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FIFTH ASSET, INC. dba DEBTBOOK
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FIFTH ASSET, INC. dba DEBTBOOK
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Last modified
1/24/2025 9:24:50 AM
Creation date
6/15/2022 12:27:10 PM
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Contracts
Company Name
FIFTH ASSET, INC. dba DEBTBOOK
Contract #
N-2022-171
Agency
Finance & Management Services
Expiration Date
5/14/2023
Insurance Exp Date
2/1/2025
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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<br />Page 1 of 2 <br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />10/23/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />CONTACT <br />PRODUCER <br />WTW Certificate Center <br />NAME: <br />Willis Towers Watson Northeast, Inc. <br />FAX <br />PHONE <br />1-888-467-2378 <br />1-877-945-7378 <br />(A/C, No): <br />(A/C, No, Ext): <br />c/o 26 Century Blvd <br />E-MAIL <br />certificates@wtwco.com <br />P.O. Box 305191 <br />ADDRESS: <br />Nashville, TN 372305191 USA <br />INSURER(S) AFFORDING COVERAGENAIC # <br />10052 <br />Chubb National Insurance Company <br />INSURER A : <br />INSURED 20281 <br />Federal Insurance Company <br />INSURER B : <br />Fifth Asset, Inc., d/b/a DebtBook <br />Beazley Insurance Company Inc <br />37540 <br />INSURER C : <br />1431 W Morehead St. Suite 200 <br />Evanston Insurance Company <br />Charlotte, NC 2820835378 <br />INSURER D : <br />Everspan Indemnity Insurance Company16882 <br />INSURER E : <br />INSURER F : <br />W35830558 <br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ADDLSUBR <br />INSRPOLICY EFFPOLICY EXP <br />TYPE OF INSURANCELIMITS <br />POLICY NUMBER <br />LTR(MM/DD/YYYY)(MM/DD/YYYY) <br />INSDWVD <br />COMMERCIAL GENERAL LIABILITY <br />1,000,000 <br />EACH OCCURRENCE$ <br />DAMAGE TO RENTED <br />1,000,000 <br />CLAIMS-MADEOCCUR$ <br />PREMISES (Ea occurrence) <br />A15,000 <br />MED EXP (Any one person)$ <br />YY <br />D0204458411/01/202411/01/2025 <br />1,000,000 <br />PERSONAL & ADV INJURY$ <br />2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ <br />PRO- <br />2,000,000 <br />POLICYLOCPRODUCTS - COMP/OP AGG$ <br />JECT <br />$ <br />OTHER: <br />COMBINED SINGLE LIMIT <br />AUTOMOBILE LIABILITY$1,000,000 <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY (Per person)$ <br />B <br />OWNEDSCHEDULED <br />7363730111/01/202411/01/2025 <br />BODILY INJURY (Per accident)$ <br />AUTOS ONLYAUTOS <br />NON-OWNED <br />HIREDPROPERTY DAMAGE <br />$ <br />(Per accident) <br />AUTOS ONLYAUTOS ONLY <br />$ <br />UMBRELLA LIAB <br />5,000,000 <br />EACH OCCURRENCE$ <br />OCCUR <br />A <br />5671923611/01/202411/01/2025 <br />EXCESS LIAB <br />5,000,000 <br />CLAIMS-MADEAGGREGATE$ <br />10,000 <br />$ <br />DEDRETENTION$ <br />PEROTH- <br />WORKERS COMPENSATION <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br />Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT$ <br />N / A <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE$ <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT$ <br />DESCRIPTION OF OPERATIONS below <br />CEmployee Theft ofV369A324010102/01/202402/01/2025Limit Each Loss$1,000,000 <br />Insured Property <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />SEE ATTACHED <br />CzDzouijbNpsbbu5;29qn-Opw2:-3135 <br />CERTIFICATE HOLDERCANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />Finance & Management Services Agency, Acctg Division <br />20 Civic Center Plaza M-17 <br />Santa Ana, CA 92701 <br />© 1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD <br />SR ID: <br />BATCH: <br />26624329 <br />3673054 <br /> <br />
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