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SALEENG-01 MHAMILTONGRAVES CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 11/2612019 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 CANTACT DiBuduo&DeFendis Insurance Brokers,LLC PHONE n ON o,Ext):{559 432-0222 P.O.Box 5479 FAX No):(559)431-7941 Fresno,CA 93755-5479 EMARIESSL A D ;. INSURERISI AFFORDING COVERAGE _ NAIC. INSURER.A:Valte For a Insurance Co 20508 INSURED INSURER a: Insurance Company 20494 Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289 4729 W.Jacquelyn Ave. INSURER D:American Casualty Com an of Reading PA 20427 Fresno,CA 93722 INSURER_E:Continental Casualty Company 20443 I 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 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 TYPE OF INSURANCE ADDL SUBRLTR — POLICY NUMBER POLICY EFF POLICY EXP LIMITS A )( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000+000 CLAIMS-MADE I -111 OCCUR X 6015893246 12101/2019 12/01/2020 DAMAGE TO 300,000 MED EXPO y one person) 15,000 -- ------- ERSONAL&ADV INJURY 2,000+000 _P GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 POLICY❑X �cPT F LOC PRODUCTS-COMP/OP AGG 4,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 d n X ANY AUTO 6045473729 12101/2019 12/01/2020 OWNED SCHEDULED BODILY INJURY Per verson $ AUTOS ONLY AUTOS BODILY INJURY Per accident _ HIRED NON-OWNED ROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per acc�denl .. $ C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 5+000,000 EXCESS LIAR CLAIMS-MADE 6015893232 12/01/2019 12/01/2020 AGGREGATE 5+000,000 DED X RETENTION$ 10,000 D WORKERS COMPENSATION Xr PER 9TH- AND EMPLOYERS'LIABILITY UTE IhR _ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 6020581635 r1210112019 12/01!2020 EL.EACH ACCIDENT 11000+000 MFFICER/MEMWgR EXCLUDED? N I A andatory In NH) If yyes,describe under E.L.DISEASE-EA EMPLOYE 1,000+000 DESCRIPTION OF OPERATIONS below I E.L DISEASE-POLICY LIMIT 11000,000 E Prof./Pollution Liab 1AAEH 591895527 12/01/2019 12/01/2020 Each Claim 2,000,000 E Prof./Pollution Liab EH591895527 12/01/2019 12/01/2020 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES LACORO 101,Additional Remarks Schedule,may be attached If more space is required) * Actual Certificate to be issued upon request Certificate Holder is named Additional Insured(including Ongoing&Completed Operations and Primary Non-Contributory Wonting)as respects General Liability per attached blanket policy form CNA75079XX(10-16). **Professional/Pollution Liability deductible per claim-$25,000 CERTIFICATE HOLDER CANCELLATION 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) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD