HomeMy WebLinkAboutMiscellaneous - Exception (360)AC®RV CERTIFICATE OF 1.
THit CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION t
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AAAI
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT COW
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOL.DE
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,
the terms and conditions of the policy, certain policies may require
certificate holier in lieu of such endorsemen s .
PRODUCER
MARSH RISK & INSURANCE SERVICES
345 CALIFORNIA STREET, SUITE 1300
CALIFORNIA LICENSE NO. W153
SAN FRANCISCO, CA 94104
Alts: ShamanSwH415-743.8334
9MI-STND-CAW E-15-16
Solarcily Corpolahm
3055 Clemlew way
San Mateo, CA 94402
COVERAGES CERTIFICATE NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE
BEEN ISSUED TO THE INSURED NAMED AJ30VE FOR
THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF
ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT
TO WI-11CH THIS
CERTIFICATE'MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT
TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
REDUCED BY PAID CLAIMS_ -
IL TYPE OF INSURANCE I166LTSii6 r. _ _ ... _
=D'MW POLICY NUMBER
T....._.. _....-._......_
POi Y EFF
(MwDwYYYY1 'POLICY Q(P LIMITS
._.. _.
A X CO64MERCIAL. GENERAL LIABILITYGLOD1820160
I
69HI312015 t09Ai1I2016 oCCURRENCE
S 3,006 OiX3
. _.
_ .....: CLAIMS -MADE i. X..` OCCURi
TEACH
6i1hiA( To PIf�_......._.......
P€tEMIS1:i SEe ice+? }
. _ _?.. 3,0W,000
X 51R: SZ501000
MED EXP os>e
_ . ._ .._...
S 5,000
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t (My porson�
.._ . .._ ........_.... . .
'
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PERSONAL&ADVINJURY
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`LIMIrAPPLIESPER
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GENERAL AGGREGATE.
_3_000000
3 fi,000A06
x . PRO r.._.
. PGLICY L : I _cT i....s LDC t
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t PRODUCTS • COMPIDP AW:
.............'
$ 6,000.{100
.. .. .. ..
iOTHER
-
-
A .; AUTOM09IELIABILITY :BAP0182017.00
1010112015 Q9I01120ifiCOMBINM SINGLE LIMIT
: s 5,000.DDD
i
X ANY AUTO I
BODILY INJURY (Par person)
o
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i X . ALL OWNED X SCHEDULED
AUTOS ALTOS !
_.. ... .. .
�YINJU
BOWL INJURY (Per aasdent):
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COMPICOLL DED:
' $pm
UMBRELLA LLAB : OCCUR I
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EACH OCCURR...........
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WORKERS COMPENSATION WW182W4.00(AOS)
AND EINPLOYERS LLABILITY
;091002015
0910112016 X '-.PEROTH
STATUTE. � EeR
A
Y/ N
I *=18201M(MA)
0910112015
I_ .. i .... ....
09101 016
ANY PROPRIETOWARTNERIEXECUTIVE
OFFICEiiIME#9ER tBXCLUDEI» QI N I A I
!f L EACH
F-1. E _..H H A AC_.. _.....
15 1.1I06.(1�
fMM_a y Ln reit) I WC DEDUCTIBLE: $500,000
n describe under
...�
I LE.L DISEASE - EA EMPLOYE
- — .. _
.... ....................
S 1 A00,000
ye8
DESCRIPTION OF
I
OPERATIONS below
S IMI
E L DISEASE •POLICY LIMIT
1,000
' S >�
I
I I I
DESCRIPTION OF OPF,RATIoN&1 LOCATIONS l VEHICLES (ACORD. 101, AddMon4l Remarks Schedule, maybe attached Irmom space is required)
E>tldi£ra 01 b>sama,
Sow0y callmlion
3055 ClewAew Way
Sam Mateo, CA 99402
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORED REPRESENTATIVE
of Mamh Risk a Ittsurmwe SerAc"
Chary MarmDlejO
W 7tlNU-ZU14 ACUKD COKPiORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD