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ABLEMAI-CL DWATTS <br />CERTIFICATE OF LIABILITY INSURANCE DA09/26/2017TE(MM/11117Y) <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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaln policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsemen s . <br />PRODUCER CONTACT <br />George Petersen Insurance Agency, Inc. PHONE l iA� Nol;{707} 525-4175 <br />P.O. Sox 3539 JAIC, No, Ert : 707! 5254150 <br />Santa Rosa, CA 95402 1 ;ni,o$es, info0_)Apins.conl <br />INSURED <br />Able Maintenance, Inc. <br />3224 Reglonai Parkway <br />Santa Rosa, CA 95403 <br />INSURERS ; <br />INSURER C <br />INSURER 0: <br />INSURER E: <br />INSURER F: <br />rfTVPRAfSPC r'=0TIVIr-ATI= L11IR IZO. . <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. NOTWTHSTAND ING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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 <br />LTIRI <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />I COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F—] OCCUR <br />I <br />I <br />EACH OCCURRENCE S <br />DAMAGE TO RENTED <br />MED EXP Any oneperson) S <br />PERSONAL & ADV INJURY s <br />GENL AGGREGATE LIMIT APPLIES PER: <br />POLICY 7 JR5- J LOC <br />ECT <br />OTHER: <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />S <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />SCHEDULED <br />AURTEO�SONLY AUTOSSy�NE❑ <br />AUTOS ONLY ASTOS ONLY <br />COMBINED SINGLE <br />BODILYINJURY Per rsOWNED <br />tn., <br />BRRODILYINJURY Peraccid <br />PPe0ecudan AMAGE S <br />UMBRELLAIAS I� OCCUR <br />EXCESS eCLAIMS-MADE I <br />I <br />OENCE S <br />AGGREGS <br />DEC RETENTIONS <br />A <br />WORKERS COMPENSATIONI <br />AND EMPLOYERS'LIABILITY YIN <br />ANY CERJMghl ORR EXCLUDED? <br />(�FFICER/M MgER EXCLUDE07 ❑ <br />la ndatery�n NHI <br />if yes, descrtbe under <br />DESCRIPTION OF OPERATIONS below <br />N f A <br />073219-17 <br />10/0112017 <br />70101/2018 <br />X PER I OTK <br />E.L EACH ACCIDENT 1,000,000 <br />I <br />E.L. DISEASE - EA EMPLOYEE] S 1,000,0DD <br />E.L. DISEASE -POLICY LIMIT 1,000,0OD <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, maybe attached N mole apace Is mo ulred) <br />RE: License # 312844 <br />Proof of Coverage <br />r PPTIFIrATC LJr11 hGR rA AIrFI I ATIr1N <br />AL;URD 25 (20161D3) U 19BU-2015 ACURD. CORPORATION, All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Contractors State License Board <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />PO Box 26000 <br />Sacramento, CA 95826 <br />AUTHORIZED REPRESENTATIVE <br />AL;URD 25 (20161D3) U 19BU-2015 ACURD. CORPORATION, All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />