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�� SPLAZON-02 TLOPEZ <br /> ACOR�� DATE(MM/DDKYYI� <br /> �� CERTIFICATE OF LIABILITY INSURANCE 10/30/2019 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer ri hts to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER c r, ncr Teresina Lopez <br /> LeBaron&Carroll LLC PHONE <br /> 1350 E Southern Avenue (ac,No,e��:(480)464-3465 j�,No�:(480)844-9866 <br /> Mesa,az 852oa �-""R' .TLopez@LebaronCarroll.com <br /> INSURER S AFFORDING COVERAGE NAIC r <br /> _ INSURER A:BU�II�l9tOf1 If1S.CO. _ ZSGZO <br /> INSURED INSURER B:St8t2 AUtO MUtUBI 25135 <br /> Splash Zone LLC �NsuaeR c:Benchmark Insurance Com an 41394 <br /> 7319 S.Atwood <br /> Suite 103 u+suaeA o: <br /> Mesa,AZ 85212 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR 7ypE OF INSURANCE ADDL SUBR pp�ICY NUMBEH POLICY EFF POLICY EXP ��MRS <br /> A X COMMEflC1AL GENERAL LIABILITY EACH OCCURRENCE $ 1,000�000 <br /> ___-- <br /> CLAIMS-MADE �OCCUR 351 BW52664 7/15/2019 7I�$/ZOZO DAMAGE TO RENTED �OO�OOO <br /> PREMI Ea occ rr n S <br /> MED EXP An one rson 5'��� <br /> PERSONAL 8 ADV INJURY $ ��OOO,OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000�000 <br /> POLICY�X �E o- ❑X LOC PRODUCTS-COMP/OP AGG $ � ,2�000�000 <br /> OTHER: S <br /> B COMBINED SINGLE LIMIT ��OOO�OOO <br /> AUTOMOBILE LIABILITY G nl S <br /> X ANYAUTO ��024a78$ �/1���9 7/�$/2020 BODILYINJURY Per erson 5 <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident 5 <br /> AUTOS ONLY A�OS ONE�Y PROPERTY AMAGE <br /> Peracadent S <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ <br /> C WORKERS COMPENSATION X PER OTH- <br /> ANDEMPIOYERS'LIABILITY WCBiSZ�Z7OO li/6/2018 ��/�0�9 T T T ER ��OOO�OOO <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N�A E.L.EACH ACCIDENT $ . <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ �,OOO�OOO <br /> If yes,descnbe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be atteched H more space Is requlred) <br /> For Information purposes only <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> "'PROOF OF INSURANCE" THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORI2ED REPRESENTATIVE <br /> ��• � <br /> ACORD 25(2016/03) OO 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />