Automobile Liability Combined Single Limit. Bodily Injury and Property Damage $1,000,000.00 Each Accident
Automobile Liability Combined Single Limit. $1,000,000.00 per accident
Automobile Liability Combined Single Limit. (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ HIRED AUTOS $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (XXXXX 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County of Marin County HHS 10 N. San Xxxxx 1013 San Rafael, CA 94903 CERTIFICATE HOLDER CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/12/2022 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 CoverWallet, Inc. 00 X 00xx Xxxxxx, Xxxxx 00 Xxx Xxxx XX 00000 CONTACT Xxxxx Xxxx NAME: PHONE (000) 000-0000 (A/C, No, Ext): FAX (A/C, No): E-MAIL xxxxxxxx.xxxxxxx@xxxxxxxxxxx.xxx ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Technology Insurance Company, Inc. 42376 INSURED Marin County Cooperation Team 0000 Xxxxxxxxx Xxx Xxxxxxxxx, XX, 00000 INSURER B : 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 CONTRACT OR OTHER DOCUME...
Automobile Liability Combined Single Limit for Bodily a. Owned/leased vehicles Injury and froperty Damage of b. Non-owned vehicles $1,000,000 per occurrence c. Hired Vehicles * If Applicable ** Alternate Plans Must Be Approved by Risk Management
