CERTIFICATE OF LIABILITY INSURANCE
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- Derick Stokes
- 8 years ago
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1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: ART Design Build, 4309 Lynbrook Drive Bethesda, MD are Additional Insured with respect to General Liability (UL-RH) regarding all work performed by the named insured. ART Design Build 4309 Lynbrook Drive Bethesda, MD THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Evidence of Insurance ART Design Build 4309 Lynbrook Drive Bethesda, MD THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Evidence of Insurance Braemar Construction (Braemar LLC) 8201 Greensboro Drive Suite 300 Mc Lean, VA THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Evidence of Insurance Certainteed SELECT PO Box Lehigh Valley, PA THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: The City of Alexandria VA are Additional Insured with respect to General Liability (UL-RH) regarding all work performed by the named insured. City of Alexandria 301 King Street Alexandria, VA THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Evidence of Insurance Classic Cottages 5417-A Backlick Road Springfield, VA THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Evidence of Insurance HomeAdvisor, Inc. Insurance Department Denver West Parkway Building 64, Suite 200 Golden, CO THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA George Simmons/ LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: License Renewal Maryland Home Improvement Commission 500 North Calvert Street, Room 306 Baltimore, MD THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: MW Construction Services, LLC 500 N. Washington Street Suite 202 Alexandria, VA are Additional Insured with respect to General Liability (UL-RH) regarding all work performed by the named insured. MW Construction Services, LLC 500 N. Washington St. Ste. 202 Alexandria, VA THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: NRP & Worldgate Condominiums UOA are Additional Insured with respect to General Liability (UL-RH) regarding all work performed by the name insured. Umbrella Follows Form. NRP & Worldgate Condominiums UOA Attn: Brittanie D. Davis Alton Square Herndon, VA THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This certificate shows coverages currently in force for the above named insured, and is for internal use only. Please contact the agency if a certificate holder needs to be added: -- Fax: Phone: Proof of Insurance THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Treebrooke HOA managed by Sequoia Management Onsite Property Mgmt Office: 3031 Borge Street, Oakton, VA are Additional Insured with respect to General Liability (UL-RH) regarding all work performed by the named insured. Sequoia Management Parkeast Circle THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR, AND THE. IMPORTANT: If the certificate holder is an ADDITIONAL, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to FA LLC BEYOET-01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE IOD CERTIFICATE MAY BE ISSUED OR MAY TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFF EP COMMERCIAL GENERAL LIABILITY EACH RENCE CLAIMS-MADE PREMISES (Ea occurrence) UMBRELLA LIAB EACH RENCE ECESS LIAB CLAIMS-MADE AGGREGATE GEN'L AGGREGATE LIMIT APPLIES : GENERAL AGGREGATE JECT LOC PRODUCTS - COMP/OP AGG Q /18/2015 BODILY INJURY (Per person) BODILY INJURY HIRED PROTY DAMAGE DED RETENTION ANY PROPRIETOR/PARTNER/EECUTIVE OFFICER/MEMBER ECLUDED? E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OATIONS below E.L. DISEASE - LIMIT A Q /18/2015 MED EP (Any one person) SONAL & ADV INJURY A Q /11/ /11/2015 DESCRIPTION OF OATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Service Specialists Inc., Lee Road, Unit B, are Additional Insured with respect to General Liability (UL-RH) regarding all work performed by the named insured. Service Specialists Inc Lee Road, Unit B THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
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