Velocity

Insured Information

Acme Roofing Solutions

John Doe

123 Test Avenue

Test City, CA 90000

(555) 987-6543


Date: 11/20/2025

Coverages

Commercial General Liability $4,735.01
Broker Fee $500.00
Total Cost $5,235.01

DEPOSIT:*

COMMERCIAL GENERAL LIABILITY

Insurance Carrier

Obsidian Specialty Insurance Company

Manuscript Occurrence

Desired Effective Dates

Proposed Effective Date: 11/25/2025
Proposed Expiration Date: 11/25/2026

General Liability Limits

$2,000,000 GENERAL AGGREGATE
$1,000,000 PER OCCURRENCE
$1,000,000 PRODUCTS / COMPLETED OPS
$1,000,000 PERSONAL / ADVERTISING INJURY
$50,000 FIRE DAMAGE TO PREMISES RENTED TO YOU
$5,000 MEDICAL PAYMENTS

Class Codes

Roofing (Repair Commercial) Roofing (Repair Residential)


*Subject to audit. Premiums are estimates based on information provided.

Document Approval

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Customer Information

Name John Doe Company Acme Roofing Solutions Email john.doe@testdata.com Phone (555) 987-6543

Documents Included

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