BRODART-01 MGREENE
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/2/2025
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 or this certificate does not confer rights to the certificate holder in lieu of such endorsements).
PRODUCER
illiant Insurance Services, Inc PHONE
(ANC, No, Ext): (914) 220-5833 [AC, NO):
22 Bloomingdale Rd Ste 40
White Plains, NY 10605 ADDRESS: [email protected] INSURERS) AFFORDING COVERAGE NAIC #
INSURER A : Phoenix Insurance Company 25623
INSURED INSURER B: Travelers Indemnity Company 25658
Brodart Co. INSURER: Travelers Property Casualty Company of America 25674 500 Arch Street INSURER D: Charter Oak Fire Insurance Company 25615 Williamsport, PA 17701
INSURER E:
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
INSR TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR
A COMMERCIAL GENERAL LIABILITY 1,000,000
EACH OCCURRENCE
CLAIMS-MADE X OCCUR Y-630-7R372971-PHX-25 1/1/2025 1/1/2026 DAMAGE TO RENTED 300,000 PREMISES (Ea occurrence)
MED EXP (Any one person) 5,000
PERSONAL & ADV INJURY 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY L PECT LOC PRODUCTS - COMP/OP AGG S 2,000,000
L OTHER: EBL AGGREGATE 2,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
(Ea accident)
X ANY AUTO BA-7R37392A-25-14-G 1/1/2025 1/1/2026 BODILY INJURY (Per person) AUTOS ONLY CHORULE D BODILY INJURY (Per accident) s
AURE'S ONLY Per acciden DAMAGE
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 15,000,000
EXCESS LIAB CLAIMS-MADE EX-7R374085-25-14 1/1/2025 1/1/2026 AGGREGATE 15,000,000
DED RETENTION S
DANDEMPLOYERS LABILIN X STATUTE
UB-9T070474-25-14-G 1/1/2025 1/1/2026 1,000,000
N/A E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE S 1,000,000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 Genera faulty as required, softer email eerage applies on a prima ye inconed astor basis as resured by write contraced insured's commercial
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South San Francisco ACCORDANCE WITH TAE POLICY PROVISIONS E WILL BE DELIVERED IN 840 West Orange Avenue
South San Francisco, CA 94080
AUTHORIZED REPRESENTATIVE
Will fe
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