Workers Compensation Representative

DATE (MMI/DD/YYYY)

ACORD CERTIFICATE OF LIABILITY INSURANCE tigo22

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 CONTACT

Next First Insurance Agency, Inc. PHONE 855-***-**** ae

PO Box 60787 _ yl655) {AIC Nod.

Palo Alto, CA 94306 advdzz@r.postjobfree.com

INSURER(S) AFFORDING COVERAGE NAIC #

insurer a: Next Insurance US Company 16285

INSURED INSURER B :

Monaco services painting

1895 Barker Cypress Rd Apt 8113 INSURER C :

Houston, TX 77084 INSURER D:

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: 725687223 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.

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.

NSR IADDL SUBR POLICY EFF POLICY EXP

LTR TYPE OF INSURANCE INSD WD POLICY NUMBER cunvobivvv aam/obrvy¥Y) Limi

X_ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00

cuams-mave X occur PREMISES (ea occurence) $100,000.00

MED EXP (Any one person) _ $15,000.00

A NXTW7KCVXL-00-GL. 09/23/2022 09/23/2023 PERSONAL & ADV INJURY _ $1,000,000.00

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $2,000,000.00

X poutcy SRO Loc PRODUCTS - COMP/OP AGG $2,000,000.00

OTHER: $

aaTogeR URSA Carrs

ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED

‘AUTOS ONLY AUTOS. BODILY INJURY (Per accident) $

HIRED NON-OWNED PROPERTY DAMAGE $

AUTOS ONLY AUTOS ONLY (Per accident)

$

UMBRELLA LIAB occur EACH OCCURRENCE $

EXCESS LIAB CLAIMS-MADE AGGREGATE $

DED RETENTION $ $

WORKERS COMPENSATION PER ‘OTH:

AND EMPLOYERS’ LIABILITY yin STATUTE ER

ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT. $

OFFICER/MEMBEREXCLUDED? NIA

(Mandatory in NH) EL. DISEASE - EA EMPLOYEE] $

If yes, describe under

DESCRIPTION OF OPERATIONS below. ELL. DISEASE - POLICY LIMIT $

Each Occurrence: $25,000.00

A Contractors Errors and Omissions NXTW7KCVXL-00-GL lo9/23/2022 09/23/2023 _ Aggregate: $50,000.00

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Proof of Insurance.

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