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ABLEMAI-01 SFRUSHOUR <br />,0'%CERTIFICATE OF LIABILITY INSURANCE <br />DATEIM/201 " <br />TYPE OF INSURANCE <br />9128/Z012 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the tenors and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />IDD <br />Gewge Petersen Insurance Agency, Inc. <br />PA. Box 8539 <br />Santa Rosa, CA 95402 <br />CONTACT <br />PHONE 707 525-4150 N, : 707 525.4175 <br />b4WL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NIYC 0 <br />P43URM A: Insurance Company of the West <br />INSURED <br />INSURER a <br />INSURERC: <br />Able Maintenance, Inc. <br />3224 Regional Parkway <br />Santa Rosa, CA 95403 <br />INSURER D: <br />INSURER F; <br />wauRER F <br />EACH OCCURRENCE S <br />V GRI IrP%'P%I C nusrocr%. REVISION NUMBER: <br />THIR LC TF1 (:I=Wn FV TWAT Tac Pru le'Ire nr IAICI IDA— I ,errn .1...,.,.,...r —_._..._..___ <br />.. r,r,rc DCG1\ Maury I u I nr Irvaulctu NAMtu Al3UVt FUR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />IDD <br />LIMITS <br />ENERAL LIANLITY <br />EACH OCCURRENCE S <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE 71 OCCUR <br />PREMISES Es oco m*noe S <br />MED EXP (Myons person) $ <br />PERSONAL 8 ADV INJURY E <br />GENERAL AGGREGATE S <br />GENL AGGREGATE LMR APPLIES PE Ft <br />POLICY PRO-JEGT 71 LOC <br />PRODUCTS • COMP/OP AGG S <br />$ <br />AUTOMOBILE <br />LWILnYBINED <br />S L tw T <br />(EAoccident) S <br />OWLY INJURY (PW person) S <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per acx,IdwQ $ <br />AUTOS AUTOS <br />NON-OHIRED AUTOS AUTOS ED <br />AUTOS <br />Pa ecd t $ <br />S <br />_ <br />UMBRELLA LIAR <br />OCCUR <br />EACH O(xl1RRENCE S <br />EXCESS LULB l�d <br />CLAIMS4AADE <br />AGGREGATE S <br />DED RETENTION <br />S <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LUBLITY YIN <br />ANY <br />0 ICERIME IXARTNERiXECUTNE F— <br />L._� <br />NIA <br />PL.500060304 <br />101112012 <br />10/112018 <br />X WC ST MTU• O R <br />E.L EACH ACCIDENT t 1,000,00 <br />(M��, In NHJ <br />rc yasdes�te under <br />DESCRIPTION OF OPERATIONS babes <br />E L DI6EASE • EA EMPLOY S 1,000,000 <br />E.L. DISEASE• POLICY LIMB 1 $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeach ACORD 101, Addtoonel Remrks SrhedL", N more span Is repaired) <br />License 9 912844 <br />Contractors State License Board <br />PO Box 26000 <br />Sacramento, CA 95626 <br />TION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORLMb REPRESENTATIVE <br />( k. <br />WO TYaB-2090 AGORD CORPORATION. A11 rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />