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8ZSERVW1 KDULIN DATE IMM1DDfYYYY) ' CERTIFICATELIIl� I3/30/2021 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 tT .CT Laurie Graves - --- Inszone Insurance Services, LLC 816 636-0134 2721 Citrus Road �A/C No, Ext); {976) 603-4813 � inln, Ne): { ) Suite A Eori ; igravesr�inszDneins .com Rancho Cordova, CA 95742 INSURERIS) AFFORDING COVERAGE _ NAIC # INSURERA : AKIs Sur ius insurance GOIri alt INSURED INSURER B ; Infinity Select insurance Z:OmKfBn}� 20260 BZ Service Station Maintenance, Inc, INSURER c : Berkshire Hathaway Homestate Com panles 20044 P .O. Box 933 INSURER 0 : West Sacramento, CA 95691 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 ADDL SUBRi POLICY EFF POLICY EXPLTR LIMITS TYPE OF INSURANCE__ POLICY NUMBER I A X COMMERCIAL GENERAL LIABILITY - — �— j EACH OCCURRENCE 5 1 ,000 ,000 GLAIt.4S-MAGE X OCCUR EMP20001971 -02 2/15/2021 2/16/2022 DAMAGE ISO(EaE�c_cTgpn 5 ED 100'000 I MED EXP (Any oneperson) $ 90'000 PERSONAL & ADV INJURY $ 1 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 21000'000 POLICY u JECOT- D LOC PRODUCTS_COMP/OP AGG S-_ 21000 '000 OTHER : _ $ ',... COMBINED SINGLE LIMIT 110009000 B AUTOMOBILE LIABILITY Ea accident) $ X ANY AUTO 504-610144114.001 811912020 8/19/2021 BODILY INJURY (Per Berson) S__ OWNED I SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY Par acc dent S _— A�RTOS ONLY AUTOS ONLY PPeOr aIden1DAMAGE 5 1 , 000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 --- -- EXCESSLIAB CLAIMS-MADE AGGREGATE 5 _,,,_____ u DED RETENTION $ 5 C WORKERS COMPENSATION PfiSTATU7 ER 1 SAND EMPLOYERS` LIABILITY Y I N V9WC113488 10/27/2020 10127/2029 1 , 000 ,000 ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT=POLICY SppFFICER/M MB7 EXCLUDED? NIA 1 ,000,000 iMandatory in NH} E.L. DISEAYEE S fas: dasnbaunder 1 ,000,000 DESCRIPTION OF OPERATIONS beton, E. L: DISEAhd1T S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) Verification Of Insurance CERTIFICATE HOLDER �._ --- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 111 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Verification Of Insurance ACCORDANCE WITH THE POLICY PROVISIONS . AUTHORIZED REPRESENTATIVE . sxl{i� L ACORD 25 ( 2016/03) O 1988 .2015 ACORD CORPORATION . All rights reserved . The ACORD name and logo are registered marks of ACORD