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Home My WebLink AboutAffordable Funeral SupplyACC> V CERTIFICATE OF LIABILITY INSURANCE DAo (NIM/D rf" 24 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 pollcy(les) must have ADDITIONAL INSURED provislons or be endorsed. It SUBROGATION IS WANED, 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 endorsements . PRODUCER SHAWN F. CRAIG AGENCY, LLC 9400 MCKNIGHT ROAD, STE. #106 PITTSBURGH PA 15237 CONTACT SHAWN F. CRAIG PHONE 412-847-8160 FAX 724-837-2271 e'WLADDRESS.. Merrittedner Comcasf net INSURER AFFORDING COVERAGE NA1C0 INSURER A: LIBERTY MUTUAL INS. CO. 24074 INSURED JON KLEIN DBIA "AFFORDABLE FUNERAL SUPPLY, LLC P.O. BOX 686 VALENCIA, PA 16059 INSURER B 111sugERc: INSURER Q: INSURER E: iINSURER F: COVERAGES CERTIFICATE NUMBER! RFVIRION NIJMRER- 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 TYPE OF INSURANCE ADD M POLICY EFF POLICY EXPLTEL LpNRS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX-] OCCUR X BZS(24)65206923 08126/24 08126/25 EACH OCCURRENCE S 1,000.000 PREmtEEsE= MDi S 1.000 000 MED EXP (Any one S 10,000 PERSONAL B,ADVINJURY a 1,000,000 GENT. AGGREGATE LIMIT APPLES PER: X POLICY ❑ JET° ❑ LOC GENERAL AGGREGATE S 2,000 000 PRODUCTS -COMPIOPAGO s 2,000,000 S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT S BODILY INJURY (Par person) S BODILY INJURY (Paracddent) S PROPERTYDAMAGE $ S UMBRELLALIAB HOCCUR EXCESS L1AS CLAIMS -ME EACH OCCURRENCE $ AGGREGATE $ b D S WORKERS COMPENSATION AND EMPLOYERS LIABILRY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N (MendatmyIrk NH) If yea, describe under DESCRIPTION OF OPERATIN below NIA I I PERTUTE I I OTH- A ER E.LEACHACCIDENT S E.LDISEASE -EAEMPLOYEE S E.LDISEASE- POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached If more space Is required) IiECENF4 BY CALDWELL (,, rY CLERK OPERATION: FUNERAL SUPPLY SALES AND SERVICE. BUSINESS LOCATION: 430 RODI ROAD, PITTSBURGH, PA 15235 AUG j 1 2024 THE CITY OF CALDWELL 1S HEREBY ADDED AS AN ADDITIONAL INSURED. e,FRTll:lr`ATF i.1rd nr-P [:AM(IFI I ISTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN THE CITY OF CALDWELL ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 1179 AUTHORIZE ESENTATIVE CALDWELL, ID 83606 Fax: Email: 01088-2016RD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of AC