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HomeMy WebLinkAboutCOI - Fragrance Outlet, Inc. - Expires 2023-04-30Client#: 1732786 FRAGROUT3 ACORDTM CERTIFICATE OF LIABILITY INSURANCE INSURED IDATE (MM/DD/YYYY) 4/27/2022 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER „, , USI Insurance Services, LLC 180 Park Avenue Suites 103 MAY 0 2 2022 Florham Park, NJ 07932 �, CLERK'S ..R�. . Inc, .CIS. CI.Ef�K'S OFFICE The Fragrance Outlet incn� ..,... ,,,,, 11920 Miramar Parkway Miramar, FL 33025 CONTACT Christine Potaris PH(C, No, Ext): 800 227-0185 •1(A/CC, No): E-MAIL p ADDRESS: christine. otaris usi.com INSURER(S) AFFORDING COVERAGE INSURER A : Hanover Insurance Company INSURER B : Allmerica Financial Benefit Ins. Co. INSURER C : INSURER D : NAIC # 22292 41840 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 DOCUMENT WITH RESPECT TO WHICH TFIIS 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. LTR TYPE OF INSURANCE 'ADDL SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) I LIMITS A X COMMERCIAL GENERAL LIABILITY ZDYD90270704 04/30/2022 04/30/20231 EACH OCCURRENCE CLAIMS -MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY OTHER: B AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY HIRED X AUTOS ONLY A X UMBRELLA LIAB EXCESS LIAB A PRO- JECT X LOC r] SCHEDULED AUTOS NON -OWNED AUTOS ONLY OCCUR CLAIMS -MADE DED I XI RETENTION $0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below A Business Personal Property Inc! Plate Glass X N N/A AWYD90278103 UHYD9192082 WMYD87350203 ZDYD90270704 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY I GENERAL AGGREGATE $1,000,000 $100,000 $10,000 $1,000,000 1 $2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 04/30/2022 04/30/20231 COMaaccident/BINED SINGLE LIMIT (E BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY t(DAMAGE ( 04/30/2022 04/30/2023 EACH OCCURRENCE AGGREGATE 04/30/2022 04/30/2023 $1,000,000 $20,000,000 $20,000,000 $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 04/30/2022 04/30/2023 Blkt Limit: $75,644,000 Deductible: $2,500 X PER IER OTH- STA E.L. EACH ACCIDENT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Store #78 Location: 8300 Arroyo Circle B 170-Gilroy, CA 95020 Evidence of Coverage CERTIFICATE HOLDER City of Gilroy 7351 Rosana Street Gilroy, CA 95020 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S35750817/M35750222 SP1ZP