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HomeMy WebLinkAbout593124 HILLCREST SHOPS DBA SEAN & MELISSA BAUTISTA - INSURANCE CERTIFICATE (4)' `- CERTIFICATE OF LIABILITY INSUMMCEYN-01 ACp�RAU DATE (MMIDDNYYY) 6H /2020 "THIS ;CERTIFICATE: IS ISSUED,AS A. MATTER* OF INFORMATION ONLY AND CONFERS. NO RIGHTS• UPONTHE CERTIFICATE HOLDER. THIS . CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY' AMEND, EXTEND OR ALTER -THE COVERAGE. AFFORDED BYTHE POLICIES BELOW.. ° THIS .CERTIFICATE,"OF INSURANCE DOES INOT CONSTITUTE A CONTRACT `BETWEEN.THE ISSUING INSURER(S), AUTHORIZED .! ^REPRESENTATIVE OR PRODUCER; AND THE CERTIFICATE HOLDER. IMPORTANT . If -the Certificate holder is amADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provislons or;be endorsed. . If SUBROGATION IS WAIVED; subject to the terms and Conditions of the polloy, certain policies may require an endorsement A'statertient on' th)s'ceriKdi to does not eonfer.rI hts to. the certificafe'holderin Ileu of sueh,endorsement s ._.. - :.:. _ License # 0504756 - .. -: '.PRODUCER . � c rT . _ Lori A Saubert ..._ _ __ -,..-_ _ ._.__ KingsbgisAgecy P.O. Box 100 Kin Sbu - . g rg; CA'9363p cNNura ac'559 896-0829 aL >Isaubert@kin sbu INSURERS AFFORDING COVERAGE -. . - - NAIC d ,, ' - - ' • INSURER A:LInitBd Financial CdS Co. - INSURED -INSURER B INSUIieac: Melissa BautisteAnd Sean P. Bautista H111crestShop's INSURER D: .. 6943 .§..Read Avenue Reedley„ CA 93654 INSURER E':- INSURER F: _. -.- - .. rnvenwr_ce rcoT¢inwTc ui iaseee. oc%ncrnu ul iurocra. 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 t - - _ _ TYPE OF INSURANCE .. - _. _ ADDL SUER - POLICY NUMBER POUCY.EFF.. PGUCYEXP. '•• - - ' • OMITS .. ,.. _- COMMERCIALGENERALUABILITY _ CLAIMS -MADE OCCUR ' .. " - , - -._- ,, ..... _ -' `I .;,I "' •` EACHACCURRENCE'' DAMAGETO RENTED.•cei - - ._-M�D 9XP. (A]nione erson ,.•- PERSONAL&ADV.INJURY_ GEN L AGGREGATE LIMB APPUESPER POGCY � JE El LOC _:I - OTHER: GENERAL AGGREGATE. - - - - PRODUCTS COMPIOP.AGG_ A _ - " .. ' AUTOMOBILE _ _. _ _. LIABILITY -: AN1'.AUTO OWNED SCHEDULED, - AUTOSONLY X AUTOS RED pN.pyy p 'AUTOS ONLY. : -. AUTOS ONY . __ 'X .- — - — -. _ _ _ 08010166-9 - -. - � • .. 5/26/2020 ' ' _ - 5/26/2021 � - I COMBINED fEa accident) " 1,000,000 BODILYiNJURY Per erson BODILY INJURY Perecddent - --"-----""' - R Pe�ax�.lderrt AMAGE: __ .. UMBRELLA LL46' EXCESSLUIB .� _. - OCCUR CLAIMS -MADE _ - EACH OCCURRENCE`.E AGGREGATE . " • § DED.:...I RETENTION - WOR.--_ KERS COMPENSATION , : , - AND EMPLOYERS' LUIBIUTY � - "YIN ANY PROPRIETORIPARTNERlEXECUTIVE �FFlCE 0rygMgW) EXCLUDED? - llandelery In NX). Ityes, describe under DESCRIPTION OF OPERATIONS below NIA - - .. � '. - ., - '.... PER I STATUTE_ "OTH_ . . - - E L: EACH ACCIDENT,: _ - - - E.L: DISEASE - EA EMPLOYEE_ ... E.L. DISEASE _ POLICY LIMIT - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule may 60 allached if more epaee b required) R'e2 Certificate holder Is named as additlorial Insured per auto forin 1198 (01/04) attachedbut only in regards to work oompieted. by named Insured for railroad amusement equipment work / 30 days notice of cancellation =40 days for non payment of premium GtKItF•IGA1t HC7LUER - .` GANGELLAf.IVN SHOULD ANY'OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI 'Of -Fort Collins: ' tY THE EXPIRATION DATE THEREOF, NOTICE wiLL BE ,DELIVERED IN ^Attn: Marisa Donegon ACCORDANCE WITH THE POLICY PROVISIONS. _ ..... P.O. Box s80 AUTHORIZEeREPRESENTATIVE ' Fort Coffins, CO 80522 s .y es- ACORD 25 (20] 6103) ©1988 2015 ACORD CORPORATION. All rights' reserved. The ACORD name and logo are registered marks of ACORD.