Loading...
2018/10/04 Sky Technologies Solutions Inc. Certficiate of Liability Insurance�� oB(MMIDD(MM/DD/YYY1f) CERTIFICATE OF LIABILITY INSURANCE DATE 18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 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 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 CONTACT NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA _wCNN �). (888) 202-3007 PAX No): 520 Madison Avenue noopEs : contact@hiscox.com 32nd Floor INSURER(SJ AFFORDING COVERAGE NA1C# New York, NY 10022 INSURER A: Hiscox Insurance Company Inc 10200 INSURED Sky Technology Solutions Inc. 11102 Rainier Ct. INSURER E i Garden Grove CA 92841 INSURERF: � COVERAGES CERTIFICATE NIIMRFR- RFVICInm IW IMRPo- 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 CONDIT10N 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 BY PAID CLAIMS. JREDUCED INSR �ADOL SUTSR pOUCY NUMBER ! MOLICY EFFVJVD IMMfDDY EI`P LIMITS LTR TYPE OF INSURANCE X COMMERCIALGENERALLIABILRY CLAIMS -MADE OCCUR EACH OCCURRENCE S 1,000,000 PRMAGE TO RENTED acanen IEMISES S 1DO.000 MED EXP (Any one person) S 5,000 PERSONAL& ADV INJURY S 1.000.000 A UDC-1829290-CGL-18 10/04/2018 10/04/2019 �GENLAOGREGATELIMITAPPUES PER: X POUCY ECT LOC GENERAL AGGREGATE is 2,000,000 PRODUCTS - COMP/OP AGG S S/T Gen. Ag . S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE UMIT IEM aocidenl S BODILY INJURY (Per person) S ANY AUTO ALL OWNED I SCHEDULED AUTOS AUTOS LY INJURY (Per i BODIer accident) ( ) S HIREDAUTOS NON -OWNED AUTOS AUTOS Per axidanl I S S UMBRELLALUIB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS - S WORKERS COMPENSATION PER AND EMPLOYERS' LIABILITY YIN AMYPRCPRIETORIPARTNEPJF—XECUiIVE ❑FFICEMMEMBER EXCLUDED? N /A 57A7 ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S (Mandatory In NH) IF yes, describe under E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 47' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlVYVY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 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 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 endorsements . PRODUCER GEICO CONTACT GEICO NAME One GEICO Boulevard PHONE �^�-�Mx 4 i Fredericksburg, VA 22412 A'O Ea : A C No): III R1COh�hIM@xEICO.COM Address: INSURERS AFFORDING COVERAGE NAIC # INSURER A: GOVERNMENT EMPLOYEES INSURANCE COMPANY 22063 INSURED SKY TECHNOLOGY SOLUTIONS, INC. INSURER B: INSURER C: 174 W LINCOLN AVE 509 ANAHEIM CA 92805-2901 INSURER D: INSURER E: INSURER F: %oUvrru4ur.7 LArlN I R-IUAI1v NUIv1tR-.H: 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. L� TYPE OF INSURANCE INSAD WVD I POLICY NUMBER II POLICY EFF (MM/DD/VYI POLICY EXP fMMADD/ IIINRS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Fa r $ MED. EYP (Any one person) $ PERSONAL & ADV. INJURY $ GE N'LPC+ 83ATE LIMIT APPLIES PER: — POLICY (PROJECT U LOC OMER GENERAL AGGREGATE $ PRODUCTS—COMP/OP AM $ $ A AUTOMOBILE LIABILITY X ANY AUTo ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUrOS NON -OWNED AUTOS 9100152938 00 2/29/2016 2/29/2019 COMBINED SINGLE LIMIT A Ara accident $ 000, 000 BODILY INJURY Per ermnl $ BODILY INJURY Per acciden 1 $ PROPERTY DAMAGE (Per accident) $ UNWEIIA UAB EXCESS LIAB OCCUR CLAIMSMADE EACH OCCURRENCE $ AGGREGATE $ D® RETENTION $ $ WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY Y 7 N ANY PROPRIETOR/PARTNER/EXECUTNE [] OFFICER/MEMBER D(CWDED? (Mandatory in NH) II yes, describe under DESCRIPTION OF OPERATIONS below N I A PFR STATUTE OTH- FA EL EACH ACCIDENT $ EL DISEASE -EACH EMPLOYEE $ EL DISFASEPOUCY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is requlrrd) CE;MFiCATE HOLDER r_ANrFI I eTRnrd City of Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR® REPRESENTATIVE V ISB&2014 ACORD CORPORATION. AI rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks o1 ACORD AC40RE DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/25/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 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 CONTACT NAME: PHONE .