Beruflich Dokumente
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Renewal of Number
*** RENEWAL CERTIFICATE ***
POLICY DECLARATIONS
United States Liability Insurance Company
1190 Devon Park Drive, Wayne, Pennsylvania 19087
No. SP 1558634B A Member Company of United States Liability Insurance Group
POLICY PERIOD: (MO. DAY YR.) From: 03/04/2017 To: 03/04/2018 12:01 A.M. STANDARD TIME AT YOUR
MAILING ADDRESS SHOWN ABOVE
PREMIUM
Specified Professions Professional Liability Errors And $2,313.00
Omissions Coverage Part
TOTAL: $2,313.00
Coverage Form(s) and Endorsement(s) made a part of this policy at time of issue
See Endorsement EOD (1/95)
Agent: COASTAL BROKERS INSURANCE (PLEASANTON, CA) (1064) Issued: 02/24/2017 12:56 PM
6602 Owens Drive, Suite 300
Pleasanton, CA 94588
Broker: NEK
By:
Authorized Representative
THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART DECLARATIONS,
COVERAGE PART COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF,
UPC (08-07) COMPLETE THE ABOVE NUMBERED POLICY.
EXTENSION OF DECLARATIONS
The following forms apply to the Specified Professions Professional Liability Errors And Omissions coverage
part
Endt# Revised Description of Endorsements
Endorsements marked with an asterisk (*) have been added to this policy or have a new edition date and are attached with this certificate.
EOD (01/95) All other terms and conditions remain unchanged. Page 1 of 1
SPECIFIED PROFESSIONS PROFESSIONAL LIABILITY ERRORS & OMISSIONS COVERAGE PART
DECLARATIONS
PLEASE READ YOUR POLICY CAREFULLY.
THIS IS A CLAIMS MADE POLICY COVERAGE FORM AND UNLESS OTHERWISE PROVIDED HEREIN, THE
COVERAGE OF THIS FORM IS LIMITED TO LIABILITY FOR CLAIMS FIRST MADE DURING THE POLICY
PERIOD, OR THE EXTENSION PERIOD, IF APPLICABLE. DEFENSE COSTS SHALL BE APPLIED AGAINST
THE DEDUCTIBLE.
ITEM VII. Coverage Form(s)/Part(s) and Endorsement(s) made a part of this policy at time of issue:
See Endorsement EOD (01/95)
ITEM VIII. Solely in the performance of Professional Services as a(n) Energy Consultant,
Green Building Consultant for others for a fee.
THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD.
In consideration of the premium, paid it is agreed that the Company shall not be liable to make any
payment for Loss or Claim Expenses in connection with any Claim made against any Insur ed based
upon, arising out of, directly resulting from, in consequence of, or in any way involving the rendering or
failure to render services as a(n):
All other terms and conditions of this policy remain unchanged. This endorsement is a part of the
Insur ed's Policy and takes effect on the effective date of the Insur ed's policy unless another effective date
is shown.