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CGRSINC-01 LP TT '4`�RO CERTIFICATE OF LIABILITY INSURANCE DATE 12 17/2018 ) 12/17/2018 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 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 C TACT PFS Insurance Group PHONE FAX 4848 Thompson Parkway Suite 200 (A/C,No,Ext):(970)635-9400 (A/C,No):(970)635-9401 Johnstown,CO 80534 Ep AIL .info@mypfsinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Admiral Insurance Company 24856 INSURED INSURER a:Allmerica Financial Benefit Insurance Company 41840 C G R S,Inc.&CA TESTCO,LLC INSURER C:Zurich American Insurance Co 16535 1301 Academy Ct INSURER D:The Hanover Insurance Company 22292 Fort Collins,CO 80524 INSURER E: 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 ADD,SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR FEI-ECC-13290-05 3/1/2018 3/1/2019 DAMAGE TO RENTEDPREMISES(Ea E 50,000 X Blanket Add'I Insd MED EXP(Any one rson 5,000 X Blanket Waiver PERSONAL 6 ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑X ippa ❑ LOC PRODUCTS-COMP/OP AGG $ 21000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ntl $ 1,000,000 X ANY AUTO AW4A232142 3/1/2018 3/1/2019 BODILY INJURY Per arson $ OWNED SCHEDULED AUTOS ONLY AUTOS SSWNED BODILY INJURY Per accident $ X AUTOS ONLY X ATOS ONLY PROPERTY acEciiidentDAMAGE $ X Blanket Add'I lnsd X Blanket Waiver E A X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAR CLAIMS-MADE FEI-EXS-13291-05 3/1/2018 3/1/2019 AGGREGATE 10'000'000 DED I X I RETENTION$ 0 $ C WORKERS COMPENSATION XF;P;E;RTTE OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE Y❑ C4632690-08 1/112019 1/1/2020 1,000,000 OFFICERIMEMBER EXCLUDED? NIA E_L EACH ACCIDENT E (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 It yes,describe under 1,000,ODU DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E D Leased/Rented Equip RH4A231842 3/1/2018 3/1/2019 $1,000 Deductible 200,000 A Pollution/Profession FEI-ECC-13290-05 3/1/2018 3/1/2019 Limit Per Claim 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 707,Additional Remarks Schedule,may to attached if more space Is required) If required by written contract,the Certificate Holder is included as Additional Insured for ongoing operations under General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Valle Pacific Petroleum Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Valley ACCORDANCE WITH THE POLICY PROVISIONS. 152 Frank West Circle Stockton,CA 95206 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD