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SALEENG-01 MHAMILTONGRAVES
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DO/YYYY)
<br /> 11!2612019
<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 /> License#OE02096
<br /> PRODUCER Co TRACT
<br /> DiBuduo&DeFendis Insurance Brokers,LLC PHHONE-- -_
<br /> P.O.Box 5479 A/c,No,Ext:(559)432-0222 No);(559)431-7941
<br /> Fresno,CA 93755-5479 E- Al
<br /> INSURERS AFFORDING COVERAGE NAIC it
<br /> _
<br /> INSURER A:Valley Forge Insurance Co 20508
<br /> INSURED INSURER B:Transportation Insurance Company _ I20494
<br /> Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289
<br /> 4729 W.Jacquelyn Ave. INSURER D:American Casualty Compaanv of Reading PA 20427
<br /> Fresno,CA 93722 INSURER E:Continental Casualty Company ___ 20443 _
<br /> _— INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ____J
<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 /> ILTRNSR TYPE OF INSURANCE AODL SUBR POLICY NUMBER POLICY EFF POLICY EXP
<br /> LIMITS
<br /> A �( COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE 2,000,000
<br /> CLAIMS-MADE I ^J OCCUR X 6015893246 12/01/2019 12/01/2020 DREM& 0 RENTED 300,000
<br /> -- MED EXP(Any one person) 15,000
<br /> PERSONAL&ADV INJURY 2,000,000
<br /> hEN`L AGGREGATE LIMIT APPLIES PER:
<br /> POLICY JEL�T LOC GENERAL AGGREGATE 4,000,000
<br /> PRODUCTS-COMP/OP AGG 4,000,000
<br /> OTHER:
<br /> B AUTOMOBILE LIABILITY COMBINdED SINGLE LIMIT ent 1,000,000
<br /> X ANY AUTO 6045473729 12101!2019 12/01/2020 BODILY INJURY Per arson
<br /> OWNED SCHEDULED ._ __.
<br /> AUTOS ONLY ONLY I
<br /> AUTOS 80DILY INJURY Per accident
<br /> AUTOS ONLY AUOTOS ONLY PROPERTY GE
<br /> Per accident
<br /> $
<br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE 6015893232 12/01/2019 12/01/2020 AGGREGATE 5,000,000
<br /> DED X RETENTION$ 10,000
<br /> D WORKERS COMPENSATION
<br /> AND EMPLOYERS'LIABILITY YIN X I PER DTH-
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE �I y ' 020581635 12/01/2019 12/0112020 110001000
<br /> QQF�FICER/MEEMBER EXCLUDED? I NIA E.L.EACH ACCIDENT
<br /> (yes,describe
<br /> pry M NH) E,L.DISEASE-EA EMPLOYE 1,000,000
<br /> If yes,DESCRIPTION
<br /> under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT
<br /> E Prof./Pollution Liab EH591895527 12/0112019'12/01/2020 Each Claim 2,000,000
<br /> E ProfJPoilution Liab EH591895527 12/01/2019 12/01/2020 Aggregate 4,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES LACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> "Actual Certificate to be issued upon request
<br /> Certificate Holder is named Additional Insured(including Ongoing&Completed Operations and Primary Non-Contributory Wording)as respects General
<br /> Liability per attached blanket policy form CNA75079XX(10-16).
<br /> '*Professional/Pollution Liability deductible per claim-$25,000
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> "SAMPLE CERTIFICATE" THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) C 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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