Workers Compensation Representative

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Castillo's Interio...

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CERTIFICATE OF LIABILITY INSURANCE 12/14

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Pj

BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTH

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: I the cortficate holder Is an ADDITIONAL INSURED, the pollcylies) must be endorsed.

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ACORD

Ce —

Wf SUBROGATION IS WAIVED, si

the terms and conditions of the policy, certain poli

3s may require an endorsement. A statement on this certificate does not confer righ

cortiticate holder in lieu of such endors

ments).

roca 619-***-**** SESEST Jon Grijalva

JMG Insurance Agency oe a eux. 619-***-**** TE nos

440 N Barranca Ave 9499,

Covina, CA 91723

apap S2rvice @ imgia.com

[eusrowegpe

INSURER) AFFORDNG COVERAGE

ae iwsunex a: Spinnaker Insurance Compani

Castilo's Interior Remodeling INSURER.

330 Nob Hill Lane INSURER

Kemp, TX 75143 INSURER

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 POUCY

INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Wii

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE

EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

um {TYPE OF INSURANCE. na wo POUCY NUMBER upon aaBSneT cars

GENERAL LIABILITY: v EACH OCCURRENCE $ 1,000.

A [7] comencut ceneRaL uABiuTy PReMSeS es 10.006

€86-000*****-**-**/15/22 12/15/23 [rensous nov mun [s 1.000.

cenena accrccaTe 152.000.

vJroucy [ uce 3

Tome Tein Ee

sur peorcron exerusesecur™™ (Yu sxecucooen __ s

one eae :

DESCRIPTION OF OPERATIONS /LOCATIONS / VENNCLES (Aach ACORO 10%, Adana Remark Schell more

Proof of Insurance

CERTIFICATE HOLDER

Proof of Insurance

‘CANCELLATION.

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

THE EXPIRATION. DATE THEREOF, NOTICE WILL BE DELIV

[ACCORDANCE WITH THE POLICY PROVISIONS.

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‘© 1988-2009 ACORD CORPORATION. All rights

ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD

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