SWAYZER CORPORATION (4) - Laserfiche WebLink

Home Browse Search

uigita Iiy SI 1iE01 C) Ht-I 1E �VE ODATE(MM1DDtYYYY) CERTIFICATE OF LIABILITY�6WNCE 11 tit THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONAWi3VItj104#ON TKE CE,]� i ATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF 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 NAME T Automatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc, PHONE 1-800-524-7024 FAX A{C No Ext : AfC, No E-MAIL ADDRESS: 1 Adp Boulevard INSURER(S) AFFORDING COVERAGE _. NAIC A Roseland NJ 07068 INSURER A: NorGUARD Insurance Company 31470 INSURED Swayzer Corporation '.. INSURER B : INSURER C : INSURER D : DBA: Swayzer Landscapes 1665 E Del Amo Blvd INSURER E: Carson CA 90746 INSURER F :. COVERAGES CERTIFICATE NUMBER: 2465892 REVISION NUMBER: 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. ILT R L'rR I TYPE OF INSURANCE INSDADDLISUBRI INSD WYD POLICY NUMBER POLICY EFF MM{DDtYI'YY POLICY EXP NIMIDD/YYYY _.. . LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE `OCCUR I e I EACH OCCURRENCE S _.._. -.A, IA -. N ED PREMISES (Ea occurrence) S MED EXP [Any one person) S _... PERSONAL & ADV INJURY S hEI.TL AGGREGATE LN1:fT APPLIES PER: POLICY ❑ LQC JECT OTHER: GENERAL AGGREGATE S _. PRODUCTS - CQIy7P;6P AGG 5 S _. AUTOMOBILE LIABILITY ANY AUTO OWNED I --I SCHEDULED AUTOS ONLY j AUTOS HIRED ! NON-OLhINED AUTOS ONLY AUTOS ONLY j I � - C-MBINED SINGLE LIMIT (Ea accident} S BODILY INJURY (Per person) BODILY INJURY (Per accident) S _.. PROPERTY DAMAGE {Rer accident _.. S UMBRELLA DAB EXCESS LIAR OCCUR , CLAIMS -MADE I __.._ EACH OCCURRENCE S AGGREGATE _....- S I D€D I I RETENTIONS S A WORKERS COMPENSATIONCE7R11 AND EMPLOYERS' LIABILITY ANY PRQPMETORFPARTNER;EXEC4ITIVE �Y l N OFFICERlIi EMBER EXCLUDED7 1 ' (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N t o Y SVVWC326686 05116/2022 05/16/2023 I : , _.. E L EACH ACCIDENT S 1,000,000 -- E L,. DISEASE - EA EMPLOYEE 5 1 ,000=6 _ E,L. DISEASE - POLICY LNJIT -- S 1,0005000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional. Remarks Schedule, may be attached if more space is required) This certificate has a blanket Waiver of Subrogation for the following state(s) :CA CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA, Attn: RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA Santa Ana 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 v CA 92702 Q 1998-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD r.� a REviEwED & APPROVED BY. sa v r; ar a. PiskManagenient Specialist