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SALEENG-01 NIKI CERTIFICATE OF LIABILITY INSURANCE F DATE(NSI1212/22013013YY) 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 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). PRODUCER (559)432-0222 NAME" DiBuduo&DeFendis Insurance Brokers, LLC PHONE- License#QE02096 _tAE.1C•No.Ertl: ___ arc Ne P.O.Box 5479 ADDRESS: Fresno,CA 93755-5479 INSURER(S)AFFORDING COVERAGENAIC 0 INSURER A:Travelers Indemnity Company 20427 i INSURED Salem Engineering Group, Inc. INSURER e:Travelers Property Casualty Company of America 25$74 j 4729 W.Jacquelyn Avenue INSURER C:Continental CasualtyCompany 20443 Fresno, CA 93722 } INSURER 0: _ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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, ILTR TYPE OF INSURANCE POLICY NUMBER td WDPOLICY E PMS Y LRA TS 1 GENERAL LIABILITY EACH OCURRENCE $C2,000,00 A X COMMERCIAL GENERAL LIABILITY X 6805C145194 12/1/2013 12/1/2014 9MISES Ea oo rents $ 300,00 CLAIMS-MADE I X I OCCUR MEDEXP(Anyoneperson) $ 5,00 PERSONAL$ADV INJURY $ 2,000,0 GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE L!MIT APPLIES PER: PRODUCTS-COMP_!O_P AGG $ 4,000,00 X POLICY X PRO- F-1 LOCJE $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _I Ea accident 1,000,0011) B XANY AUTO BA5C258662 12/1/2013 12/1/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident $ X IiIRLDAUTOS X NON•OWNFO PROPERDAMAGE AUTOS (PERACCIDENT} $ $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 4,000,00 B EXCESS LIAB CLAIMS-#tADE CUP5C26002A 12!112013 12/1/2014 AGGREGATE $ 4,000,00 DED_FX RETENTION 5 10,000 $ WORKERS COMPENSATION WC 5TATU- pTµ. AND EMPLOYERS LIABILITY YIN X T RY LI B ANY PROPRIFTOR/PARTNER/D(ECUTIVE❑ U83976TOBA13 12/112013 12/1/2014 E.L.EACH ACCIDENT $ 1,000,00 j OFFICERIMEMBER EXCLUDED? N/A (Mandatory M NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 I'yyes,describe under CR!PT1ON OF OPERATIONS below E.L,DISEASE-POLICYLIMtT $ 1,000,00 i DES I C Professional Liability MCH288364208 12/112013 12/112014 Each Claim $2,000,00 C Deductible-$75,000 IMCH288364208 12/112013 1211/2014 Aggregate $2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addtdonal Remarks Schodula,If more apace la required) I'Certificate Holder is named Additional Insured as respects General Liability per attached policy form CGD3810907; Primary/Non Contributory fPer Section B;Blanket Waiver of Subrogation Per Section C. Actual Certificate to be issued upon request from Insured i CERTIFICATE HOLDER CANCELLATION I ` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SAMPLE CERTIFICATE THE EXPIRAT0N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE l 1 1 ©1988-2010 ACORD CORPORATION. All rights roserved. i ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i