Laserfiche WebLink
AGENCY CUSTOMER ID: 570000069943 <br />LOC #: <br />A� ADDITIONAL REMARKS SCHEDULE <br />Page of <br />AGENCY <br />AGO Risk Insurance Services west, Inc. <br />NAMED INSURED <br />Leed Electric, Inc. <br />POLICYNUMBER <br />see Certificate Number: 570091564849 <br />CARRIER <br />See Certificate Number: 570091564849 <br />NAIC CODE <br />EFFECTIVE DATE <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />INSURER(S) AFFORDING COVERAGE <br />NAIC It <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br />IUR <br />IIII <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICVNUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />>IMIDDNVYY <br />POLICY <br />ERPIRATIOY <br />DATE <br />MMIDD/1' <br />Llhll'f5 <br />EXCESS LIABILITY <br />B <br />NHA252429 <br />10/01/2021 <br />10/01/2022 <br />Aggregate <br />$5,000,000 <br />OTHER <br />D <br />Env Contr Prof <br />PKC112160 <br />claims Made <br />10/01/2021 <br />10/01/2022 <br />Each Act <br />$2,000,000 <br />Deductible <br />$10,000 <br />ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />RE%AEWM & APPROVED Br <br />02008A RidcMRnBgcmtmtDivisiDn <br />®' Risk Management Analyst <br />