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ISE-1 OP ID:BILL <br /> CER <br /> TIFICA NCE 07/12/2017 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO TI U N THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY END, EXTEN�DN A T GE AFFORDED BY THE POLICIES <br /> REPRESENTATIVE CERTIFICATE OR PRODUCER,AND THE CERT F CATE HOLDER CONSTITUTEES NOT 1� ( .CT BETWEEN THE ISSUING INSURERS}, AUTHORIZED <br /> IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,subject to <br /> the firms and condi of the policy,certain policies yreqi do ent. A statement on this certificated not confer rights to the <br /> certificateholder In lieu of such endo s. <br /> CER <br /> Brown&Brown Ins Svc of CA PHONE <br /> PO Box 200 9-465-8737 <br /> Stockton <br /> GraVon A 96201 AD IL ;b ohns bbstockton.com <br /> INSU $AFFORDING COVERAGE NAS# <br /> WSURER A:Admiral Insurance Company 124856 <br /> INSURED Kaiser Commercial Petroleum IuRER 3:Financial lndemni Co. <br /> G leer <br /> P.O.Bax Kaiser <br /> IusuR c_State Compensation ins Fund <br /> Linden,CA 95236 INSURER D: <br /> xa$uRER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 /> -.----- — <br /> TYPE OF INSURANCE NUM X LIMITS <br /> A X COMMERCm GENERAL uAsany ; EACH OCCURRENCE��$ 1,000,000 <br /> �� ESO R <br /> CLA E I^_1 OCCUR i FEIECC19673-03 06/08/2017 18 /SES(Ea«currersxl_+$ 50, <br /> 4 MED EXP(Any are ) $ 6,00 <br /> PERSONAL&ADV INJURY 1$ 1 1000.0014 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: i GEN/ ERAL AGGREGATE $ 2,666,004 <br /> X POLICY❑JEC71 LOC U_ 2,000,0011 <br /> OTHER: E <br /> Son. <br /> $ 110001M <br /> AUTOMOBILE UABR.nY COMBINED SINGLE LIMIT $ 1 <br /> i tEe BCCid �. _ —_.,_ ,000,001 <br /> B <br /> ANY AUTO CCFICR125949112 06/08/2097 06/09/2018 1 BODILY INJURY(Per person) $ <br /> ALL OWNED X .SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Pet accident) $ <br /> P OP '—� <br /> NON-OWNED <br /> ERTYDAMAGE <br /> ED $ <br /> X HIREo Auros X AUTOS �acddenl► <br /> 1 � <br /> U L" OCCUR EACH OCCURRENCE $ <br /> _ _. <br /> EXCESS LIAB H <br /> CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ S _. <br /> WORKERS COMPENSATION OTH- <br /> AND -- <br /> R <br /> C ANY PROPRIEORIPARTNERlEXEcunVE YIN <br /> 163976547 08/01/2017 08/01/2018!E.L.EACH ACCIDENT_ $ 1, , <br /> MBER E%CLUDE!" N l A <br /> (Ma In NMI E.L.DISEASE-EA EMPLOYE $If ncler <br /> 1, , <br /> DESCRIPTION OF OPERATIONS E.L.DISEASE-POLICY LIMIT $ 1,000, <br /> A. ,Professional Ltab _. iFEIECC19673-03 06/08/2017 O18 <br /> A Cont's Pollution FEIECC1967M3 08!08/2017106/08/2018 <br /> DIESCIMM OF OPERATIONS d LOCATIONS!VEHICLES(ACORD 141,AdWUWM Remuft Selliedule,may be aftacW If awn space is reqtd" <br /> License 8 859535 <br /> CERTIFICATE HOLDER CANCELLATION <br /> CSLB111 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Contractors State License THE EXPIRATION DATE THEREOF, N0710E WILL BE DELIVERED IN <br /> Board ACCORDANCE VWTH THE POLICY PROVISIONS. <br /> Workers Comp Unit AUTNo AmE <br /> P.O.Box 2e000 • <br /> Sacramento,CA 95826 Greg Williamson <br /> 1988-2014 AGORD RPORATION.All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />