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CERTIFICATE OF LIABILITY INSURANCE CATE `M" � 12/17/2018 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 CT PFS Insurance Group P c°No E■1 : 970 635-9400 AX 4848 Thompson Parkway Suite 200 ^� Arc, No : 970j 635-9401 Johnstown, CO 80634 . [nfo@mypfsinsurance.com INSURERIS) AFFORDING COVERAGE NAIC INSURER •Admiral insurance Comvany 24856 INSURED INSURER B • Ailmerica Financial Benefit Insurance Com an 41840 C G R S, Inc. & CA TESTCO, LLC INSURER c :Zurich American Insurance Co 16535 1301 Academy Ct SURERD : The Hanover Insurance Company 22292 Fort Collins, CO 80524 INSURERE : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION UMBER: 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. ILTRNSR TYPE OF INSURANCE ADDL SUER pOLICYNUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY I= wvnEACH OCCURRENCE E CE 100009000 CLAIMS-MADE FX OCCUR FEIaECC43290-05 3/1/2018 3/1/2019 DAMAGE 0 E 0 "� 602000 X Blanket Add'I Insd 5 000 MED EXP one person) � X Blanket Waiver 1 ,000,000 PERSONAL &ADV INJURY 'L AGGREGATELIMIT AP� GENERAL E 2,000,000 POLICY X PEECC7T LOC ODU - CO PIOPAGG S 21000,000 OTHER: I $ B AUTOMOBILE LIABILITY COMBINEDsWen SINGLE LIMIT 11000,000 X ANY AUTO g�� W4A232142 3/1/2018 311/2019 BODILY INJURY Per person) $ _ A�qTO��S ONLYNX AUTOo5WU�. �D BODILYINJURY Peraoddent £_ X �UTOS ONLY AC OS ONLY A0PPE a AMAGEX eanketAdd'IlnadBlan etWaNer A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1010001000 EXCESS LIAB CLAIMS-MADE FEI-EXS43291-05 3/1/2018 3/1/2019 AGGREGATE S 1000000000 DED X RETENTION $ 0 C WORKERS COMP ANDEMPLENSATION LIABILITY XPERrm OTH- OYERS' ANY P OPRIETORIPARTNERIEXECUTNE s C4632690-08 111/2019 1/1/2020 1 ,000,001 On NIA E EA CCIDE ,,YEA�n styyees describe under E DISEASE EA EMPLOYE 1! 1000,000 r_ DESGIRIPTIONOFOPE T NS be E.L. DISEASE - POLICY LIMIT 11000,000 D Leased/Rented Equip RH4A231842 3/1/2018 3/1/2019 $1 ,000 Deductible 200,000 A Pollution/Profession FEI-ECC-13290.05 3/1/2018 3/1/2019 Limit Per Claim 100001000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schaduto, may be atiaohad It more spaos is requtred) If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability. CERTIFICATE OLDE CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Valley Pacific Petroleum Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 162 Frank West Circle Stockton, CA 95206 AUTHORIZED ACORD 25 (2016103) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD