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Insurance - Hadronex, Inc. - 2021-10-08A�coRo° CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)10/8/2021 DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 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). PRODUCERpatriot Risk & Insurance Services NAME: CT 2415 Campus Drive, Suite #200 A/CNNo ExtL—_—94 o�—�— 9 486_7900 Irvine, CA 92612 ------(A/CzN—_------- ------ E-MAIL N'L AGGREGATE LIMIT APPLIES PER: ADDRESS: - PRO POLICY __.1 JECT LOC INSURERS) AFFORDING COVERAGE NAIC # WWW.patrisk.com OK07568 INSURER A: Hartford Accident and Indemnity Company 22357 INSURED Had ronex Inc. INSURER B : ----- ----------------------- --- -- -- -- dba: Smart Cover Systems wsuRER c _-------- --- --- ------ -- ------------- ----- -- - 2110 Enterprise St. iNSURERD: Escondido CA 92029-2000 INSURER E: AUTOS ONLY AUTOS ONLY - j INSURER F COVERAGES CERTIFICATE NUMBER: 64472546 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. ILTR TYPE OF INSURANCE ADDL SUER! POLICY EFF POLICY EXP INSD WVD i POLICY NUMBER MM/DD/YYYY MM/DD/YYYY , LIMITS COMMERCIAL GENERAL LIABILITY;EACH OCCURRENCE $ —, E � - CLAIMS -MADE L OCCUR rDAMAGE TO RENTED T PREMISESLEa occurrences—_1_$ - -- - - - - MED EXP (Any one person) $ F --- - __------------ - -- � I PERSONAL & ADV INJURY I $ N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ - PRO POLICY __.1 JECT LOC r PRODUCTS _COMP/OP AGG $ - - OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO 1 BODILY INJURY (Per person) $ OWNED SCHEDULEDAUTOS ONLY AUTOS BODILY INJURY (Per accident) j $ ~ HIRED - NON -OWNED ! PROPERTY DAMAGE$ AUTOS ONLY AUTOS ONLY - j (Per acc_id_ent 1$ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE; AGGREGATE + $ DED ! ( RETENTION $is A WORKERS COMPENSATIONER 72WECAH9LDU 10/1/2021 10/1/2022 �PEATUEE AND EMPLOYERS' LIABILITY Y / N _OTH_-__11,000,000 --. ANYPROPRIETOR/PARTNER/EXECUTIVE I N/ A OFFICER/MEMBER EXCLUDED? Fl E L EACH ACCIDENT $1,000,000 — ----- . - Mandato in NH ( ry ) E.L. DISEASE - EA EMPLOYEE $ 00 1 000 0___ 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) *30 -day notice of cancellation / 10 -days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District / 290 Paularino Ave ��/a Costa Mesa CA 92626 ��0 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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 64472546 1 21/22 WC I Wesley Wakely 1 10/8/2021 10:06:56 AM (PDT) I Page 1 of 1 This certificate cancels and supersedes ALL previously issued certificates.