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DATE(MM/DD/YYYY)
<br /> ACGRL® CERTIFICATE OF LIABILITY INSURANCE
<br /> �..---- 10/04/2023
<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 rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Matthew Terry
<br /> NAME:
<br /> Atlas Insurance Agency,Inc. PHONr o, Ext): (808)533-3222 (NC,No): (808)533-8777
<br /> 201 Merchant Street E-MAIL
<br /> ADDRESS:
<br /> Suite 1100 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Honolulu HI 96813INSURERA: RLI Insurance 13056.
<br /> INSUREDINSURER B: Contractors Bonding&Insurance Co. 37206
<br /> R.M.Towill Corporation&Kilohana Corporation INSURER C: Hawaii Employers Mutual Ins.Co.,Inc 00017
<br /> 2024 North King Street,Suite 200 INSURER D: XL Specialty Insurance Company 37885
<br /> INSURER E:
<br /> Honolulu 96819-3494 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 23-24 CCG23 1M/2M REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW`FTAVE 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 ADDL SUBR POLICY EFF POLICY EXP
<br /> TYPE OF INSURANCE
<br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $DAMAGE T1,000,000
<br /> RENTED
<br /> CLAIMS-MADE X OCCUR PREM SESO(Ea occurrence) $ 1,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> A PSB0010496 10/10/2023 10/10/2024PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY PRC LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> PRO-
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED PSA0003410 10/10/2023 10/10/2024 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY (Per accident)
<br /> X UMBRELLA LIAB X1,000,000 EACH OCCURRENCE $ 1,000,000
<br /> B EXCESS LIAB CLAIMS-MADE CKB0200208 10/10/2023 10/10/2024 AGGREGATE $ 2,000,000
<br /> DED RETENTION $ $
<br /> WORKERS COMPENSATION X STATUTE EORH
<br /> AND EMPLOYERS'LIABILITY Y/N 1,000,000
<br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE N/A WC0055190 06/30/2023 06/30/2024 E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Each Claim $1,000,000
<br /> Professional Liability
<br /> D DPR5018634 10/10/2023 10/10/2024 Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Proof of insurance certificate provided for coverages indicated.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> R.M.Towill Corporation&Kilohana Corporation ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 2024 North King Street,
<br /> AUTHORIZED REPRESENTATIVE
<br /> Suite 200
<br /> Honolulu HI 96819
<br /> I
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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