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ACCPREP 0 CERTIFICATE OF LIABILITY INSURANCE /1kon...---- DATE (MM/DD/YYYY) 01/19/2021 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the po icy, 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 Michael Ehrenfeld Company Insurance Agents An Acrisure Agency CA 0K07568 2655 Camino Del Rio North #200 San Diego CA 92108 CONTACT Anthony Katzdorn NAME: (619) 683-9990 FAX (619) 683-9999 PHONE Est): , No): (A/C E-MAIL ADDRESS: akatzdorn@ehrenfeldinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Admiral Insurance Company 24856 INSURED David B Hogan, DBA: Baja Exploration 1915 Commercial Street Escondido CA 92029 INSURER B: California Automobile Insurance Co 38342 INSURER C: Security National Insurance Company 33120 INSURER D : INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 All Liab (copy) 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y FEIECC1688507 07/26/2020 07/26/2021 EACH OCCURRENCE 5,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 50,0 00 $ CLAIMS-MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY 0 0 $ 5, 0,000 GENERAL AGGREGATE 5 000 000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES 78-F PER: LOC PRODUCTS - COMP/OP AGG 0 0 $ 5, CO00 Professional Liability $ $2,000,000 B _ X _ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED ONLY — *se —• ......., 0".. _ SCHEDULED AUTOS NON-OWNED AUTOS ONLY BA040000062393* 10/05/2020 10/05/2021 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ — UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ $ CEO RETENTION $ ‘-, `-' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEPJMEMBER EXCLUDED? (Mandatory in NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below Y / N Y N / A SWC1300168 07/15/2020 07/15/2021 X PER OTH- ER E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEE 1 0 00 ,0 $ CO E.L. DISEASE - POLICY LIMIT 1,0CO 0 00 $ A Pollution Liability $5,000 Deductible FEIECC1688507 07/26/2020 07/26/2021 Each Occurrence Aggregate $5,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: BSK Project #E2100201B, BRP Cascade BESS Geotech Investigation, geotechnical drilling 8 borings to 4-30 feet at 2482 Carpenter Road, Stockton, CA. BSK Associates is included as Additional Insured, as indicated above. Endorsements only apply as required by written contract. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BSK Associates ACCORDANCE WITH THE POLICY PROVISIONS. 3140 Gold Camp Drive AUTHORIZED REPRESENTATIVE Suite 160 Rancho Cordova I CA 95670 -1 -7- /4,....-- © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD