2018/02/01 G & H Moving & Storage Company Certficiate of Liability InsuranceA<:O6tn
CERTIFICATE OF LIABILITY INSU RANCE
G&HMOVT-02
IHIS CERIIFICATE IS ISSUED AS A UATTER OF INFORIIA IION ONLYAND COI{FERS NO RIGHTS UPON IHE CERTIFIC^TE HOLOER.IHISCERNFICATE OOES NOT A FFIRIIIATIVEIY OR NEGAIIVE.Y AT'E'{O, EXTEI{D OR ALTER THE COVERAGE AFFORO€O EY TI{E POTICIESAELOW- THIS CERT]FICA TE O' INSUNAiTE DOES NOI COI{STITUTE A COI{IRACT BETWEEN I}iE ISSU ING INSURER(S), AUTHORIZEOREPRESENTAIIVE OR PRODUCER, AiID IHE CERII FICATE HOLOER
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AGENCY CUSIOiIER ID, G&HMOVI.O2 STLCCL
ACORI)tocr:1
ADDITIONAL REMARKS SCHEDULE Pag. 1 ot 1
Servic€ Company GaS ovroo A srM.el4sl Moe VLr D.ih-H.m.l, CA 9254!1s3sPAGE 1
P1PAGE 1
THIS AOOTTIOiIAL REiIARKS FORM IS A SCHED(,TE TO ACORD FORiI,
tiir6d
lncludod at 3100,000 ACV Loss DeductibteHlrod/flon Ownsd Auto comprehsnsive Oeductibto gl0O
nrr.d,Non own.d auro co isron Dsducltbto tr00o
acoRD 101{2008/01)o 2008 acoRD
Th€ ACORD namo.nd togo rr. regi6t6r.d marts otACORD
CORPORATION. Attnghts
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polrcy NUMBER: pKroooolo2 o0 com ERctAL GENERALII?8L1u
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAO IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED
PERSON OR ORGANIZATION
This endorsement modi6es insurance provided under the following.
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Narne OfAdd[ionat tnsured perEon(s) Or Organization(3)
ln thia endoasoment, ,,you,'and "you/,rofu r to th6 Nam6d lnsured shown in the dectaiations.
Any peisor- oa organhatlon whore required undor writton contr.ct or agieomenl with the Named lnsuradend not addrosscd by another Additionat tnsurod endo-oment mo.e p.:dinent to the relationship. lvhenagreed undor wdtlon contract botween Named rn6ured and the Additi;nd rnsur"d, or othor parry in orderto fulfill a ndtten contract between th€ Named lnsured and this Additional lnsured. {i} cova;rg; for thebcnelit ol the Addttron.r rn8urod 6har b6 p.imary to and non-contdbuting with any maintainG-d
by tho Addltlonal lnsured for tt6 own benoffti and/o. (ii) subrogation egai;st the Additionallnsuaod is waivod
Coverago i! only atforded to the addit onal in3ured a3 respoct to liability arising out of theNamed lnsu,ed's sole nogligence and onty for an'.occuron;e" arlsing olllltthe namedinsu.!d's
''Vlrork" .nd nol fo. any othor tiability faced by the additionat insurEd.
Allolhe. pollcy language remain3 unchangod.
rmatron required to cooplete this Schedute, f not shoxn above, wl f,e shown ln the DecEratjons.
Soction ll - Who ls An lnsured is amended to in,
clude as an addttto4al tnsureo lhe person{s) or organt
zalion(s) shown rn lhe schedure but onty wth .espect
lo liabrl y tor "bodrly intury". "property damage..or''personaland advertrsrng rnjury" c2used rn whble o.
in pad, by your acis or omissions or the acts or omis-
sjons ot those actjng on your behalf
A- ln the periomance ofyour ongohg ope.atjons; or
B. ln connection with your premrses owned by or
rented tro you
vLcG2026 07 04 lndudes copyrighted matenalof lnsurance Services Officr. lnc
with its penms$on
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