR- REVISION NLIMRFR- 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 __ ........ AIbDL SrJ'BR ,:,, ... „ ........... .... P1dLICY 'KF.,, , t;MIDO EJGh , 1NSR' ..-TYPE -,,,,,,,,,,,,, ,,,,, ,,,,,,,,,, — ...,. OF INSURANCE LTR l POLICY NUMBER MMIDD�IXXXY MMdDDPYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 X(000 A X COMMERCIAL GENERAL LIABILITY X ',PKV0001322 01/06/2022 01/06/2023 ,... DAMAGE 'iO ENTU(" PRFMw 9FIg aic, nrreaacb S 100,000 ... _ '.... CLAIMS -MADE X..... OCCUR ...MW I) FXIP (Ally one Persong 5,000 0 X Errors & Omission PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE S 5d000,,000 ,,,......., ...... .... GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG .x 1,000,00 X POLICY ,T LOG AUTOMOBILE LIABILITY 00MBINE1:) SINGLELIMIT S 1,.000,000 A ANY AUTO PKV0001322 01/06/2022 01/06/2023 (II a accident) ........., BODILY INJURY (Per person) S ............ ALL OWNED AUTOS -.. ......... ......... BODILY INJVJRY (Per accident) ,:. S SCHEDULED AUTOS PROPERTY DAMAGE cs. X HIREDAUTOS (PER ACCIDENT) X NON -OWNED AUTOS S UMBRELLA LIAB OCCUR........ FACTIOCCUR4"dENC.E ---- 5....... EXCESS LIAB CLAIMS MADE '.. '.. AGGREGATE S DEDUCTIBLE S RETENTION $ 5 WORKERS COMPENSATION VW,.,STATIn 071E•„W AND EMPLOYERS' LIABILITY YIN '' t XJy!ITe e I,„,f �" ������ ... _....... ANY PROPRIETOR/PARTNER/EXECUTIVE I L.I EACH AC'CIDEN 1� 5 OFFICER/MEMBER EXCLUDED? NIA A - (Mandatory in NH) E I DISE.ASE to E MPL.OYFE S If yes, describe under'" DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT S DESCRIPTION 04; OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 Adddl,onal Remarks Schedule, if more space is required) RCS Investigations Conv tin�7 L is reamed a additional insured as to tay tote move reamed respects work petorme insured. Investigations, CA -- CERTIFICATE HOLDER CANCELLATION RCS Investigations & Consulting LLC Randy Sorley PO Box 29798 Anaheim, CA 92809 ACORD 25 (2009/09) RCSIN-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE TI(a,, Q © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD