Loading...
2020/08/31 Cannon Corporation Certificate of Liability Insurance (4) �� DATE(MWDD/YYYY) �e CERTIFICATE OF LIABILITY INSURANCE Acct#:2807366 09/16/2020 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: Lockton Affinity,LLC Lockton Affinity,LLC FAX P.O.Box 879610 (ac No Ext): 877-320-9393 (A/C,No): 913-652-7599 Kansas City,MO 64187-9610 E-MAILADDRESS: EI'MO(ock0naffinity.com INSURE S AFFORDING COVERAGE NAIL# INSURER A:Old Republic Insurance Company 24147 INSURED INSURER B: Cannon Corporation INSURER C 1050 Southwood Dr San Luis Obispo,CA 93401-5813 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER 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. INSR TYPE OF INSURANCE ADDI.SUSR POLICY EFF POLICYXP LTR INSD VJVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Occur PREMISES lEa occurrence) MED EXP(Any oneperson) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 1PROJEC I ILOG PRODUCTS-COMP/OP AGG OTHER A AUTOMOBILE LIABILITY .K �' L315536-20 )8/31/2020 D6/31/2021 L(Fa accident) $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPER 'x HIRED.AUTOS VON-OWNED A A ONLY AUTOS S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS- AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STA7 ER ANYPROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached it more space is required) GPBR:2FL5 Policy provides protection for any and all operations/jobs performed bythe named insured where required by written contract.Certificate holder is an Additional Insured where require( by written contract.Waiver or Subrogation included by written contract.Insurance is primary and non-contributory."All operations orthe Named Insured.City orMeniree,ITS COUNCIL MEMBERS, OFFICERS,AGENTS;AND EMPLOYEES are named as Additional Insured as respects Auto Liability as required perwritten contract or agreement. 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 Menifee 29714 Haun Road AUTHORIZED REPRESENTATIVE Sun City,CA 92586 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD