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A13LEMAI.CL W TTS. <br /> ACRINSURANCE <br /> DATE tM�lDavrm <br /> � CERTIFICATE OF LIABILITY ISU NCE ®8/2612o4T <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 CoaKifleats holder H an ADDITIONAL INSURED,the poliey(les)must have ADDITK3NAL INSURED provia lona or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies nM require an endorsement. A statement on <br /> this certificate does not confer rl fife to the certificate holder In Reu of such endoraar+en Se <br /> ACT <br /> PRODUCER _..,. _..... .... <br /> Petersen Insurance Agency,Inc. ,Ea,�(T0 626.,44&0 tM.N. (7071626-4176 <br /> 10MOV 3539 i It1$O rl$.Ct)tn <br /> Santa Rosa,CA 86402 <br /> INSURPRSIAPFDR_MNGCOVERAGE .. y � NAtCq •. <br /> I _ msuRER a:$t$te Cq nsedon insurance Fund 956076 <br /> IN <br /> SURED <br /> i <br /> Able Maintenance,Inc, <br /> 3224 Regional Parkway mom 0 <br /> Santa Rosa,CA Ill INSURER E t <br /> �eusuRER F: <br /> COVERAGES. CERTIFICATE.NUMBER:., REVISION NUMBER . . <br /> THIS IS TO CERTIFY THAT THE POUCIEB 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,SEEN REDUCED BY PAID CLAIMS, <br /> INIlI illUaRq POLICY NUMaER .. _PO LIMn8 <br /> TYPE OF INSURANCE ... ... <br /> CM ! EACH OCCURRENCE <br /> MC µ <br /> j CLAIMS44ADE OCCUR <br /> MED EXP°;Art!fXGltersottl T f.,T,_ <br /> PER80NPLA.ADVU Y <br /> I;GENERAL AGGREGATE <br /> j [XE LA �LIMITAPPLI UIS PER: <br /> POU�JEa All <br /> PR ODUOTS.CAIi1P.�PAGG .7 <br /> IOTl�R: f 1 �� ,S <br /> (± auroeaan,E LIABILITY SMILE LIMIT <br /> tE a <br /> ANY AUTO BODILY aA neer 4 <br /> S <br /> CHZWONLY ED Ii0D1LYd URY <br /> J "Par i... <br /> UTOS ONLY Ap'OTOS a� q �.^.._. <br /> A <br /> {—'UMBRELLALIAB I 'OCCUR i. ! BEACH RRENCE__:. 6' <br /> j EXCESS LIAR f7 CLAIMS-MADE R A '•••REQATE. ,LL ._.._._....._. <br /> DED (RETENTIONS 1 <br /> Aw QRKERSCOMPENSATION ` `.. .–�.:._ER <br /> 9 <br /> N PLOYERS'LIABILITY ` i 073219.17 10101!2017 10101/2015 E,L.EACHACCIOENr ,000, 0 <br /> 'ANY PROPRIETORIPARTNERM=UTNE - <br /> _.. <br /> ;QFFICERMENIBELtEXC.LUOEDT NWA! i :E:..l.OSEA�.EAEMPLOYE S <br /> I11Igg�yya��RdaD*ry M NIVV ! .. <br /> iDESCRIPTI OF AERATIONS bebw EL DISEASE•POLICY LIMIT, <br /> I <br /> DESCRIPTION OF 3PERASIONS I LOCATIONS I VEHICLES(ACORD 101,Addtlonal Remark*schedule,ri be a ti N mono*Pap Is nquind) <br /> RE: License 0 312844 <br /> Proof of Coverage <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHDULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN <br /> Contractors State License Board ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 26000 <br /> Sacramento,CA 86826 AUTHORILED REPRESENTAIM <br /> L— <br /> ACORD 26(2016/09) 9858.2016 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />