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DATE (1/MIDWYYY) 9128t2020 CFR `trtFtC �►TE OF LIABILITY tSUf� i� C _ _ �- _— CATE HOLDER. THIS —_ THIS CERTIFICATE IS ISSUED AS A MATTER OF NEGATIVELY AMEND ,71TO E T CONTRA NLY AND C7 BO WEEN H OISSU NG 1NSUE -SER(S ), AUTHORIZED CERTIFICATE DOES NOT AFFIRMATIVELY NSURANC0 DOE5 N07LCONS71TU EXTEND OR ALTER THE COVERAGE AFFORD p BY THE POLICIES BELOW. THIS CERTIFICATE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLD -- rovF -- - — — u" �~�rTent. A statement on -I—"— f otic certain policies may req ue an endorse IMPORTANT It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED p =dons or be endorsed . if SUBROGATION IS WAIVED, subject to the terms and conditions of the p Y� — - - - — _ — CONTACT _ this crate does not confer Fights to the certificate holder In lieu of such 'Edorsement(s). — — RonvcER PHONE — 707 525-4150 — FIAIc, ^ N ;(707) 5254175 (AJC, No. Ems). (�_) .— eorgye Petersen Insurance Agency, Inc . MAIL info@gnins . com -- __ � .. goX 3539 ADDRESS: ansa Rosa , CA 95402 INSURERjS AFFORDING COVERAGE -� NAICN ---- — — INSURER A • Homeland Insurance Company �iJN1w.l York 34452 _ 44393 — — y INSURE B : West American Insurance Compan r� IsuRED INSURER c - State Compensation . lnsurance Fund 3507 .. Able Maintenance Inc. INsuRERD : American Fire 8 Casualty Cofany 240fi6 3224 Regional Parkway INSURER E : J ` Santa Rosa , CA 95403 INSURER F REVISION NUMBEiz;jt OVERAG SE — _ CERTIFICATE NUMBER: — - -- -- ^ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F � FiFC ALOTHE CHTHI INDICATED. NOTINITHSTAtJTHE ANY REQUIREMENT , TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wl7H R� � pFCT 70 WHICHTHIS TERMSP CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED 8Y pUHLEcPOfFCIE oDESCRIBED HEREIN IS SUB >►� sntos — _ .,� EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PM'D'CCLAIM . _ _ DDL SUBR POLICY NUMBER 119mm2 YYYV�.- -1—=DmW -- 10,000,000 SR TYPE OF INSURANCE IN.LD_. Y�V ' �� — EACH OCCURRENCE $ _- rrr DAMAGETORENTED --- -- KO1000 IN X COMMERCIAL GENERAL LIABILIRY 93-t) 0-26 72•pDO6 10/11 /2020 10/11 /2021 PREMISES )Ea occurten F � .. CLAIMS-MADE ® OCCUR 53000 JJ MED EXP Any one erson 5 __,. X Pollution 8 10,000,000 Professi PERSONAL & ADV INJURY q ---- -- GENERAL 10 OD0,000 AGGREGATE � g — ._ -- — T07000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS , COMPIOPA< - 6 g _ POLICY Ess LOC MOLD SEE REMAR #-{ $ 1 ,000,000 COMBINED SINGLE LIid17 — 1 ,000,000 .___...- 3 AUTOMOBILE LIABILITYBAV+/ (21 ) 58661065 41112020 4/1 /2021 BODILY INJURY JPeJ t%9fs0 .--� ) M' AU70 BODILY X AOWNED f SCHEDULED PROPERTY DAMAGE _ U705 ONLY _ AUTOS HIRED { NJTONOS ONLY q AU70S ONLY ---- ---`�"- EACH OCCURRENCE UMBRELLA LIAR OCCUR AGGREGATE EXCESS LIAD CLAIMS-MADE -- OT1-t_ DED RETENTION $ X STATUTE ER _ D R - - — 10/1 /2020 101112021 1 000,000 WORKERS CDMPENSA1iON YIN 9073219-20 E L EACH ACGIDE N7 �— q AND EMPLOYERS' LIABILITY 1 pDD,ODO ANY PROPRIETOFUPARTNEWEX ECU7IVE I—I N f A E-1-4 DISEASE -.EA EMPLOYE t OFFiCEFUMEMBER EXCLUDED . 150003000 (Mandatory in NH) _ E.L. DISEASE - POLICY U" J -T 3 11 yes, describe under -- - —` 41112020 411/2021 Aggregate 4 ,000,000 DESCRIP7JON OF OPERATIONS below - ESA (21 ) 58661065 j Excess AU1o1WC onlonly be attached if more space is require )RD TBS, Additional Remarks Sc d) 2SCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES tAChedule, may Proof of Coverage _ — — — — CANCELLATION ERTIFICATE HOLDER _ _ —` — - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- Able Maintenance, Inc , 3224 Regional Parkway Santa Rosa , CA 95403 AUTHORIZED REPRESENTATIVE — _- - — ' All rights reserved . — - - — © 1988-2015 ACORD CORPORATION , CORD 25 (2016103 ) isterecl marks of ACORD The ACORD name and Togo are reg