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DATE (MM/DD/YYYY)
<br /> AC"R" CERTIFICATE OF LIABILITY INSURANCE
<br /> Ems , / 1 5/5/2020
<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 certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed .
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME
<br /> Lynn Dalman
<br /> Newport Beach-Alliant Insurance Services , Inc. PHONE FAX
<br /> 1301 Dove St Ste 200 A/c No Ext): 949-660-5939 A/c No):
<br /> Newport Beach CA 92660 ADDRESS : LDalman@alliant.com
<br /> INSURERS AFFORDING COVERAGE NAIC #
<br /> INSURERA : Everest National Insurance Com 10120
<br /> INSURED BALAOUT-01 INSURER B : Everest National Insurance Com 10120
<br /> Balance Outsourcing LLC
<br /> 2800 N . Cherryland Ave INSURER C : Everest Indemnit Insurance Co 10851
<br /> Stockton CA 95215 INSURER D :
<br /> INSURER E :
<br /> INSURER F :
<br /> COVERAGES CERTIFICATE NUMBER : 717927006 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 /> INSR ADDLSUBRPOLICTYPE OF INSURANCE IVSD WVD POLICY NUMBER MM DDY/YYYY MMIDD EFF POLICY EXP
<br /> LTR LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY 91ML001757-201 1 /1 /2020 1 /1 /2021 EACH OCCURRENCE $ 1 ,000, 000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 200,000
<br /> MED EXP (Any one person) $ 10,000
<br /> PERSONAL & ADV INJURY $ 1 ,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000 ,000
<br /> X POLICY ❑ PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ 2,0001000
<br /> JECT
<br /> OTHER: ABUSE $ 1 ,000, 000
<br /> B AUTOMOBILE LIABILITY 91ML001757-201 1 /1 /2020 1 /1 /2021 COMBINEDEa accidentSINGLELIMIT $ 1 ,000, 000
<br /> _
<br /> ANY AUTO BODILY INJURY (Per person) $ '....
<br /> OWNED SCHEDULED BODILY INJURY (Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED XNON-OWNED PROPERTYDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> C UMBRELLA LIAB X OCCUR 91CUN00275-201 1 /1 /2020 1 /1 /2021 EACH OCCURRENCE $ 5,000 ,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 52000 ,000
<br /> DED I I RETENTION $ $
<br /> B WORKERS COMPENSATION RM1WC00024201 5/6/2020 5/1 /2021 X
<br /> PER OTH-
<br /> AND EMPLOYERS' LIABILITY Y / N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 ,000 ,000
<br /> OFFICER/MEMBEREXCLUDED? N / A
<br /> (Mandatory in NH) L.JE.L. DISEASE - EA EMPLOYEE $ 1 ,000 ,000
<br /> If yes, describe under
<br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,000,000
<br /> B ProfessionalLiab. 91ML001757-201 1 /1 /2020 1 /1 /2021 $1M/$2Mw/$5,000ded
<br /> B Crime 91CR000692-201 1 /1 /2020 1 /1 /2021 $2,500 Deductible 3,000,000
<br /> A Property 91CF001074-201 1 /1 /2020 1 /1 /2021 Building $1 ,000,000 BPP $2503000
<br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required)
<br /> Cyber Liability: Policy #CYB- 1005621 -00 ;
<br /> Effective date 04/08/2020-01 /01 /2021
<br /> Limit $ 1 , 000,000 ; Deductible $5, 000
<br /> Carrier Name: Hudson Excess Insurance Company
<br /> Certificate issued as proof of insurance . Alternate Employer Endorsement is included .
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS ,
<br /> Metal Finishing Solutions , Inc .
<br /> 1325 EI Pinal Drive , Suite 1
<br /> Stockton CA 95205 AUTHORIZED REPRESENTATIVE
<br /> /10
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