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,`.,.,..,...f ®1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE DATE(MMIYYYV)
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 he endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain Policies may require
this
an endorsement. A statement on
certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER
PAYCHEX INSURANCE AGENCY, INC.
CONTACT Paychex Insurance Agency Inc
PHONE
877-266-6850 FAX
150 SAWGRASS DRIVE
ROCHESTER, NY 14620
No). 585-389-7426
E-MAIL Certs
3: @paychex.com
-_
INSURER(S) AFFORDING COVERAGE NAIC#
INSURED
INSURER A: NorGUARD Insurance Company 31470
BIG MIKE ELECTRIC
INSURER B:
10432 VIC PLACE
GARDEN GROVE, CA 92840
INSURER C:
INSURER D:
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 CONTRACTOR 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
DDL
INSR
UBR
D
POLICY NUMBER
POLICY EFF
POLICYEXP
LIMITS
GENERAL LIABILITY
-_
NV
MDDIYYYY)
(MMIDO/YYYY)
n c c c
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
=CLAIMSMADE�OCCUR
DAMAGE TO RENTED c - -
$
MED EXP (Any one person) _
$
PERSONAL &ADV INJURY $ -'
ecc
GENERALAGGREGATE $ L
GEN'L AGGREGATE LIMIT APPLIES PER:
Pa4CY F-1 PROI LOC
PRODUCTS - COMP/OPAGG $ e c
$`
AUTOMOBILE LIABILITY
�nr+x AUTO
MYAUTEo
_
COMBINED SINGLE LIMIT „ -
(Ea acvtlern) 5 ---
n SCHEOaLEG
__. AUTOS %glpfprOS
BODILY INJURY
(ODILYIJ $ c
cc
r_.
HIREDAIfTOS L._.I AUTOS NED
--
_BODILY
1
(Per am9tlenp $ o c c c
ent)
PROPERTY DAMAGE
(Per account) $ L L c c c c
$$
UMBRELLA UAB OCCUR
EACH OCCURRENCE
EXCESS LIAR CLAIMSMADE
AGGREGATE $
DED I RETENTION$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
MIWC018301
lorozols
rozo2aX
WCSTATU- _ OTH-
ANYPROPRITOWPARTNCoEXECDI
ELEACHACCIDENT $ 1,000,000.00
OFFICE qin NHI Exawo=�T Y(N
IManaa[oryin NHl I Y
N/A
E.L. DISEASE - EA EMPLOYEE $ 1,000,000.00
E.L. DISEASE -POLICY UMIT 5 110001000.00
oye+, sea 3e unser - '"
DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (ARach ACORD tet, A(tlilienal Remarks Schedule, if more space I$ Tequiretl)
LICENSE NUMBER: 393841
MRTIFICATE HOLDER CANCELLATION
CONTRACTORS STATE LICENSE BOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
P.O. BOX 26000
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
; SACRAMENTO, CA 95826
ACCORDANCE WRH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
nrnon ouc
,`.,.,..,...f ®1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD