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    Insurance 2018

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    api-420068547

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    © All Rights Reserved
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    Insurance 2018

    Uploaded by

    api-420068547
    93 views1 page

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    insurance2018

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    Insurance 2018

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    api-420068547

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    © All Rights Reserved
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    of 1

    DATE (MM/DD/YYYY)

    CERTIFICATE OF LIABILITY INSURANCE 2/16/2018


    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 endorsement(s).
    CONTACT
    PRODUCER
    NAME: Melissa Thompson
    PHONE (713)521-9251 FAX
    El Dorado Insurance Agency, Inc. (A/C, No, Ext): (A/C, No): (713)521-0125
    E-MAIL
    El Dorado Sec Srvs Ins Agy ADDRESS: [email protected]
    PO Box 66571 INSURER(S) AFFORDING COVERAGE NAIC #
    Houston TX 77266 INSURER A :Certain Underwriters at Lloyd's
    INSURED INSURER B :
    Icon Seraphim Security & Staffing Services, LLC INSURER C :
    PO Box 3096 INSURER D :

    INSURER E :
    Pflugerville TX 78691 INSURER F :
    COVERAGES CERTIFICATE NUMBER:CERTIFICATE (02/18) 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 ADDL SUBR POLICY EFF POLICY EXP
    LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
    X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
    DAMAGE TO RENTED
    A CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ 100,000
    X Errors & Omissions WCIS-CGL-0016889-01 2/16/2018 2/16/2019 MED EXP (Any one person) $ 10,000
    PERSONAL & ADV INJURY $ 1,000,000
    GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
    X POLICY PRO- 1,000,000
    JECT LOC PRODUCTS - COMP/OP AGG $

    OTHER: $
    AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
    (Ea accident)
    ANY AUTO BODILY INJURY (Per person) $
    ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
    AUTOS AUTOS
    NON-OWNED PROPERTY DAMAGE $
    HIRED AUTOS AUTOS (Per accident)
    $
    UMBRELLA LIAB OCCUR EACH OCCURRENCE $
    EXCESS LIAB CLAIMS-MADE AGGREGATE $

    DED RETENTION $ $
    WORKERS COMPENSATION PER OTH-
    AND EMPLOYERS' LIABILITY STATUTE ER
    Y/N
    ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
    OFFICER/MEMBER EXCLUDED? N/A
    (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
    If yes, describe under
    DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

    DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

    ency
    N
    Ag
    E
    an ce
    M
    CERTIFICATE HOLDER
    ur CANCELLATION

    I
    Ins
    C
    a do
    E
    or cy
    SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
    n
    P
    El D e THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

    eA g
    S
    ACCORDANCE WITH THE POLICY PROVISIONS.

    ra nc
    do Insu AUTHORIZED REPRESENTATIVE

    l D ora R.L. Ring, Jr./MDAVI


    E © 1988-2014 ACORD CORPORATION. All rights reserved.
    ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
    INS025 (201401)

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