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    ACORD Form 20240603-143903 (1)

    Uploaded by

    Shantanu Yati12

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    ACORD Form 20240603-143903 (1)

    Uploaded by

    Shantanu Yati12
    7 views1 page

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

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    Download as pdf or txt
    7 views1 page

    ACORD Form 20240603-143903 (1)

    Uploaded by

    Shantanu Yati12

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    DATE (MM/DD/YYYY)

    CERTIFICATE OF LIABILITY INSURANCE 06/03/2024


    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 Daisy Saldana
    NAME:
    Coverica, Inc. PHONE (972) 490-8800 FAX (972) 490-2255
    (A/C, No, Ext): (A/C, No):
    5999 Summerside E-MAIL [email protected]
    ADDRESS:
    Suite 200 INSURER(S) AFFORDING COVERAGE NAIC #
    Dallas TX 75252 INSURER A : Lloyds of London
    INSURED INSURER B : Certain Underwriters at Lloyds
    Firstconnect Worldwide LLC INSURER C :
    4 Pennington Road INSURER D :

    INSURER E :
    West Windsor Township NJ 08550 INSURER F :
    COVERAGES CERTIFICATE NUMBER: 24-25 COI 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
    COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
    DAMAGE TO RENTED 50,000
    CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $

    MED EXP (Any one person) $ 1,000


    A IRPIAUGL23584 05/19/2024 05/19/2025 PERSONAL & ADV INJURY $

    GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000


    PRO-
    POLICY JECT LOC PRODUCTS - COMP/OP AGG $

    OTHER: $

    AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $


    (Ea accident)
    ANY AUTO BODILY INJURY (Per person) $

    B OWNED SCHEDULED IRPIAMLCL23154 05/19/2024 05/19/2025 BODILY INJURY (Per accident) $


    AUTOS ONLY AUTOS
    HIRED NON-OWNED PROPERTY DAMAGE $
    AUTOS ONLY AUTOS ONLY (Per accident)
    Conti. Auto Aggregate $ 1,000,000
    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 $
    Each Occurance 500,000
    Contingent Cargo- All Risk
    B IRPIMCC23701 05/19/2024 05/19/2025 Deductible 1,000

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

    Refrigeration Break down: Limit $500,000 Deductible: $2,500

    CERTIFICATE HOLDER CANCELLATION

    SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE


    THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
    4560 Darrow Road,LLC RMG investment group LLC & subsidiaries ACCORDANCE WITH THE POLICY PROVISIONS.

    4550 Darrow Road


    AUTHORIZED REPRESENTATIVE

    Stow OH 44224

    © 1988-2015 ACORD CORPORATION. All rights reserved.


    ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

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