— (844) 367-1546 f 'F� .r-,. f86fi) 828-2424 COVERHOUND INS SOLUTIONS DAD ` _ Certificate@Hanover.com 5655 LINDERO CANYON RD 420 INSURERS AFFORDING COVERAGE NAIC # WESTLAKE VILLAGE 91362 INSURERA: Citizens Ins Co of America 31534 INSURED SKY TECHNOLOGY SOLUTIONS INC INSURER D 174 W LINCOLN AVENUE STE 519 INSURER E: ANAHEIM 92805 INSURER F: COVERAGES CERTIFICATE NUMRFR- RFvisrnN WI ImRt zP 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. IIISR ADDL SUBR� POLJCY EFF POLICY E7W LTR • TYPE OF INSURANCE I POLICY NUMBER —POUM MM/D LIMBS I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �_ _ OCCUR I EACH OCCURRENCE S -ffA D PREMISES iEa occurrence IS 5 MED EXP (Any one person) PERSONAL&ADV INJURY S 5 GEN'LAGGREGATE LIMITAPPUES PER: POLICY JECaT LOC OTHER GENERALAGGREGATE PRODUCTS - COMP/OP AGG S Is AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea aaadenl S BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPETiTYDAMAGE aeeden! S IS UMBRELLALIAB EXCESS LIAR OCCUR EACH OCCURRENCE S HCLAIMS-MADE AGGREGATE S DED I I RETENTIONS is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N OAFFCER/MEMBEREXCUDD7ECUTIVE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS beiow NIA N WBFD71232300 10/16/2018 10116/201SI ! PERROTH- I STATUTE VER EL EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEd S 1,000,000 EL DISFASF. POI ICY LIMIT 5 1,DOO,ODO DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) %,=K I II Al/A I C City of Menifee 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY )12/07/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 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 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 C NTACT NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE 1AIC. NQ. 888) 202-3007 FAx 520 Madison Avenue ADD L conlact hiscox.Com 32nd Floor INSURERS AFFORDING COVERAGE NAIC9 New York, NY 10022 _ INSURERA: Hiscox Insurance Company Inc 10200 INSURED Sky Technology Solutions Inc. INSURER c : 174 W. Lincoln Ave INSURER D' Suite 519 INSURER E: Anaheim CA 92805 INSURER F : COVERAGES CERTIFICATE NUMRFR- RFVISInM MtlPLRRr- - 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. INSR LTR TYPE OF INSURANCE ApOL SUBRI I ! POLICY NUMBER { IAPCLiCY EFF MIDDIYYYY1 POUCYEXP (M.WDR= LIMITS COMMERCIAL GENERAL LJABILFY EACH OCCURRENCE SDAMAGE CLAIMS -MADE u OCCUR TO RENTED PREMISES Me rr S MED EXP (Any one person) S PERSONAL & ADV INJURY S GEN?L AGGREGATE LIMIT APPLIES PER: RPOLICY ❑ PECT LOC GENERAL AGGREGATE S PRODUCTS -COMPIOPAGG S OTHER: I S AUTOMOBILE LIABILITY COM$If+1ED SINGLE LIMIT Ea an7de S BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) ( ) S NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Peramdem S I$ UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS S I WORKERS COMPENSATION PER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTN ERIEXEC UTI V E OFFICER/MEMBER EXCLUDED? NIA STATUTE I ER E.L. EACH ACCIDENT S E.L. DISEASE -EA EMPLOYE S (Mandatory In NH) If yes, describe under E-L- DISEASE -POLICY LIMIT I S DESCRIPTION OF OPERATIONS below Professional Liability A I UDC-4013787-EO-18 12/08/2018 Each Claim: $ 500,000 12/08/2019 Aggregate: $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Menifee LHrV �.CL-L_H ( IU(N 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 91988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD