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SALEENG-01 MSELTZER ,d►COR[� CERTIFICATE OF LIABILITY INSURANCE DATE(MM OD'YYYY) �.� 12/02/2020 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 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 License#OE02096 CONTACT `NAME DiBuduo& DeFendis Insurance Brokers,LLC PHONE P.O.Box 5479 (A;C,No.Ezi):(559)432-0222 (a c,No):(559)431-7941 Fresno,CA 93755-5479 E-MAILAODRE_$S;_ _ INSURERS AFFORDING COVERAGE NAIC# INSURER A:Valley Forge Insurance Co 20508 INSURED INSURER B:American Casualty Company of Reading PA 20427 Salem Engineering Group,Inc. INSURER c:Continental Insurance Company 35289 4729 W.Jacquelyn Ave. INSURERD:National Fire Insurance of Hartford 20478 Fresno,CA 93722 INSURER E:Continental Casualty Company 20443 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 REOUIREMENT. 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR INSD WVD MMIDD YYYV MM- D,YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE FV OCCUR X 6015893246 12/01/2020 4,2/01/2021 DAMAGE TO occ rencel S 3001000 MED EXP(Any one son S 15.000 PERSONAL&ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 POLICY a JECT FILOC PRODUCTS-COMP;OP AGG S 4,0001000 OTHER: B AUTOMOBILE LIABILITY 01 COMBINED SINGLE LIMIT S 1,000,000 X ANY AUTO 6045473729 12/01/2020 12/01/2021 BODILY INJURY iPer person S OWNED SCHEDULED �vJ AUgT�OS ONLY AUTOS Wry p BODILY INJURY Per accident) S AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident S S C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 EXCESS LIAR CLAIMS MADE 6015 12/01/2020 12/01/2021 AGGREGATE S 5,000,000 DED X RETENTIONS 10,000 s D WORKERS COMPENSATION X PER LITE OTH- AND EMPLOYERS'LIABILITY 6020581635 12/01/2020 12/01/2021 STAT 1,000,000 ANY PROPRIETOR PARTNER EXECUTIVE ❑ E.L.EACH ACCIDENT ER S %%ICER MEMBER EXCLUDED? N!A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE S 1'000'000 It yes,descilbe under 1,000,000 DESCRIPTION OF OPERATIONS below _ 11 DISEASE-POLICY LIMIT S E Prof./Pollution Liab AEH59185527 12/01/2020 12/0112021 Each Claim 2,000,000 E Prof./Pollution Liab AEH59185527 12/01/2020 12/01/2021 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Actual Certificate to be issued upon request" Certificate Holder is named Additional Insured(including Ongoing&Completed Operations and Primary Non-Contributory Wording)as respects General Liability per attached blanket policy form CNA75079XX(10-16). Professional/Pollution Liability Deductible per claim-$25,000 CERTIFICATE HOLDER CANCELLATION — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "SAMPLE CERTIFICATE" THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD