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�� CERTIFICATE OF LIABILITY INSURANCE DA9/30/2020 ) <br />ACORO® <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CT Shala Pearson <br />TLB Insurance Services <br />CA License #OB82095 <br />2358 Maritime Dr, Ste 100 <br />Elk Grove CA 95758 <br />INSURED <br />Walton Engineering, Inc. <br />P.O. Box 1025 <br />West Sacramento <br />COVERAGES <br />PHONE (916) 790-5863 aC No: (ase/ 3za-se42 <br />E-MAIL shala-pearson@leavitt.com <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURERA:Admiral Insurance Company 24856 <br />INS URERB:Travelers Property Casualty Company 36161 <br />INSURERC:State Comnesation Insurance Fund 35076 <br />CA 95691 �INSURERF: <br />CERTIFICATE NUMBER:20/21 Master Certificate <br />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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />EACH OCCURRENCE <br />$ 11 000 , 000 <br />DAMAGE TO <br />PREMISES EaENTED occurrence <br />$ 50 , 000 <br />X <br />Inc. Pollution Liability <br />FEIECC1358707 <br />3/6/2020 <br />3/6/2021 <br />MED EXP (Any one person) <br />$ 5,000 <br />X <br />Inc. Professional Liab. <br />PERSONAL &ADV INJURY <br />$ 11000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />POLICY [�X] PEO LOC <br />GENERAL AGGREGATE <br />$ 21000,000 <br />PRODUCTS - COMP/OPAGG <br />$ 21000,000 <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1 , 000 , 000 <br />BODILY INJURY (Per person) <br />$ <br />B <br />X ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />11101IL785302 <br />3/6/2020 <br />3/6/2021 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X X NOWOWNED <br />HIREDAUTOS AUTOS <br />Uninsured Motorist CombinedWre <br />$ 1,000,000 <br />UMBRELLALIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 10 000 000 <br />X <br />AGGREGATE <br />$ 10 000, 000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED <br />X <br />RETENTION $ 0 <br />FEIEXS1358807 <br />3/6/2020 <br />3/6/2021 <br />$ <br />WORKERS COMPENSATIONX <br />AND EMPLOYERS' LIABILITY YIN <br />PER <br />STATUTE <br />OTH- <br />ER <br />C <br />ANY PROPRIETOR/PARTNER/EXECUTIVE❑NIA <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />9113339 <br />10/01/2020 <br />10/1/2021 <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 11000,000 <br />DESCRIPTION OF OPERATIONS below <br />E. DISEASE - POLICY LIMIT <br />$ 1 000 000 <br />B <br />Inland Marine <br />6607KO04883 <br />3/6/2020 <br />3/6/2021 <br />LIMIT $300,000 <br />Leased/Rented/Borrowed <br />DEDUCTIBLE $2,500 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER <br />CANCELLATION <br />ACORD 25 (2014/01) <br />INS025 (201401) <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />To Whom it May Concern <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Evidence of Insurance <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />Shala Pearson/SHFRED ---- <br />ACORD 25 (2014/01) <br />INS025 (201401) <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />