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Ac' " CERTIFICATE OF LIABILITY INSURANCE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT:COVERAGE <br /> N THE CEOLDER. THIS 015onrYY) <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE AFFTHE POLICIES015 <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEISSUING:: AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the P: u:Kies)must be eI I:O wl tl. If SUBROGATION IS WAED,subject to <br /> the terms and contlitions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holtler in lieu of such endorsements. <br /> PRODUCER <br /> ISU INS SERV — BC ENV BROKERAGE reins°MEncr SU BC ENVIRO <br /> 1037 SUNCAST LN PHONE NMENTAL <br /> STE 103 916 939-1080 <br /> EL DORADO HILLS, CA 95762 E-MAIL wCNo (916)939-1085 <br /> ADORE S: <br /> INSURERS AFFORDING COVERAGE <br /> INSURER : ELAND INSU Ni <br /> CONFLUENCE ENVIRONMENTAL, INC. HOMRANCE CO OF NY 34452 <br /> 6821 8TH STREET INSURER B: AMERICAN FIRE AND CASUALTY <br /> RIO LINDA INURERC: STATE COMPENSATION INS, CO. 24066 <br /> CA 95673 FUND <br /> INSURER D 35076 <br /> NSURER E <br /> COVERAGES CERTIFICATE NUMBER: INSURE R F: <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 /> 11 <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH ONI NUMBER: <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 BYPAID CLAIMS. <br /> N q <br /> LTR TYPE OF INSURANCE <br /> GENERAL LIABILITY IN WVD POLICYNUMBER PO L ICY EFF POL <br /> nYYLIMITS I YEXP <br /> MM/pDY MM/DOII'VYY <br /> COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE g 1 OOO OOO <br /> CLAIMS-MADE ❑X OCCUR PREMI E Ea occurre ce <br /> A X CONTRACTORS POLL $ 50 000 <br /> 793-00-04-44-0003 1/01/15 1/01/16 PERSONAL a ADV INJURY s 1 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> X POLI Y PRO- s 2,000,000 <br /> LOC PRODUCTS-COMP/Op qGG 5 2 OOO OOO <br /> AUTOMOBILE LIABILITY <br /> X S <br /> ALL OWN COMBINED SINGLE LIMIT <br /> ALL OWNED Ea ccitlent , U,000 <br /> B AL405 AUTOS ULED BA 5152464 1/07/15 1/07/],6 BODILY INJURY(Perperson) § <br /> X HIREOAUTOS X NON-OWNED BODILY NJURY(Per accident) S <br /> AUTOS <br /> PROPERTY DAMAGE <br /> Peraoci air $ <br /> X UMBRELLA LIA8 X OCCUR S <br /> A EXCESS UAB culMs-MADE 793-00-04-45-0003 1/01/15 1/01/16 EACH OCCURRENCE § 4,000,000 <br /> D D RETENTION AGGREGATE y , <br /> WORKERS COMPENSATION <br /> AND EMPLOYERSLIABILITY ][ WCSTATU- <br /> ANY PROPRIETOMPARTNERIEXECUTIVE Y/N 1916919-20oTH- <br /> C OFFICER/MEMDER EXCLUDED? N/A 15 2/01/15 2/01/16 <br /> (Mandator,describe <br /> Ie NH) EL.EACH ACCIDENT $ 1,OOO,000 <br /> Kyes,RIPTI be Ostler <br /> DESCRIPTI NOF OPERATIONS below EL DISEASE-EA EMPLOYEE g ♦ , <br /> A PROFESSIONAL LIAB. 793-00-04-44-0003 1 eEDisEASE-PoucvuMlr 1,000,000 <br /> (CLAIMS MADE) /Ol/15 1/01/16 $ 1,000,000 OCCURRENCE <br /> E&O RETRO 01/01/08 $ 2,000,000 AGGREGATE <br /> DESCRIPTION OF OPERATIONS/LO_:SIONS/VEHICLES ;A la:h ACORD 101,Additional Remarks SCM1etlule,if more space is required) <br /> CE TIFICATE HOLDER <br /> —FOR INFORMATION ONLY— 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 /> J68-201 0 <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All rights reserved. <br />