DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 27th
Feb.
February
27th
DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 2/27/2023
DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 02/22/2023
Hindsight Insurance Services
3478 Buskirk Ave. Suite 1000
Pleasant Hill, CA 94523
License #: 0D10244
Lisa Melendez
(800)264-4637
(888)259-5561
[email protected]
00002247-112277
2 Cerda Zein Real Estate Inc.
1417 Everett St
Alameda, CA 94501
Security National Insurance Company
19879
A
SNP1411382
11/02/2022
11/02/2023
Y
X
1,000,000
1,000,000
1,000,000
Proof of Worker's Compensation Insurance in force
Proof of insurance
(LMM)
Printed by LMM on 02/22/2023 at 09:06AM
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR
ADDL
SUBR
LTR
INSD
WVD
DATE (MM/DD/YYYY)
PRODUCER
CONTACT
NAME:
FAX
PHONE
(A/C, No):
(A/C, No, Ext):
E-MAIL
ADDRESS:
INSURER A :
INSURED
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF
POLICY EXP
TYPE OF INSURANCE
LIMITS
(MM/DD/YYYY)
(MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE
$
DAMAGE TO RENTED
CLAIMS-MADE
OCCUR
$
PREMISES (Ea occurrence)
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
PRO-
POLICY
LOC
PRODUCTS - COMP/OP AGG
$
JECT
OTHER:
$
COMBINED SINGLE LIMIT
$
(Ea accident)
ANY AUTO
BODILY INJURY (Per person)
$
OWNED
SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS ONLY
AUTOS
HIRED
NON-OWNED
PROPERTY DAMAGE
$
AUTOS ONLY
AUTOS ONLY
(Per accident)
$
OCCUR
EACH OCCURRENCE
$
CLAIMS-MADE
AGGREGATE
$
DED
RETENTION
$
$
PER
OTH-
STATUTE
ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE
NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A
(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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).
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
CERTIFICATE HOLDER
CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2 DocuSign Envelope ID: ACAAC7BF-A5E7-4BB9-BD9F-E0F197DA77F2