Insurance certificate - The Dependable Companies

DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
3/26/2014
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 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:
PHONE
(A/C, No, Ext):
E-MAIL
ADDRESS:
Aon Risk Services Southwest, Inc.
PO Box 3870
315 West 3rd Street
Little Rock, AR 72203
Aon Risk Services Southwest, Inc.
FAX
(800) 541-8605
(A/C, No):
[email protected]
(847) 953-1800
INSURER(S) AFFORDING COVERAGE
www.aon.com
INSURER A :
INSURED
INSURER B :
Dependable Highway Express, Inc.
2555 East Olympic Blvd
Los Angeles CA 90023
INSURER C :
NAIC #
Insurance Company of the State of PA
New Hampshire Insurance Company
Travelers Property Casualty Co of Amer
19429
23841
25674
INSURER D :
INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER: 19607481
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
A
ADDL SUBR
INSD WVD
TYPE OF INSURANCE
✓
3372477
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE
✓
POLICY NUMBER
POLICY EFF
POLICY EXP
(MM/DD/YYYY) (MM/DD/YYYY)
4/1/2014
4/1/2015
OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO✓ POLICY
LOC
JECT
LIMITS
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
B
B
B
C
4584337
AUTOMOBILE LIABILITY
✓
2,000,000
100,000
5,000
2,000,000
2,000,000
Included
$
OTHER:
A
$
4/1/2014
4/1/2015
SCHEDULED
AUTOS
NON-OWNED
AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident) $
PROPERTY DAMAGE
(Per accident)
$
Trailer Interchange $50
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
$
DED
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
2,000,000
$
$
Y/N
N
N/A
053408912 (AOS)
053408910 CA Only
053408911 AZ Only
4/1/2014
4/1/2014
4/1/2014
4/1/2015
4/1/2015
4/1/2015
✓
PER
STATUTE
OTHER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT
Motor Truck Cargo
QT-660-8757M600-TIL-14
4/1/2014
4/1/2015
Per Vehicle
$
1,000,000
1,000,000
1,000,000
$100,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER
CANCELLATION
***EVIDENCE OF COVERAGE***
FOR INFORMATIONAL PURPOSES
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
Aon Risk Services
ACORD 25 (2014/01)
CERT NO.: 19607481
© 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Kyle Weinstein 3/26/2014 1:34:28 PM Page 1 of 1