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Insurance - Lan Wan Enterprise, Inc. - 2020-06-26
ACORL7®DATE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDOYY) 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 NAME: YASSA INSURANCE AGENCY INC 26361 Crown Valley Parkway #230 (A/CN o Ext): (949)417-0205 (A/FAC No): 949 751-0208 a DR1ESS: assaa enc ahoo.com INSURERS AFFORDING COVERAGE NAIC # Mission Viejo, CA 92691 INSURERA: Travelers Insurance 19046 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 INSURED Lan Wan Enterprise, Inc. INSURER B: Travelers Insurance 19046 INSURERC: Travelers Insurance 19046 INSURER D : Travelers Insurance 19046 17500 Red Hill, Suite # 120 INSURER E: Irvine, CA 92614 INSURER F: AUTOMOBILE X X 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMI D POLICY EXP M D/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY �/ CLAIMS -MADE X OCCUR 680-2H705893-19-42 08/19/19 08/19/20 EACH OCCURRENCE $ 23000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1 PRO JECT ❑ LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO AUTOS OWNEDONLY AUTOSULED DD HIRED XOTO ONEPe AUTOS ONLY R BA -8M547018-20-42 04/01/20 04/01/21 Ea accident) SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ OntPERTDAMAGE $ $ C X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 00SH364288 08/19/19 08/19/20 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICER/MEMBER/ EXCLUDED? ECUTIVE Y❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A UB -4H533380 -19-42-G 08/09/19 08/09/20 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Costa Mesa Sanitary District, Its elected and appointed officials, agents, officers, volunteers and employees are additional insured. CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Additional Insured: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Costa Mesa Sanitary District11/p ACCORDANCE WITH THE POLICY PROVISIONS. 290 Paularino Avenue AUTHORIZED REPRESENTATIVE Costa Mesa, CA 92626 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD