CERTIFICATE OF LIABILITY INSURANCE - Coverage Details - 08/11/2015

Sep 25, 2026

Uploaded by lilac

Certificate of Liability Insurance dated 08/11/2015 provides information regarding the policies issued for California Forensic Medical Group. The document states that it does not amend or extend coverage beyond the policies and does not create a contract between insurer and certificate holder. It lists general liability and automobile liability limits, policy numbers, effective and expiration dates, and includes an endorsement identifying additional insureds, including the County of Merced under specified conditions.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages15

Reading Time38 min

AccessFree to download

Coverages

General Liability

Automobile Liability

Prof. Liability and Operations/Locations

Certificate Holder

Cancellation

Endorsements

| CERTIFICATE OF LIABILITY INSURANCE | | DATE(MM/DD/YYYY)
08/11/2015 | | | --- | --- | --- | --- | | THIS CERTIFICATE IS ISSUED AS A MATTER QF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDR.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.EXTEND QR 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:Ii the cerificate holder is an ADDITIONALINSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may equire an endorsement.A statement on his certificate does not confer rights to the
certificate holder in lieu of such endorsement(s). | | | | | 1-888-845-2248
PRODuCER LIC \#005617
McSherzy &Hudson
160 West Santa Clara Street
Suite 715
San Jose,CA 95113 | CONTACT
NAME: | | | | | PHOME
FAX
408-550-2130
(AC,No):408-550-2119
(A/C.No,Ext); | | | | | E-MAIL
ADDRESS: | | | | | INSURER(S)AFFORDING COVERAGE | | NAIC\# | | | INSURERA:IRONSHORE SPECIALTY INS co | | 25445 | | INSURED
California Forensic Medical Group
2511 Garden Rd A160
Monterey,CA 93940 | INSURFR R·UNITED FINANCIAL CASUALTY CC | | 11770 | | | INSURERC:IRONSHORE SPECIALTY INS co. | | 25445 | | | INSURERD: | | | | | INSURERE: | | | | | INSURERF: | | | CERTIFICATE NUMBER:44770923 REVISION NUMBER: # cOVERAGES | 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 QR CONDITION OF ANY CONTRACT OR QTHER DOCUMENT WIH 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 OFINSURANCE | | | | | ADDL
INSR | SUBR
WYD | POLICY NUMBER | POLICYEFF
(MMDDIYYYY | POLICYEXP
(MM/DDYYYY) | LIMITS | | | A | GE
X
GE | NERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
X
oCCUR
CLAIMS-MADE
NL AGGREGATE LIMIT APPLIES PER:
Boi
POLICY
LOC | | | | x | | 001767402 | 08/26/15 | 08/26/16 | EACH OCCURRENCE | $2,000,000 | | | | | | | | | | | | | DAMAGE TORENTED
PREMISES (Ea occurrence) | $100,000 | | | | | | | | | | | | | MED EXP(Any one person) | $10,000 | | | | | | | | | | | | | PERSONAL&ADV INJURY | s2,000,000 | | | | | | | | | | | | | GENERAL AGGREGATE | s5,000,000 | | | | | | | | | | | | | PRODUCTS-COMP/OPAGG | s Included | | | | | | | | | | | | | | $ | | B | AU
x
x | TOMOBILE LIABILITY
ANY AUTO
SCHEDULED
ALLOWNED
AUTOS
AUTOS
NON-OWNED
HIRED AUTOS
x
AUTOS | | | | | | 02368394-2 | 08/26/15 | 08/26/16 | COMBINEDSINGIEI T
(Ea accident) | $2,000,000 | | | | | | | | | | | | | BODILY INJURY(Per person) | $ | | | | | | | | | | | | | BODILY INJURY(Per accident) | $ | | | | | | | | | | | | | PROPERTY DAMAGE
(Per accident) | $ | | | | | | | | | | | | | | $ | | | | UMBRELLA LIAB
EXCESS LIAB | | | oCCUR
CLAIMS-MADE | | | | | | EACH OCCURRENCE | $ | | | | | | | | | | | | | AGGREGATE | $ | | | | DED | RETENTIONS | | | | | | | | | $ | | | WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY
YIN
ANY P

FAQs

What is the purpose of the certificate and does it change coverage?

The certificate is issued for information only and does not confer rights. It does not affirmatively or negatively amend, extend, or alter coverage beyond the policies listed below, and it does not constitute a contract between the insurer(s) and certificate holder.

What policy period and limits are shown for the listed coverages?

The certificate shows effective dates of 08/26/2015 and expiration dates of 08/26/2016 for the listed policies. Limits include general liability with each-occurrence and aggregate amounts, and automobile liability with combined single limits and related categories where amounts are provided.

Are any parties named as additional insureds?

Yes. The document notes that if subrogation is waived and that certain parties must have the policy endorsed. It specifically states that the County of Merced and its officers, employees, and agents are named as additional insureds under the stated endorsement and conditions.

Sep 25, 2026

Uploaded by lilac