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DATE(MMrDD/VYYY) CERTIFICATE OF LIABILITY INSURANCE 7/26/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR 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 REPRESENTATIVEDR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT:If the cartlflcateholder Is an ADDITIONALINSURED,the pollcy(lesoust be endorsed.If SUBROGATIONIS WANED,subject to the terms andconditionsof the policycertain policietmayrsquirsan endorsement.A statementon this certificatedoas not conferrights to the certificateholder In lieu of such endorsement(s). PRODUCER CONTREACT DINA ATHEY ISU INS SERV - BC ENV BROKERAGE PHONE FAX P/c.Na.EI): (916)939-1080 ,VC.No. (916)939-1085 1037 Suncast Ln Ste 103 E-MAIL ADDRESS' El Dorado Hills, CA 95762 INSURER(S)AFFORDING COVERAGE NAICe INSURERAr ADMIRAAL INSURANCE COMPANY 24856 INSURED MOORE TWINING ASSOCIATES, INC. INSURER EVANSTON INSURANCE COMPANY 35378 2527 FRESNO STREET INSURERCGreat American Ins. Co. of NY 22136 FRESNO, CA 93721 INSURERD 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. INSR ABEL SUER POLICY EFF POLICY EXP LTR TY P EOFINSURANCE INSD WVD INSPOLICY NUMBER (MWDD MMIDOM'VV LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f 5,000 000 CWMS-MADE �X OCCUR PREMISES Ea occurrence f 300 000 X CONT.POLLUTION MEDEXP(Any—Person) $ 5 000 A X X,C,U FEI-ECC-16904-05 7/27/18 7/27/19 PERSONAL&ADV INJURY s 5,000,000 GEN'L AGGREGATE^LIMIT APPLIES PER�: GENERAL AGGREGATE s 5,000,000 POLICY {l JEC I fI LOC PRODUCTS-COMPIOPAGG s 5,000,000 1111�� OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ccidam f ANYAUTO BODILY INJURY(Per person) f ALL OWNED SCHEDULED BODILY INJURY(Per eccidenl) f AUTOS AUTOS N0 OWNED PROPERTY DAMAGE f HIRED AUTOS gUTOS Par eccidenl f UMBRELLA LIAe OCCUR EACH OCCURRENCE f �_J EXCESS LIAR CWMSMADE AGGREGATE $ OED I I RETENTION f f WORKERS COMPENSATION PER OT1� ANDEMPLOYERS-LIABILITY STATUTE I ER YIN ANY PROPRIETOR/PARTNEWEXECUTIVE E.L.EACH ACCIDENT f OFFICER/MEMBER EXCLUDED? NIA (Mandatory.NH) E DISEASE-EA EMPLOYEE f If yea,d000r"order DESCRIPTION OFOPERATIONS below E.L.DISEASE-POLICY LIMIT f B E&O LIAB. MKLV7PL0003276 7/27/18 7/27/19 $5,000,000 OCCURRENCE CLAIMS MADE RETRO 10/5/1981 $5,000,000 AGGREGATE C PROPERTY MAC337911808 6/15/18 6/15/19 SPECIAL FORM INC. THEFT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule.may be adached it mare space IS reRuirM) CERTIFICATE HOLDER CANCELLATION -FOR INFORMATION ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD