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SALEENG-01 Mill ,acoRo CERTIFICATE OF LIABILITY INSURANCE DATE,MM(D(YYYYY) 11/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE 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 have ADDITIONAL INSURED provisions or 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 License#OE02096 CN&NJACT DiBuduo&DeFendis Insurance Brokers,LLC PHONE 559 cnx P.O.Box 5479 INC,No.E.0 ( )432-0222 (Alc.No:(559)431-7941 Fresno,CA 93755-5479 MARESS IL INSURERS AFFORDING COVERAGE NAIL 0 INSURER A:Valley Forge Insurance Co 20508 INSURED INSURER B:Continental Casualty Company 20443 Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289 4729 W.Jacquelyn Ave. INSURER D:American Casual Company of Reading PA 20427 Fresno,CA 93722 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 CONTRACTOR 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 INSRDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS WVD POLICY NUMBER _ LM MIDp/YYYY tMMI°DlYWY) ._____ LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000.000 CLAIMS-MADE Fx1 OCCUR X 6015893246 12/01/2018 12101/2019 DAMAGE TO RENTED S 300,000 MED EXP JAny one rson $ 16,000 PERSONAL b ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 4,000,000 POLICY❑X JEO, DLOC PRODUCTS COMP/OPAGG S 4,000,000 OTHER S _ COM HINED SINGLE LIMIT $ 1,000,000 B AUTOMOBILE LIABILITY - X ANYAUTO 6045473729 12101/2018 12/01/2019 BODILY INJURY Per pe(son) S OWNED SCHEDULED AUTOS ONLY AUTOS BODIL Y INJURY Per accident S AXRREEQ� pN pyy p PROPERTY DAMAGE ONLY AUTOS ON V Ver acr.dent 5 C X�EB X OCCUR EACH OCCURRENCE S 5'000,000 CLAIMSMADE 015893232 12/0112018 12!01/2019 AGGREGATE S 5'000,000 ENTIONS 10,000 $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY TAT T V/N 020581635 12/01/2016 12!01/2019 1,000,000 ANY PROPRIETOR/EXCLU fi/EXECUTIVE ❑ E L EACH ACCIDENT S ��FFICER/MEMBER EXCLUDED? N/A (Mandatory n H) E L DISEASE-EA EMPLOYE 5 1'000'000 It s,descnbe under 1,000,000 DESCRIPTION OF OPERATIONS below_ ___ _ E L DISEASE-POLICY LIMIT S g Prof./Pollution Liab AEH591895527 12/01/2016 12/01/2019 Each Claim 2,000,000 B Prof./Pollution Liab AEH591895527 1210112018 12/01/2019 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached i,more apace is required) Actual Certificate to be issued upon request" Certificate Holder is named Additional Insured(including Completed Operations and Primary Non-Contributory Wording)as respects General Liability per attached blanket policy form CNA76079XX(10-16). Professional/Pollution Liability deductible per claim-$25,000 CERTIFICATE HOLDER -CANCELLATION.-- SHOULD ANCELLATION.__SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "SAMPLE CERTIFICATE" THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 601988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD