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SALEENG-01 MMA2 CERTIFICATE OF LIABILITY INSURANCE F TE DA12/01/01//20172017 Y) 1 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER DiBuduo & DeFendis Insurance Brokers, LLC PHONE FAX P.O. Box 5476 A/c, No, Ext): (559) 432-0222 A/c, No):(558) 431-7941 Fresno, CA 93755-5479 INSURED Salem Engineering Group, Inc. 4729 W. Jacquelyn Ave. Fresno, CA 93722 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE a OCCUR X 6015893246 12/01/2017 12/01/2018 DAMAGE TO RENTED occurrence)$ 300,000 PRE MISES MED EXP (Any oneperson) $ 15,000 PERSONAL & ADV INJURY 2'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � J LOC GENERAL AGGREGATE $ 4'000'000 PRODUCTS-COMP/OP AGG $ 4'000'000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea denfiX ANY AUTO 6045473729 12/01/2017 12/01/2018 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY ALITNOpSWNEp BODILY INJURY Per accident AUTOS ONLY AUTOS ONLY PeOrGt AMAGE $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5'000'000 AGGREGATE $ 5'000'000 EXCESS LIAB CLAIMS -MADE 6015883232 12/01/2017 12/01/2018 DED X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN (Mandat0 YgMNI ) EXCLUDED? l� �I N/A 6020581635 12/01/2017 12/01/2018 X PER T OTH- E.L. EACH ACCIDENT $ 1'000'000 E.L. DISEASE - EA EMPLOYEE 111 1,000,000 It es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 D Prof./Pollution Llab EH591895527 12/01/2017 12/01/2018 Each Claim 2,000,000 D Prof./Pollution Liab AEH591895527 12/01/2017 12/01/2018 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLESACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate Holder is named Additional Insured (including Completed Operations andPrimaryNon-Contributory Wording) as respects General Liability per attached blanket policy form CNA75079XX (1.15). Professional/Pollution Liability deductible per claim - $35,000 Actual Certificate to be issued upon request J CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE " SAMPLE CERTIFICATE " THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD