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Insurance - Hadronex, Inc. - 2021-10-05
11►DO "�C� cCERTIFICATE OF LIABILITY INSURANCE DATE (MMfDD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 10/5/2021 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). PRODUCERCONTACT patriot Risk & Insurance Services NAME: 2415 Campus Drive, Suite #200FAX — _ NNo. Ext_ -7900 Irvine, CA 92612 - -----(E4 __- _ E-MAIL PERSONAL & ADV INJURY $ ADDRESS: — r GENERAL AGGREGATE $ INSURERS) AFFORDING COVERAGE NAIC # www.patrisk.com OK07568 INSURER A : Hartford Accident and Indemnitor Company 223_57 INSURED adronex Inc. INSURER B : dba: Smart Cover Systems INsuRERc; 2110 Enterprise St. INSURERo Escondido Ri 92029-2000 INSURER E : PROPERTY DAMAGE $ Per accident __ ! INSURER F: COVERAGES CERTIFICATE NUMBER: 64393959 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 j ADDL SUBR POLICY EFFPOLICY EXP LTR I TYPE OF INSURANCE INSD WVDPOLICY NUMBER MM/DD/YYYY MM/DD/YYYY ! LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMAGE TO RENTED CLAIMS -MADE OCCUR t $ PREMISES�Ea occurrences _ MED EXPAn $ EXP(Any one person) PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ --� PRO - POLICY ECT LOC - - --- F PRODUCTS - COMP/OP AGG 1 $ OTHER: $ AUTOMOBILE LIABILITY -- COMBINED SINGLE LIMIT $ (Ea accident_ ANY AUTO � BODILY INJURY Per person) $ ' ( P OWNED SCHEDULED AUTOS ONLY -_- , AUTOS_� t BODILY INJURY (Per accident)' $ _ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY y PROPERTY DAMAGE $ Per accident __ is UMBRELLA LIAB OCCUR EACH OCCURRENCE $ CLAIMS -MADE EXCESS LIAB -A1 AGGREGATE ; $ DED RETENTION $ $ A WORKERS COMPENSATION 72WECAH9LDU H 10/1/2021 10/1/2022 PER i I OR;1,000,000 ✓ STATUTE_ AND EMPLOYERS' LIABILITY Y / N _ _ LL_ ANYPROPRIETOR/PARTNER/EXECUTIVE L EACH ACCIDENT $ 11,000,000 ❑E OFFICER/MEMBER EXCLUDED? N / A -- Y (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ 1,00 _.0000 _ — —- if yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT ! $ j I ' DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION District / SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Costa Mesa Sanitary �•/f ( a, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 290 Paularino Ave ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa CA 92626 AUTHORIZED REPRESENTATIVE / Dave Jacobson ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 64393959 1 21/22 WC I Wesley Wakely 1 10/5/2021 8:55:53 AM (PDT) I Page 1 of 1 This certificate cancels and supersedes ALL previously issued certificates.