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ABLEMAI-CL 13WATTS <br /> A <br /> DATE(MMODA-YYY, <br /> CERTIFICATE OF LIABILITY INSURANCE 0912612017 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms 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 Bach endorsements. <br /> PRODUCER C CT <br /> George Petersen Insurance Agency,Inc. nHc°,No,Ert:(707)625.4150 Ate, (707)526-4175 <br /> P.O.Box 3539 - l .lnfo@gpins.com <br /> Santa Rosa,CA 95402 <br /> INSURERLSI AFFORDING COVERAGE NAIC# <br /> INSURER A:State Compensation Insurance Fund 35076 <br /> INSURED INSURER B: <br /> Able Maintenance,Inc. INSURER C, <br /> 3224 Regional ParkwayINBURER D: <br /> Santa Rosa,CA 96403 INSURER E: <br /> INSURER F: <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 /> INSRTYPE OF INSURANCE ADDL BURR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE 7OCCUR DAMAGE TO RENTED <br /> PREMISES(Es ocoxnencel It <br /> MEDEXP An one etson <br /> PERSONALS ADVINJURY <br /> GENL AGGREGATE LIMIT�APPLIES PER: GENERAL AGGREGATE <br /> III <br /> POLICY jECT LOC PRODUCTS-COMPIOP AGG <br /> OTHER: S <br /> COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO BODILY INJURY Perperson) S <br /> AUTOS SCHEDULED <br /> SSWULNEEDo BODILY INJURY Per accident) S <br /> AUTOS ONLY AUTOS ONLY AO,'ER ent AMAGE S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESS UPS .MADE <br /> AGGREGATE <br /> DEC) I I RETENTIONS <br /> A WORKERS COMPENSATION <br /> X PER OTI+ <br /> AND EMPLOYERS'LIABILITY YIN 073219-17 1010112017 1010112019 1,000,000 <br /> ANY PROPRIETORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT <br /> QFFICfiunyJ AER EXCLUDED? F E.L 075EASE-EA EMPLOYE 1,000rOOO <br /> m eto N� <br /> R es,descdoe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS causeE.L.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may M attached It mom space Is mqulmd) <br /> RE: License#312844 <br /> Proof of Coverage <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Contractors State License Board ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 26000 <br /> Sacramento,CA 96826 <br /> AUTHORIZED\REPRESENTATIVE <br /> (3j. V U <br /> ACORD 25(2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />