HomeMy WebLinkAbout15- Ennovationz, Inc (BPIA Business Professional) Certificate of LiabilityOP ID: CW
CERTIFICATE OF LIABILITY INSURANCE
DATE 04/(MM/20/20152015 Y)
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
BPIA Business Professional
Insurance Associates
1519 South B Street
San Mateo, CA 94402
Debbie Upland
CONTACT
NAME:
PHONE FAX
AIC No Ext): A/C, No): _
E-MAIL
— -
PRODUCER
CUSTOMER ID #: HOMEZ-1
INSURER(S) AFFORDING COVERAGE NAIC # _
INSURED Ennovationz, Inc.
INSURER A: Travelers Property Casualty Co 25674
INSURER B: Hanover Insurance Group --
dba: WattzOn
480 San Antonio Road # 202
DAMAGE TO RENTED
PREMISES Ea occurrence $ $00,000
Mountain View, CA 94040
INSURER C : _
X
INSURER D:
INSURER E:
11/20/2015
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. _
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence $ $00,000
A
X COMMERCIAL GENERAL LIABILITY
X
I -680-8912M075-1442
11/20/2014
11/20/2015
MED EXP (Any one person) 1 $ 5,000
CLAIMS -MADE I—XI OCCUR
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $ 2,000,000
Is
X1 POLICY PRO LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
1-680-8912M075.14-42
11/20/2014
11/20/2015
COMBINED SINGLE LIMIT
(Ea accident)
1 $ 1,000,000
_—
BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per accident) $
X
SCHEDULED AUTOS
HIRED AUTOS
PROPERTY DAMAGE
($
PER ACCIDENT) —
-
X
NON -OWNED AUTOS
A
UMBRELLA UAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
CUP -6354P173-14-42
11/20/2014
11/20/2015
EACH OCCURRENCE $ 2,000,000
AGGREGATE $ 2,000,000
--
DEDUCTIBLE
$ ----
$
X
RETENTION $ 0
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
N/A
WC STATU- O
TORY LIMITS ER R
E.L, EACH ACCIDENT $ _
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE -POLICY LIMIT $
Per Claim 1,000,000
Aggregate 2,000,000
B
If yes, describe under
DESCRIPTION OF OPERATIONS below
Professional Liab.
$2,500 deductible
LHF 9774547-02
11/20/2014
11/20/2015
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Re: contract. The City of Bozeman is included as Additional Insured as
respects insured's business operations per company form CGT491. Additional
Insured applies to General Liability only.
The City of Bozeman
121 N. Rouse Avenue
Bozeman, MT 59715
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
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ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD