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ACC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) `..� 3 / 5 / 2019 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 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 CONNTA NAE: Shale Pearson Leavitt United Insurance Services , Inc . LPA t : ( 916 ) 790 - 5863 AIC No : ( 888 ) 329 - 8842 CA License # OJ02939 ADMDRIESS : shala - pearson@leavitt . com 2358 Maritime Dr , Ste 100 INSURERS AFFORDING COVERAGE NAIC # Elk Grove CA 95758 INSURERA :Admiral Insurance Company 24856 INSURED INSURERB :Travelers Insurance Company 19046 Walton Engineering , Inc . INSURERC :State Compensation Insurance Fund 35076 P . O . BOX 1025 INSURERD : INSURER E : West Sacramento CA 95691 1 INSURER F : COVERAGES CERTIFICATE NUMBER: 19 / 20 Master 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDD/YYYYI IMMIDDIYYYYILIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 A CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED 50 , 000 PREMISES Ea occurrence $ X Inc . Pollution Liability FEIECC1358706 3 / 6 / 2019 3 / 6 / 2020 MED EXP (Any one person) $ 51000 X Inc . Professional Liab . PERSONAL & ADV INJURY $ 11000 , 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 0001000 POLICY X JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: Products Completed $ 2 , 000 , 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000 , 000 Ea accident B XANY AUTO BODILY INJURY (Per person) $ 9 3 / 6 / 2020 (Per accident)ALL OWNED SCHEDULED 8106X992397 3 / 6 / 201BODILY INJURY Pident $ AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X Uninsured motorist combined $ 1 , 0001000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10 , 000 , 000 ........... A X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10 , 000 , 000 DED I X I RETENTION $ 0 FEIEXS1358806 3 / 6 / 2019 3 / 6 / 2020 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 11000 , 000 EXCLUDED? CLUDED? CN / A (Mandatory in NH) 9113339 10 / 1 / 2018 10 / 1/ 2019 E.L. DISEASE - EA EMPLOYE $ 11000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 11000 , 000 B Inland Marine QT6608K816207 3 / 6 / 2019 3 / 6 / 2020 Limit $ 300 , 000 Leased , Rented or Borrowed Deductible $ 2 , 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE To Whom it May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Shala Pearson / SHFRED © 1988-2014 ACORD CORPORATION . All rights reserved . ACORD 25 (2014/01 ) The ACORD name and logo are registered marks of ACORD INS025 (201401 )