DATE (MM/DD/YYYY)
ACORD CERTIFICATE OF LIABILITY INSURANCE 2/28/2025
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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, 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 endorsement(s).
CONTACT
PRODUCER NAME:
PHONE FAX
Sterling Seacrest Pritchard, Inc. No Ext): 678-424-650
A/C No,
(AC,
0 (A/C, No):
2500 Cumberland Pkwy E-MAIL
ADDRESS:
Suite 400 NAIC #
Atlanta GA 30339 INSURER(S) AFFORDING COVERAGE
16535
License#: 70726 INSURER A: Zurich American Insurance Co
ROYAFOО-01
INSURED INSURER B: SOMPO
Royal Food Service Co., LLC INSURER C: SiriusPoint America Insurance Company
3720 Zip Industrial Boulevard 21121
INSURER D: Westchester Fire Insurance Co
Atlanta GA 30354
16449
INSURERE: Westfield Specialty Insurance Company
INSURERF:
REVISION NUMBER:
COVERAGES CERTIFICATE NUMBER: 859826373
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD
WHICH THIS
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
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.
POLICY EFF POLICY EXP LIMITS
INSR ADDL SUBR (MM/DD/YYYY
TYPE OF INSURANCE INSD WYp POLICY NUMBER (MM/DD/YYҮ
LTR
GLO 0081104-07 3/1/2025 3/1/2026 EACH OCCURRENCE $2,000,000
A X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES (Ea occurrence) $1,000,000
CLAIMS-MADE OCCUR
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $2,000,000
GENERAL AGGREGATE $4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS COMP/OP AGG $4,000,000
✗ POLICY PRO- LOC
-
$
OTHER: COMBINED SINGLE LIMIT
3/1/2026 $2,000,000
A AUTOMOBILE LIABILITY BAP 0081105-07 3/1/2025 (Ea accident)
BODILY INJURY (Per person) $
X ANY AUTO
OWNED SCHEDULED BODILY INJURY (Per accident) S
AUTOS ONLY
HIRE NONOWNED PROPERTY DAMAGE
(Per accident)
X AUTOS ONLY AUTOS ONLY
$
EXC30001522305 3/1/2025 3/1/2026 EACH OCCURRENCE $5,000,000
BX UMBRELLA LIAB OCCUR
AGGREGATE $
EXCESS LIAB CLAIMS-MADE
S
DED RETENTION$
A WORKERS COMPENSATION WC 0081103-07 3/1/2025 3/1/2026 XATUTE
AND EMPLOYERS' LIABILITY
Y/N E.L, EACH ACCIDENT $ 1,000,000
ANYPROPRIETOR/PARTNER/EXECUTIVE NNIA
LOFFICER/MEMBEREXCLUDED? EA EMPLOYEE $ 1,000,000
E.L. DISEASE -
(Mandatory in NH)
Iif describe under E.L. DISEASE -POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS below
2,500,000
TSX-001332-25 3/1/2025 3/1/2026 Each Occ/Agg
Excess $5M x $5M ($2.5M Sirus) Each Occ/Agg 2,500,000
Ω
Excess $5M x $5M ($2.5M West) G48698037 001 3/1/2025 3/1/2026 Each Occ/Agg 10,000.000
Excess $5M x $10M XSL-00005R7-03 3/1/2025 3/1/2026
space is required)
DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached if more
Excess Liability $1M x Primary Auto Lability, Policy Number: EXT30054681001, Carrier: Endurance American Insurance Company, Eff Date: 3/1/25 Exp
Date:
3/1/26, Each Occ/Agg $1,000,000
Excess $1M x $1M x Primary Auto Liability, Policy Number: LHA605367, Carrier: Landmark American Insurance, Eff Date: 3/1/25
Exp Date: 3/1/26, Each
Occ/Agg $1,000,000
Eff Date: 3/1/25 Exp Date: 3/1/26,
Excess $1M x $2M x Primary Auto Liability, Policy Number: SCT1516725, Carrier: Certain Underwriters at Lloyd's of London,
Each Occ/Agg $2,000,000
Excess $1M x $3M x Primary Auto Liability, Policy Number: USXTL0887025, Carrier: Upland Specialty Insurance
Company, Eff Date: 3/1/25 Exp Date: 3/1/26,
Each Occ/Agg $3,000,000
See Attached...
CANCELLATION
CERTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Dekalb County School District
1701 Mountain Industrial Blvd
AUTHORIZED REPRESENTATIVE
Stone Mountain, GA 30083
USA
Bath.Mlll
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