Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE 9/22/2023


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).
CONTACT
PRODUCER
NAME: Certificate Unit
Edgewood Partners Insurance Center PHONE FAX
5909 Peachtree Dunwoody Road, Suite 800 (A/C, No, Ext): 404-781-1700 (A/C, No):
E-MAIL
Atlanta GA 30328 ADDRESS: certificate@epicbrokers.com
INSURER(S) AFFORDING COVERAGE NAIC #

License#: 0B29370 INSURER A : ACE American Insurance Company 22667


RENTOKI-01
INSURED INSURER B : ACE Property and Casualty Insurance Co 20699
Rentokil North America, Inc. dba
Eastern Pest Services & T3 Pest Services (REN676) INSURER C : Arch Insurance Company 11150
1125 Berkshire Blvd., Suite 150 INSURER D : AXIS Insurance Company 37273
Wyomissing PA 19610 INSURER E : Arch Indemnity Insurance Company 30830
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1335182145 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.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY OGLG27240331 10/1/2023 10/1/2024 EACH OCCURRENCE $ 5,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ 5,000,000
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 5,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000


X POLICY X PRO-JECT
X LOC PRODUCTS - COMP/OP AGG $ 5,000,000

OTHER: $
C COMBINED SINGLE LIMIT $ 5,000,000
AUTOMOBILE LIABILITY 31CAB1044403 (AOS) 10/1/2023 10/1/2024 (Ea accident)
C 31CAB1044503 (MA) 10/1/2023 10/1/2024
X ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
$
B X UMBRELLA LIAB X OCCUR XOOG27239420 10/1/2023 10/1/2024 EACH OCCURRENCE $ 5,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
X RETENTION $ $
DED $10,000
PER OTH-
C WORKERS COMPENSATION 31WCI1044203 (FL) 10/1/2023 10/1/2024 X STATUTE ER
E AND EMPLOYERS' LIABILITY Y/N 34WCI1044303 (AOS) 10/1/2023 10/1/2024
C ANYPROPRIETOR/PARTNER/EXECUTIVE 31WCX1063301 (OH) 10/1/2023 10/1/2024 E.L. EACH ACCIDENT $ 2,000,000
OFFICER/MEMBER EXCLUDED? N N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 2,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000
A Errors & Omissions Liability OGLG27240331 10/1/2023 10/1/2024 Each Incident/Agg $5,000,000
D Crime/Client Coverage N N P-001-000968899-02 10/1/2023 10/1/2024 Each Occurrence $1,000,000

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

CERTIFICATE HOLDER 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.
Harborview Plaza Apartments
334 E. Main St. AUTHORIZED REPRESENTATIVE
Tuckerton NJ 08087-2849

© 1988-2015 ACORD CORPORATION. All rights reserved.


ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

You might also like