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Insurance - Hadronex dba Smart Cover Systems 2017-09-19
A Raw HEC CERTIFICATE OF LIABILITY INSURANCE x001 DATE (MM/DD/YYYY) 9/19/2017 THIS CERTIFICATES 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). P 00 LER PAYCHEX INSURANCE AGENCY INC/PHS 210756 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: PHONE FAX INC. No EaT (p/C,No): (888) 443-6112 EMAILADDRESS: INSURER(S) AFFORDING COVERAGE NAIL# INSURERA: Multiple Companies 00914 INSURED HADRONEX INC DBA SMART COVER SYSTEMS 2067 WINERIDGE PL ST E ESCONDIDO CA 92029 INSURERS: INSURERC: INSURERD: INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ANNE ITR TITEOFINSUBANCE ADDL INSR SUBR "DCOMMERCIALGENERALLIABILITY POLICYNUAISEN POLIDCYEFF POLICYEXP LIMITS MESA SANITARY DISTRICT ��a/� CLAIMS -MADE ❑OCCUR 628 W 19TH ST COSTA EACH OCCURRENCE $ DAMAGE TO RENTED S PREMISES (Ea occunence) MED EXP (Any one person) 0 PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ PET ❑ LOC OTHER: GENERALAGGREGATE 0 PRODUCTS -COMPIOP AGO $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDNON-OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) 0 BODILY INJURY (Per person) $ BODILY INJURY (Per accitlent) PROPERTY DAMAGE 5 (Peraccitlenl) $ UMBRELLA LIMB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE 5 OE RETE TION $ 5 A WORXERSCOMPENSATION ANOE.NPLOYERS'LIMUL(TY ANYPROPRIETORIPARTNERIEXECUTIVE YIN RIM OFFICEEMBER EXCLUDED? ❑ (Mandatory la NH) If yes, describe under DESCRIPTION OF OPERATIONS below ,y,A 76 WEG GH3220 10/01/2017 10/01/2018 X PER 044 STANTE OR E. L. EACH ACCIDENT $1, 000,000 E.L. DISEASE -EA EMPLOYEE SI, 000, 000 E.L. DISEASE -POLICY LIMIT 11,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Add idonal Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED keORD 25 VV BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. COSTA MESA SANITARY DISTRICT ��a/� AUTHORIZED REPRESENTATIVE 628 W 19TH ST COSTA MESA, CA 92627 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD keORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD