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ABLEMAI -CL HFAHY DATE (M / Y) CERTIFICATE OF LIABILITY INSURANCE 09126/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy( les ) must have ADDITIONAL INSURED provisions or be endorsed . If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements ). PRODUCER CO TACT George Petersen Insurance Agency, Inc. PA"Ic "No, Ext): (707) 525 -4150 (A/c, Ne): (707) 5264176 P . O . Box 3539 Em I info gpins .com Santa Rosa , CA 95402 INSURERS AFFORDING COVERA E NAIC N INSURER A : Homeland Insurance Company of New York 34452 INSURED INSURER B : West American Insurance Company 44393 Able Maintenance Inc . INSURER C : State Compensation Insurance Fund 35076 3224 Regional Parkway INSURER D : American Fire & Casualty Company 24066 Santa Rosa, CA 95403 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR TYPE OF INSURANCE INSD SUER VJVDPOLICY NUMBER POLI pY EFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 10 ,0000000 CLAIMS-MADE ® OCCUR 9340-26 .72-0003 10/11 /2017 10/11 /2018 PREMISES fEa DAMAGE TO RENcu D c $ 50,000 X PollutionMED EXP An one arson 50000 X Proffes -Claims Made PERSONAL & ADV INJURY $ 10,000 ,000 GEN'L AGGREGATE LRIMIT APPLIES PER: GENERAL AGGREGATE 100000'000 POLICY ❑X JEeT LOC PRODUCTS - COMP/OP AGG 1000001000 MOLD 11000,000 OTHER: B AUTOMOBILE LIABILITY COMBINdED SINGLE LIMIT $ 11000,000 X ANY AUTO BAW ( 19 ) 58661065 04/01 /2018 04/01 /2019 BODILY INJURY Per arson $ OWNED SCHEDULED AUTEO�S ONLY AUTOS SSWN BODILY INJURY Per accident $ AUTOS ONLY ATOS ONLY Pe�ecEciRdent AMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMSWADE AGGREGATE _ DED I I RETENTION $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN 9073219 -18 10/01 /2018 10/01 /2019 10000,000 ANY PRROPRIIETgO�R�IPARTNER/EXECUTIVE NIA E.L. EACH ACCIDENT Mandatory In NH) EXCLUDED? E.L. DISEASE - EA EMPLOYE $ 1 ,000,000 If as, describe under 1 ,0001000 DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ D Excess Auto Only ESA ( 19) 58661065 04/01 /2018 04/01 /2019 41000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space Is required) RE: Proof of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Able Maintenance, Inc , THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS , 3224 Regional Parkway Santa Rosa , CA 95403 AUTHORIZED REPRESENTATIVE , ACORD 25 (2016103 ) © 1988 -2015 ACORD CORPORATION . All rights reserved . The ACORD name and logo are registered marks of ACORD