Agency Info

Agency/Producer Ideal Choice Insurance Agency, Inc. Contact Marcus Boyd
Address 1233 Palm Avenue Phone 619-423-7172 / 877-739-0182
Address 2 Fax 619-374-2319
City, State Zip Imperial Beach, CA 91932 Email imperialbeachins@yahoo.com
Website http://www.idealchoiceinsurance.com

Insured & Certificate

Insured Atomic Bounce Certificate Number
Address 216 Front St. Revision Number
Address 2
City, State Zip York
Phone [5816]
Operations

Bounce House Rentals (Delivery & Setup)
A D
B E
C F

Workers Compensation

Work Carrier Letter Work Carrier Work Eff. Date Work Exp. Date
[4837] March 18, 2016 March 18, 2017
Work Policy Number
Each Accident 100,000 Disease – Each Employee 500,000
Disease – Policy Limit 100,000 Owners/Officers Excluded Owners/Officers Excluded
Statutory/Other Statutory Limits

Certificate Holder Entry Form

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