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ABLEMAI-CL DWATTS <br /> .ACORO- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 09/26/2017 <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 such endorsement(s). <br /> CONTACT <br /> PRODUCER A <br /> George Petersen Insurance Agency,Inc. jai°No,Ext:(707)525-4150 FAX,No:(707)525-4175 <br /> P.O.Box 3539 <br /> Santa Rosa,CA 95402 ERMAIL .info@gpins.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:State Compensation Insurance Fund 35076 <br /> INSURED INSURER B <br /> Able Maintenance,Inc. INSURERC: <br /> 3224 Regional Parkway INSURER D: <br /> Santa Rosa,CA 95403 <br /> INSURER E: JUN 04 2G2,;0� <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVI I E <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T AB ��¢¢��22 THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER gJ)F4TuTf�f}I�N11/ 'F?T19PECT 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR ICOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE F—]OCCURDAMAGES( a occurren <br /> MED EXP(Any oneperson) <br /> PERSONAL 8 ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY❑jpa F LOC PRODUCTS-COMPIOP AGG <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY Perperson) $ <br /> AUTOS ONLY SAUTOS CHEDULED BODILY <br /> BORDILY INJURY Per accident $ <br /> AUTOS ONLY AUTO ONLY PPeOacEciRdent AMAGE $ <br /> UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION$ <br /> A WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN 9073219-17 10/01/2017 10/01/2018 1,000,000 <br /> ANY PROPRIETORIPARTNER/EXECUTIVE F—] NIA/A E.L.EACH ACCIDENT <br /> OFFICER/MEMSE.R EXCLUDE[ 1,000,000 <br /> (Mandatory In NH) E .DISEASE-EA EMPLOYE <br /> If yes,describe under1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <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 95826 <br /> AUTHORIZED REPRESENTATIVE <br /> . <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />