2023/01/01 Air Exchange, Inc.eiQo*DATE IMIII/DD/YYYY)
0111212423
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 POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: ll the certiticate holder is an ADDITIONAL INSURED, the policy(ies) must have AoDITIONAL INSURED provisions or be endoEedlf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certlficate does not conler rights to the certificate holder in lieu of such endoGem ent(s).
PROOUCER
It&lsh USA, lnc
9830 Colonnade 8lvd, Suile 410
San Antonio,lX 78230
Ath: RoW.CedRequest@marsh.com
CN10148051+AirE-GU-23 24
CONTACT
NE
IL
rNsuRER(S) AFFOROTNG COVERAGE NAICI
rNsuRER a: HDI Global lnsurance Co 41343
INSUREO
Air Exchange lnc.
495 Edison Court Suile A
Fairfield CA 945341683
rNsuRER B i TraveleE Propedy Casually Co. o, Amenca 25674
INSURERC
INSURER D
INSURER E
INSURER F
CERTIFICATE OF LIABILITY INSURANCE
COVERAGES CERTIFICATE NUMBER HOU-003535417-17 REVISION NUMBER: 3
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED NOTWTHSTANDING ANY REOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUI'ENT WITH RESPECT TO WIICH 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 SHO\ r.l MAY HAVE BEEN REDUCED BY PAID CtAlMS.
INSR TYPE OF INSURANCE SUAR POLICY NUMBER LIMITS
x COMMERCIAL GENERAL LIABILITY
CLAIMS IVLADE OCCUR
OEN'L AGGREGATE LIMITAPPLIES PER
x POLICY
OTHER
Efi& E,o"
x
G1D1129214 01101t2023 01101t2024 EACH OCC(IRRFNCE 1 000 000$
IJAMAGE TO RENTEO
PREMISES rEa o.cuiie..e)I 100,000
MED EXP (Any one person)I 5,000
PERSONAL A AOV INJURY $1 000.000
GE NERAL AGGR EGATE s 2 000,000
PRODUCTS. COMP/OP AGG s 2 000 000
$
AUTOHO AIL! !IABILI'Y
O! /l.lED
AUTOS ONLY
HIREO
AIJTOS ONLY
SCHEDULED
AUTOSNON-O!!NED
AUTOS ONLY
COI,,4BINED SINGLE TIMIT s
BODILY INJURY (P€T p€rcon)s
BOOILY INJURY {Per a@dent)o
PROPERTYDAMAGE s
s
a U BRELLALIAB
EXCESS LIAB
X OCCUR
CLAIMS.MADE
EX-7S77479&23-NF
Exc€ss Auto & EL Only
01t0112023 0110112024 EACH OCCURRENCE 5 000,000s
X AGGREGATE 6 5 000,000
DED RETENTIONS $
WORXERS COIIIPENSATION
AND EMPLOYERS' LIA6ILITY
ANYPROPRIETOR/PARINER/EXECIJTIVE
OFFICER/MEMBER EXCLUOED?
DESCRIPTION OF OPERAIIONS below
N
STATIJTE OTH.ER
E L EACHACCIOENT $
E t DISEASE . EA EMPLOYEE $
E L OISEASE. POLICY IIMIT I
DESCRIPTIOiI OF OPERATIONS , LOCATIONS / VEIIICLES (ACORO 101, Addldon.l Rom.rt. Schodlls, mry b6 rttlchod il BoE .p.c6 l! r.qulrcd)
named insured sublect lo policylerms and condrlions
CERTIFICATE HOLDER CANCELLATION
Cily ol Menifee
29714 Haun Road
Menilee. CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN
ACCOROANCE wlTH THE POLICY PROVISIONS.
AI,,THORIZED REPRESENTATIVE
%anaz Z.S4 ?o-c.
O 198E-2016 ACORD CORPORATION. All rights roset.ed.
The ACORD name and logo are registered marks of ACORDacoRD 25 (2016/03)
0000159 sP
City ol Menilee
29714 Haun Fload
i,4enifee, CA 92586
002r c01 P00169 I
tji,-BBtr+
0021 01 00,0000169 0001 0000540
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