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• • <br /> �...,.,� ABLEMAI-CL HFA HY <br /> ,4c4aRo• CERTIFICATE OF LIABILITY INSURANCE <br /> MATE 03131 120 1 7 <br /> `...,�/ 03!3112017 <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 th9 certlfleate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such sndorsemerts <br /> PRODUCER ONTAC7 . <br /> George Peterson Insurance Agency,Inc. A?AEE >'0 5251_60 <br /> P.O.Box 3539 K-MAILAM No,EAet:1 � 07 626 175. <br /> Santa Rosa,CA 95402 0 -fn(O <br /> WIUF! R AFFORJIXIIG OVERAOI., 1. NAIC0 <br /> _ <br /> INSURER A.Homeland Insurance.Comma t ..of.N York '34452 <br /> INSURED I INSURER e:Nationaf:SurdtlT Corporation 21681 <br /> Able Maintenance,Inc. wsurleR.c:State.Compenentlon lrtsurance,Fund 136078 <br /> 3224 Regional Parkway INSURERoc <br /> Santa Rosa,CA 98403 I <br /> W SURER.E; <br /> WSURERF: ..... <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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 /> - --- ADD #UYR _._.... _ g, <br /> INSR i TYPE OF INSURANCE S POLICY NUMBER WVPIN' ,._- LIMITS <br /> LTR X COMMERCIALOENERALUABILITY i I ;l ,EACH OCCURRENCE !:5,.�._a__ <br /> CLAIMSMADE ❑X occus X 93-00-26-72-0002 1011112019 11011112017 <br /> r &IE# cu l � ,i 1 O,Olfb <br /> ' Pollution&Professl <br /> X� � .MED FJW{�rene,yFnon !�><_ $, <br /> I PERSONAL a ADV INJURY <br /> HEMI <br /> AGGR TE LIMIT AP ES PER: i [GENERAL AGGREGATE is _•. 8 <br /> i ou.00 <br /> p�p 0,DOO <br /> POLICY LX !ECT LOC I i PRODUCT&-CO_MPXW AG43, <br /> l <br /> 'WO—LD� f.. 0 <br /> rr <br /> OTHER: <br /> AUTOMOBI E UABIUTY <br /> X ANY AUTO ryryEEpp MZA80324618 04!01!2017 04MI12018I,BOOILY_INJURY�Q6 "ls. <br /> �AUTOSONLY �ACpUTryOpS��NEDp ' BODILY IWURY{ParaodT ',If <br /> I H NU7090NLV <br /> A ONLY _ .A er ocdd LiAGE .i <br /> I. s< <br /> UMBRELLA LLAB .. OCCUR 1 I I `EAR1 OCCURRENCE <br /> 1 EXCESS LIAR �.CWMS-MADE) I l AGGREGATE i <br /> OED RETENTION f •- . <br /> WORKERS COM PEN SATION .� X. ....1 .. I _.. <br /> AND EMPLOYERS'LW&LITY Y!N' -�-=-' -• <br /> ANY <br /> �CPRRO/PMRIIbE1TBOERpIPARTNER/EXECUTIVE lJi 9073219-16 i 10/01/2016 10/01/2017 EL FARM ACCIDENT ii 0, <br /> ane.&"InNHi CLUDED7 LJ N!A -- <br /> fyes 'EL DISEASE EA EMPLOYE <br /> I IDESGURIP'Tl under OF bylaw SE•POLICY 4MR <br /> ,Auto Excess Orfly xA So 5839 04[0112017 0410112018 4,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddlUeml Ramsrlu Schedule,may be anaehad N mom*Poe*Is mawndl <br /> RE:All Operations <br /> American Technologies,Inc.is additional Insured under general liability perform#OBENV OE 30102 11 8 OBENV GE 3D4 0211,attached.Primary Wording <br /> applies per form OBENV GE 319 02 11,attached. <br /> AUG 2 8 201' <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE H <br /> American Tachnolopies,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE r E_ L.p(ER,EP IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. !Mt��i I <br /> 210 Baywood Ave <br /> Orange,CA 82868 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016103) ®1888-2016 ACORD CORPORATION. All rights reserved: <br /> The ACORD name and logo are registered marks of ACORD <br /> I <br /> 1 <br />