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<br /> ACORO
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(M MIDDM'YY)12/01/2017
<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(ies)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 /> PRODUCER
<br /> License#OE02096 CONMTA
<br /> NAE:CT
<br /> DiBuduo 8 DeFendis Insurance Brokers,LLCFAX
<br /> PHONE
<br /> P.O.Box 5479 (A/c,No,Ext):(559)432-0222 A/c,No):(559)431-7941
<br /> Fresno,CA 93755-5479 AD RE :
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSUREIRANalley Forge Insurance Co 20508
<br /> INSURED INSURER B:Continental Insurance Company 35289
<br /> Salem Engineering Group,Inc. INSURERC:American Casualty Company of Reading PA 20427
<br /> 4729 W.Jacquelyn Ave. INSURER D:Continental Casualty Company 20443
<br /> Fresno,CA 93722
<br /> 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTRSD MID
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE FX OCCUR X 6015893246 12/01/2017 12/01/2018 DAMAGE TO RENTED nce $ 300,000
<br /> P I me
<br /> MED EXP(Anyoneperson) $ 15,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY[j�]jEe F]LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000 OQQ
<br /> X ANY AUTO 6045473729 12/01/2017 12/01/2018 BODILY INJURY Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOSSWN BODILY INJURY Per accident $
<br /> AUTOS ONLY AUOTOS ONLDY PPerOaoclRdent AMAGE $
<br /> B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5, 00,000
<br /> EXCESS LIAB CLAIMS-MADE 6015893232 12/01/2017 12/01/2018 AGGREGATE $ 5,000,000
<br /> DEO I X I RETENTION$ 10,000
<br /> C WORKERS COMPENSATION X STA UTE ER
<br /> PER OTH-
<br /> AND EMPLOYERS'LIABILITY 6020581635 12/01/2017 12/01/2018 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A 1,000,000
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Prof./Pollution Liab AEH591895527 12/01/2017 12/01/2018 Each Claim 2,000,000
<br /> D Prof./Pollution Liab AEH691895527 12/01/2017 12/01/2018 Aggregate 4,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Certificate Holder is named Additional Insured(Including Completed Operations and Primary Non-Contributory Wording)as respects General Liability per
<br /> attached blanket policy form CNA75079XX(1-15).
<br /> Professional/Pollution Liability deductible per claim-$35,000
<br /> Actual Certificate to be issued upon request
<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 /> "SAMPLE CERTIFICATE" ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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