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ABLEMAI-01 SFRUSHOUR �—'CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/27/2013 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 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 George Petersen Insurance Agency, Inc. P.O. Box 3539 Santa Rosa, CA 95402 CONTACT NAME: PHONE 1". N ;(800 236-9046 4179 No ; (707) 525-4175 ADDRESS: INSURERS AFFORDING COVERAGE NAIC p A INSURER A: Westchester Surplus Lines Insurance Co. INSURED INSURER B : Wausau Underwriters Insurance Able Maintenance Inc. INSURER C: American Fire & Casualty 3224 Regional Parkway Santa Rosa, CA 95403 INSURER D: State Compensation Ins. Fund INSURER E: INSURER F: PERSONAL & ADV INJURY $ 5,000,00 acv r�.�_�.....n � ecu i acs •:• � � ea ■ n+n _. a+s: flLINVI® 11V1®i®GR. 1 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. INSR LTR TYPE OF INSURANCE AM WVQ POLICY NUMBER POLICY EFF MPOMLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE ® OCCUR X Pollution & Profess. 622070800008 10/11/2012 10/11/2013 EACH OCCURRENCE $ 5,000,0001 PREMISES Ea occurrence $ 50,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 5,000,00 GENERAL AGGREGATE $ 5,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYFX JECI PRO LOC PRODUCTS - COMP/OP AGG $ 51000100 MOLD $ 11000100 B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED ASJZ91459057013 4/1/2013 4/1/2014 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS AUTOSWNED PROPERTY DAMAGE $ (PROPER C X UMBRELLA LIAR XtcUR EXCESS UAB IMS -MADE EUA1455094511 4/1/2013 4/1/2014 EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 DED RETENTION $ D WORMERS COMPENSATION AND EMPLOYERS° LIABILITY ANY FICPERIMEMBER/EXCLUD IE ECUTIVE Y--- NIA 9073219-13 10/1/2013 10/1/2014 WC STATU- OTH- X TORY IMITS ER E.L. EACH ACCIDENT $ 1,000,00 (Mandatory in If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Evidence of coverage Evidence Of Coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. '%2 k4&14%1 Uillftf-11147f'A I 11R. All rights reserved. The •-r name•