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SALEENG-01 MHAMILTONGRAVES � ® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDONYYY) 11/26!2419 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 CA ACT Dil3uduo&DeFendis Insurance Brokers,LLC NA FAX P.O.Box 5479 (AJC, No,Ext):(559 432-0222 MAIC,N7, (559)431-7941 Fresno,CA 93755-5479 ADbRES5 INSURER(Sl AFFORDING COVERAGE _ NAIC III INSURER A:Valley Forge Insurance Co 20508 INSURED INSURER B:Transportation Insurance Company 20494 Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289 Fres o, Jacquelyn Ave. INSURER D:American Casualty Company of Reading PA 20427 Fresno,CA 93722 wsuRER E:Continental Casualty COrn an 20443 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. ILTR NSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE i OCCUR 6015893246 12/01/2019 12/01/2020 DAMAGES RENTED NT ED300,000 MED EXP An one person) 15,000 -- ----- PERSONAL&ADV INJURY 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 41000+000 POLICY❑X �� LOC PRODUCTS-COMP/OP AGG 4,000,000 OTHER: B AUTOMOBILE LIABILITY COM81 QED SINGLE LIMITIE 1,000,000 JX ANY AUTO 6045473729 12/01/2019 12/01/2020 BODILY INJURY Per erson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident HIRED NON-OWNED ROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accadent $ C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S,000,OOO EXCESS LIAR CLAIMS-MADE 6015893232 12101/2019 12/01/2020 AGGREGATE 5,000,000 DED X RETENTION$ 10,000 D WORKERS COMPENSATION X PER OTTH- AND EMPLOYERS'LIABILITY 6020581635 12/01/2019 12/01/2020 ANY PROPRIETOR/PARTNE R/EXECUTIVE Y� N 1 A I E.L.EACH ACCIDENT QFFICERIMEMBER EXCLUDED? 1+000+000 (Mandatoryn H) E.L.DISEASE-EA EMPLOYE 1,000+000 If yes,describe under _ _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1+000,000 E Prof./Pollution Liab EH591895527 12/01/2019 12/01/2020 Each Claim 2,000,000 E Prof./Pollution Liab AEH591895527 12/01/2019 12/01/2020 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES LACORD 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 Wording)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 ESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD