2021/04/01 West Tow Inc.u AC Y CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
03/26/2021
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 bo 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 UUNTACT
NAME: RICHARD KHASIM
Khasim Insurance Agency PHONE,
AIC NoExt . 760-781-1555 (AlC, Nol: 760-690-8655
105 N Rose St Ste 107 ADDRESS; commercial@khasiminsurance.com
INSURER(S) AFFORDING COVERAGE NAIC #
Escondido CA 92027 INSURER A: TRUCK INSURANCE EXCHANGE 21709
INSURED INSURER B :
WEST TOW INC INSURER C :
28134 GLENSIDE CT INSURER D :
INSURER E :
MENIFEE CA 92584 INSURERF:
COVERAGES CERTIFICATE NUMRFR: tit=Vlclnkl kll RfiQ=o-
TI1:S IS TO CERTIFY TFIAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE-- TO THE INSURED NAMED ABOVE rOR 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.
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
604413002
04/01/2021
04/01/2022
EACH OCCURRENCE
$ 1,000,000
PREMISES (Ea o=uanca)
$ 100,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
MX POLICY M LOC
X OTHER: GARAJrGEKEEPERS
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 1,000,000
GARAGEKEEPERS
$ 100,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL
AUTOS OWNED X AUTOSSCHED
HIRED AUTOS )( NON-OWNEDPROPERTY
AUTOS
ON HOOK
604413002
604413002
04/01/2021
04/01/2022
COMUEN
t:L(Fa nddel
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
X
DAMAUE
Per aeddeRS
X
ON -HOOK
$ 150,000
UMBRELLA LAB
EXCESS LAB
HOCCUR
CLAIMS -MADE
NOT PROVIDED
EACH OCCURRENCE
$
AGGREGATE
$
DIED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
NOT PROVIDED
STATUTE ER
EL EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L DISEASE -POLICY LIMIT 1
$
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
�r_rt i irl%.,M I r_ nvl-ucrc GANUELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
MENIFEE POLICE DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS.
29714 HAUN RD. AUTHORIZED REPRESENTATIVE
MENIFEE CA 92586 /v' G(
D 1988-2014 ACORD CORPORATION. All rinhtc rpcprvpri
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD