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RECEIVED CERTIFICATE OF LIABILITYINSURANCEDATE(MM/DD/YYYY) F11/20/2015 E%r R F2T MALUM AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES B L ATE 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(ies) must 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 endorsement(s). PRODUCER CONTACT NAME' ISU INS SERV - BC ENV BROKERAGE PHONE (916) 939-1080 FAX o) 939-1085 1037 Suncast In Ste 103 E-MAIL E1 Dorado Hills, CA 95762 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA WESTCHESTER SURP LINES INS CO. 10172 INSURED ECO-CHEK COMPLIANCE, INC INSURERS OHIO SECURITY INS. COMPANY 24082 P.O. BOX 1394 INSURERC'STATE COMPENSATION INSURANCE FUND 35076 LAFAYETTE, CA 94549 INSURER D: 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. INSRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD wvD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1000 000 CLAIMS-MADEM OCCUR PREMISES Ea occurrence S 50 000 X CONT. POLLUTION G2790354A 001 09/17/1509/17/16 MED EXP An one person) S 5,000 A PERSONAL B ADV INJURY s 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL. AGGREGATE 5 2,000,000 X POLICY D JET [D LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlent 5 1,000,000 ANYAUTO BODILY INJURY(Per person) s ALL OWNEDSCHEDULED BAS(16) 56257604 09/23/1509/23/16 AUTOSAUTOS BODILY INJURY(Per accident) s X NON-OWNED PROPERTY DAMAGE HIRED AUTOS X AUTOS Per accident Is $ UMBRELLA LIAB OCCUR EACH OCCURRENCE s EXCESS LIAB CLAIMS-MADE AGGREGATE s D RETENTIONS s WORKERS COMPENSATION X PER 0TH- AND EMPLOYERS'LIABILITY - STATUTEI I ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 1942346-2015 12/01/1512/01/16 E.L EACH ACCIDENT s 1,000,000 C OFFICER MEMBER EXCLUDED? N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE s r r 000 If yes,describe under 1 0 0 0 0 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S r , 00 A E&O LIAB. G2790354A 001 09/17/1509/17/16 $1,000,000 OCCURRENCE CLAIMS MADE RETRO: 9/17/10 $2,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) 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 R NTATI�V� ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD