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2018/01/01 Bureau Veritas North America, Inc. Certificate of Liability Insurance
ACORO® CERTIFICATE OF LIABILITY INSURANCE DATEI(2 2 /DUD1/YYY` ) 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 Aon Risk Services Northeast, Inc. Aon Risk Services Northeast, Inc. CONTACT NAME: (A/CC.No.Ext): 866-283-7122 (aC No): 800-363-0105 E-MAIL ADDRESS: NY NY Office 199 water street INSURER(S) AFFORDING COVERAGE NAIL# New York NY 10038-3551 USA INSURED INSURER A: Hartford Fire Insurance Co. 19682 Bureau Veritas North America. Inc. INSURER B: Twin City Fire Insurance Company 29459 180 Promenade Circle, Suite 150 Sacramento CA 95834 USA INsuRERc: Hartford ins Co of the Midwest 37478 INSURER D: sentinel Insurance Company, Ltd 11000 INSURER E: Hartford underwriters Insurance company 30104 INSURER F: Hartford Accident & Indemnity company 22357 COVERAGES CERTIFICATE NUMBER: 570069748681 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDD MWDD LIMITS J X COMMERCIAL GENERAL LIABILITY CGL EACH OCCURRENCE $2,000,000 CLAIMS -MADE X❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE $2,000,000 POLICY M PRO FX� LOG JECT PRODUCTS - COMP/OPAGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY 10 AB s41202 AOS 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) E X ANYAUTO 10 AB s41203 01/01/2018 01/01/2019 BODILY INJURY (Per accident) OWNED SCHEDULED HI AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED I RETENTION I C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/ PARTNER/ EXECUTIVE YIN OFFICER/MEMBEREXCLUDED? N (Mandatory in NH) NIA 10WNs41200 AOS IOWNS41200 AK ID NY 01/01/2018 01/01/2018 01/01/2019 01/01/2019 X S ATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 J Archit&Eng Prof PPL2011144 SIR applies per policy ter /Ol/2018 r-11& condi 01/01/2019 ions Each Claim Aggregate $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the Business Auto Coverage & General Liability Coverage policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Meni fee AUTHORIZED REPRESENTATIVE 29714 Haun Road Menifee CA, 92586 USA m Ir S 0 r O Z Y ca U N U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD