Swifty Sweets-Certificate of Insurance- 2018AC40 Io CERTIFICATE OF LIABILITY INSURANCE
DAo�,2018 '
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY A TEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT COP, STITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOU ER.
IMPORTANT- It the certificate holder Is an ADDITIONAL INSUREI 1, the policy(fes) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED, subject to the terms and condiUor s of the policy, certain policies may require an endorsement A statement on
this Certificate does not confer rights to the Certificate holder in lie I of such endomemen s .
PRODUCER
[Ida L. Mitchel State Farm Insurance Agency
5988 Silver Creek Valley Rd. Suite 60
San Jose, CA 9513$
A 11da L. Mitchel
N MR:
PHONE 408-238-0100 FAX 408-238-0106
A/C No .
ass IIda.MiteW.RNPY@statefarm.Gom
INSURE S AFFORDING COVERAGE
NAIL Ir
INSURBRA; State Farm General Insurance Company
25151
INSUAW
Swft Sweets LLC
421 Ariel Dr.
San Jose, CA 95123
iNSUIU t B :
INSURER C
INSURER D
INSUSERE:
INSURER F :
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELI IW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONI MON OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE A 'FORDED 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.
iLTRR
TYPE OF INSURANCE
ADOL
9R
i POIJCY NUh MR
POLICY FFF
POLK:Y FXP,
COMMEiiCVIL GENERAL LIABILITY
NzPq
CLAIMS -MADE LZNOCCUR
EACH OCCURRENCE
.
1,000,OOD
PREMISES ocwmance
$ 300.000
MED EXP (Asir one acn)
$ 5,000
Y
Y
97 CT-YU72 8
09/07/2016
0910T/20'.8
PERSONAL ✓4ADVINJURY
s 1,000,000
AGGREGATE LIMIT APPLIES PEW
POLICY ❑ JPRO LOC
GENERAL AGGREGATE
$ 2,000,000
GENL
PRODUCTS-COMP*ACG
i 2,000,000
1S
OTHER:
I
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
MIRED AUTOS ONLY AUTOS ONLY
Y
Y
309-9805-007-05A
03/07/2018
09/07/2018
comaww a I m U
S
BODILY INJURY (Per pmW)
S 1,000,D00
BODILY INJURY (Par @Wdw)
$ 1,000,000
P�RrOP@DANt E
3 1,ODD,000
S
UMBRELLA LEAS
OCCUR
EACH OCCURRENCE
S 1,0D0,000
AGGREGATE
S 2,000,000
EXCESS LLAB
CLrj,s.MADE
Y
Y
97-CU-C919-3
01/10=17
01/10/2019
DEO RETENTIONS
$
WORKERS COMPENSATION
AND EMPLOYERS' LUMILFTY YIN
ANY PROPRIETORIPARTNERX KISCUTNE
OFFICERAIEMBEREXCLUDFO? ❑
NIA
PEA
STATUTS R
ELL EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOY
S
(MMldatanr in NH)
U ysa dsacMs order
OE3LRIP1IDN OF OPERATIONS helwr
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS 1 LOCATIONS IVE.HICLEE 4ACORD 101, Additional Ramarks khednhe, may be attached if more space is requi»d)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHOMMO REPRESENTATIVE
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and Ic jo are registered marks of ACORD
1OD1408 132849.12 O&IS-201e