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AC !Fbr CERTIFICATE OF LIABILITY INSURANCE
L,%
DATE(MM/DDMYY)
10/20/2021
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).
PRODUCER
ON
NAMEA T Automatic
Data Processing Insurance Agency, Inc.
Automatic Data Processing Insurance Agency, Inc.
ACNE E#: 1-800-524-7024 (FAX No:
E-MAIL
ADDRESS:
1 Adp Boulevard
Roseland NJ 07068
INSURER(S) AFFORDING COVERAGE
NAICN
INSURERA: NorGUARD Insurance Company
31470
INSURED Tweedy Plumbing & Drains, Inc.
INSURER B:
INSURER C
Po BOX 2195
INSURER D :
INSURER E:
Newport Beach CA 92659 1
INSURER F:
CUV`I=1r S CERTIFICATE NUMBER: 215/544 RFVIRInN M"MRPR-
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.
1�7R
TYPE OF INSURANCE
Man
U D
POLICY NUMBER
MWDDY/YYYY
MM% DY/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE c o
T
PREMISES RENT ED
rrence
$ eccc,
_
MED EXP (Any one perso?1)„s�,
$ c c
PERSONAL &ADV INJURY
GEN'L AGGREGATE LIMITAPPLIES PER:
PRO-
POLICY ElJECT LOC
GENERAL AGGREGATE,
$ ^
o
PRODUCTS-COMP/OPdGG.
Ge
COMBINED SIN LE LIM
OTHER:
AUTOMOBILE LIABILITY
Ea accident
ANY AUTO
_
$
BODILY INJURY (Per person) -
OWNS ONLY SCHEDULED
OWNED SCHEDULEDAUTO
AUTOS
$c c
BODILVINJURV Per ackiae t
( U)
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
c$
's, C
:C
UMBRELLA LIAB
Id
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DEO I
I RETENTION $
$
A
WORKERS COMPENSATION
ANDEMPLOYERTLIABILITYANY Y/N
OFFICERMEIMBER/EXCLUDED?ECUTIVE M
N/A
N
TWWC237064
10/20/2021
10/20/2022
X1 OTH-
STPARTUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1.000.000
(Mandatory In NH)
DESCRIPTION under
If DESCRIPTION OFF
OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached if more space is required)
I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
IILTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Newport Beach ACCORDANCE WITH THE POLICY PROVISIONS.
100 Civic Center Dr
AUTHORIZED REPRESENTATIVE
Newport Beach CA 92660 1 9a,,'-�I'u,-_
ACUKU 25 (ZU16/U3)
The ACORD name and logo are registered marks of ACORD
reserved.
. .
......
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