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CONFUST01C M A M SSEN <br /> ,acoRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 411. � 1 10/2112017 <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 /> ;EPRESENTATIVE 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 License#OD44424 NONEACT Meg Rasmussen, CISR <br /> Walter Mortensen Insurance/INSURICA PAHic°NE Ext:(661) 316-5165 cAX,No):(661}281 4992 <br /> Bak Sfield, le Highway,Suite 200 E-MAIL Me Rasmussen INSURICA.com <br /> Bakersfield,CA 93311 s : 9• <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:State Compensation Insurance Fund(California) 35076 <br /> INSURED INSURER B: <br /> Confidence UST Services,Inc. INSURERC: <br /> 16250 Meacham Road INSURERD: <br /> Bakersfield,CA 93314 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 IN DL SUER POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S <br /> CLAIMS-MADE ❑ OCCUR DAMAG ET Ea NTEED occurrence) $ <br /> MED EXP(Any oneperson) $ <br /> PERSONAL 8 ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY❑JECT F]LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> IN <br /> t <br /> ANY AUTO BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOSBODILYBODILY-INJURY Peraccidertl $ <br /> ATOS ONLY AUOTOS ONL� Pe0acciide DAMAGE $ <br /> $ <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ S <br /> A WORKERS COMPENSATION X PER E ER <br /> OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIIETO�RRIPARTNERlEXECUTIVE YIN NIA 130837117 11/01/2017 11/01/2018 E.LEACH ACCIDENT 1'000'000 <br /> andato/ry In NH)EXCLUDED? E.L.DISEASE-EA EMPLOYE 1'000'000 <br /> It yyes,describe under 1,000,000 <br /> DESCRIPTIONOFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) <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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE / <br /> � , /_/ <br /> ACORD 25(2016103) C 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />