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A C C)RE, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 REP RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDMONAL INSURED provisions or be endorsed. If SL BROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this :ertificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ALLIED COMMERCIAL INS SERVICES PO Box 1392 San L uis Obispo, CA 93406 0E57798 CONTACT NAME: W PHONE C No Ext): (805)783-2111 FAX pvc . No)- (805)783-2113 E-MAIL ADDRESS- MIOPOZ@alliedci.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : AmTrust Insurance Company INSUREE Living Water Well Drilling T2 Construction 2475 Dunn Rd Merced, CA 95340 INSURERS: Wesco Insurance Company INSURER C: State Compensation Insurance Fund INSURER 0: Great American Insurance Company INSURER E : INSURER F: COVERAGES CERTIFICATE 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 CER1IFICATE 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMM/DD/MYI POLICY EXP IMM/DD/YTYY) LIMITS X COMMERCIAL GENERAL [X LIABILITY OCCUR NA114529205 01/15/21 01/15/22 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 GENT 7 1 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: —7 1 POLICY PRO- JECT L LOC OTHER- GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGO $ 2,000,000 s B _ rVe ,s AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS '.4,/ i NON-OWNED "N i AUTOS ONLY , WPP187061800 08/01/20 08/01/21 COMBINED SINGLE LIMIT J.Ee accident) $ 1,000,000 BODILY INJURY (Per person) 5 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accidnt) $ $ UMBRELLA LIAB l' , EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE S AGGREGATE $ DED RETENTION $ S C WORKERS COMPENSATION AM EMPLOYERS LIABILITY Y/ N OFF CER/MEMBER EXCLUDED? y (Mandatory In NH) If yEs, descnbe under DE:CRIPTION OF OPERATIONS below N/A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. 9146845-20 11/17/20 11/17/21 \,,, PER OTH- /N STATUTE ER EACH ACCIDENT 5 1 0!000 E.L. DISEASE - EA EMPLOYEE 5 1,000,000 E.L. DISEASE - POLICY LIMIT 5 1,000,000 Ir land Marine IMP 5305832 05 00 01/15/21 01/15/22 2006 Mud Puppy MP170-S 042106TTO1MP170 $35,000 DESCRIP DON OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is named as additional insured as their interests may appear on this policy(s). CERTIFICATE HOLDER CANCELLATION City of Merced 678 West 18th Street Merced, CA 95340 Phone: (209) 388-7000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /caAA-Pt, .Lrej C) 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD