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2018/10/04 Sky Technologies Solutions Inc. Certificate of Liability Insurance
�� 0DATE (MM/DD/YYYY)� CERTIFICATE OF LIABILITY INSURANCE F-0812012018 _ 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), AUTHORIZE[) 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-7- 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: _ FA Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA �PVHGNE (888) 202-3007 (AJC Nnj,l- 520 Madison Avenue EMAIL ADDRESS: cc)ntact@hiscox.com _ 32nd Floor INSURIERM AFFORDING COn6 IAGE _NAfC4 New York, NY 10022 INSURERA: Hiscox Insurance Company Inc 10200 INSURED Sky Technology Solutions Inc. 11102 Rainier Ct. Garden Grove CA 92841 COVERAGES CERTIFICATE NUMRFR! INSURER C : I INSURER E: c] e1U LS r@l J R dI16X,I -_T370 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 THIN 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.NSR f ILTR TYPE OF INSURANCE AD L • POLICY EFF POLICY EXP POLICY NUMBER M/DDI.YYYy) (MMIDDFYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE _ I 11 $ 1,000,000 i S 100.000 D REWF PREMISESiEHxcurrer9_• MED EXP (Any one person) S 5,000 ' PERSONAL& ADV INJURY $ 1,000,000 A UDC-1829290-CGL-18 10/04/2018 10/04/2020 _ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ jPLRe1= LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ S/T Gen. A - OTI-IER: $ AUTOMOBILE LIABILITY COMBINED SINGLE L}MT Pe ebcidant -- $ -- - BODILY INJURY (Per person) ANY AUTO $ ALL OWNED SCHEDULED AUTOS AUTOS $ BODILY INJURY Per accident ( ) NON -OWNED HIRED AUTOS AUTOS PROPERTY DAIwlAGE r a 0 ^" R $ - - - EACH OCCURRENCE UMBRELLA LIAB OCCUR $ $ _ T AGGREGATE EXCESS LIAB CLAIMS -MADE $ I DED I RETENTION I S j WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 N / A PER OTH- STATUTE ER +1� _•_-. _ _ jj J $ ] � .•- _ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE (Mandatory in NH) If yes, describe under S i E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below I $ } -, DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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. AU TH O RIR ED REP R E SE NTATSV E ©1988-2014 ACORD CORPORATION. All rights reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AC"R& DATE(MM/DDIYY"Y) - %h� CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT GEICO GEICO NAME One GEICO Boulevard PHONE 1.86f> 509-9W FAx Fredericksburg, VA 22412 A'c N w No): EmallR1CQMlM M@(r=1M OM -Address: INSURER 5 AFFORDING COVERAGE INSURER A: GOVERNMENT EMPLOYEES INSURANCE COMPANY INSURED INSURER B: SKY TECHNOLOGY SOLUTIONS, INC: 174 W LINCOLN AVE 519 INSURER C: ANAHEIM CA 92805-2901 INSURER D: INSURER E: INSURER F: CERTIFICATE NIIFARFA- RFVICInN NI IRARFR• NAIC # 2206 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 ADD'L INSRD :SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/ POLICY EXP (MM/DD/ LIMBS - COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ �... _ DAMAGE TO RENTED $ $ 5 $ MED. EXP (Any one person) PERSONAL & ADV. INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [:] PROJECT 71 LOC OLHER GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS 9100152938 00 2/29/2019 2/29/2020 COMBINED SINGLE LIMIT Fa accident w ii $ 1, 000, 00 $ $ - _ $ BODILY INJURY Per erson BODILY INJURY ❑ PROPERTY DAMAGE (Per accident) $ - UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $�~ $ -� $ AGGREGATE DED RETENTION $ WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEWEXECUTIVE n OFFICERIMEMBEREXCLUDE07 -I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER STATUTE OTH- ER _ $ EL EACH ACCIDENT E.L DISEASE -EACH EMPLOYEE ---_ $ EL DISEASE -POLICY LIMIT $ T DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached It more space is �. w requird) 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. AUTHORIZED REPRESENTATIVE J i re91 1 Ved,.. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCEF10l25l2(l18 - 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), AUTHORIZE u 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 oil this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT fA1C No. Ex1s: (844) 367-1546 . (AIC "-_5866) 828-2424 COVERHOUND INS SOLUTIONS 5655 LINDERO CANYON RD 420 WESTLAKE VILLAGE CA 91362 INSURED - --�-- - SKY TECHNOLOGY SOLUTIONS INC 174 W LINCOLN AVENUE STE 519 ANAHEIM CA 92805 COVERAGES CERTIFICATE NUMBER: ADORESS: Cfartificate@Hanover.com INSURERM AFFORDING COVERAGE IJAIC # INSURERA: Citizens Ins Co of America 31534 INSURER B INSURER C : INSURER D : INSURER E : INSURER F : 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 TH18 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 TYPE OF INSURANCE ADOL SUER ��POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DMMJDDIYYYY I LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE To RENT CLAIMS -MADE OCCUR PREMISES iEa occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO LOC LJECT PRODUCTS - COMP/OP AGG S ---- OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $� v BODILY INJURY (Per person) ANY AUTO S _ OWNED SCHEDULED AUTOS ONLY AUTOS_ $ BODILY INJURY (Per accident) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY - $ PF2ppERTYUAMAGi Per aCcklenl UMBRELLALIAB OCCUR EACH OCCURRENCE $_ AGGREGATE EXCESS LIAB EXCESS CLAIMS $ DED T RETENTION $ $ WORKERS COMPENSATION / PER OTH- - A AND EMPLOYERS' LIABILITY YIN1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA N WBFD71232300 1/16/2019 1/16/2020 V STATUTE ER $ 1 ,000,000 -- ---- $ 1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below $ 1,000'00� E-L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER i I I I I I 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. AUTHORIZED REPRESENTATIVE CA 95827"�' ' © 1988-2015 ACORD CORPORATION. All rights roserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD