2024-446-E-Emergency Svc-Guardian Alliance Technologies-Online background pre-employment questionnair

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© 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD Orange County 300 West Tryon Street P.O. Box 8181 Hillsborough, NC 27278 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 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC OTHER 10SBAAZ6Z5W 03/07/2024 03/07/2025 EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000.00 MED EXP (Any one person)$10,000.00 PERSONAL & ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 PRODUCTS - COMP/OP AGG $2,000,000.00 A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED HIRED AUTOS ONLY NON-OWNED AUTOS ONLY 10SBAAZ6Z5W 03/07/2024 03/07/2025 COMBINED SINGLE LIMIT (Ea accident) $1,000,000.00 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE Each occurence Aggregate WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANYP ROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? Y/N N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER STATUTE OTHER E.L. EACH ACCIDEN E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT B A Errors & Omissions,Cyber Liability Property EHJ-ADM00900138 10SBAAZ6Z5W 03/07/2024 03/07/2024 03/07/2025 03/07/2025 $ 2,000,000 per occ $2,000,000 in agg $ 21800.00 BPP $500 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Orange County, its officers, agents and employees are designated as "additionally insured.” on the above referenced policy where required by written contract. CERTIFICATE HOLDER CANCELLATION COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: State National Insurance Company Inc. (CFC)INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURED Guardian Alliance Technologies, Inc. PO Box 321, Oakdale, CA, 95361 Oakdale, California, 95361 CONTACT NAME: PHONE (A/C No. Ext): 646-854-1058 FAX (A/C No): E-MAIL ADDRESS:coi@foundershield.com INSURER(S) AFFORDING COVERAGE NAIC # Hartford Underwriters Ins Co (Hartford)INSURER A : 30104 PRODUCER Millennial Specialty Insurance LLC dba Founder Shield 4211 West Boy Scout Blvd, Suite 800 Tampa, Florida, 33607 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). 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 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/23/2024 Docusign Envelope ID: A74131D5-6B10-43C1-9499-45040399B400