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r ® DATE(MM/DD/YYYY) ACOO o CERTIFICATE OF LIABILITY INSURANCE 9/30/2020 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 CONTACT NAME: Shala Pearson TLB Insurance Services PHONE (916) 790-5863 FAX tseel 329-8942 AIC No Ext• A/C,No CA License #OB82095 E-MAIL ADDRESS; Shala-pearson@leavitt.com 2358 Maritime Dr, Ste 100 INSURERS AFFORDING COVERAGE NAIC# Elk Grove CA 95758 INSURER A:Admiral Insurance Company 24856 INSURED INSURER B:Travelers Property, Casualty Company 36161 Walton Engineering, Inc. INSURERC:State Com esation Insurance Fund 35076 P.O. BOX 1025 INSURER D: INSURER E: West Sacramento CA 95691 INSURERF: COVERAGES CERTIFICATE NUMBER:20/21 Master Certificate 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 LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM/DD/YYYY X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TI A CLAIMS-MADE FOOCCUR PREMSES(EaEoccuDence $ 50,000 X Inc. Pollution Liability FEIECC1358707 3/6/2020 3/6/2021 MED EXP(Any one person) $ 5,000 X Inc. Professional Liab. PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY[K]JET LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS AUTOS 8108L785302 3/6/2020 3/6/2021 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOSX AUTOS Per accident Uninsured Motorist Combined Limit $ 1,000,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 A X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I X I RETENTION$ 0 FEIE.S 1358807 3/6/2020 3/6/2021 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE NIA O E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 021 (Mandatory in NH) 9113339 10/01/2020 10/1/2E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Inland Marine 6607KO04883 3/6/2020 3/6/2021 LIMIT $300,000 Leased/Rented/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. Evidence of Insurance AUTHORIZED REPRESENTATIVE Shala Pearson/SHFRED -- j ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i INS025(201401)