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AC"R" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDlYYYY) `—� 01/08/21 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 CONTACT NAME: _ ALLIED COMMERCIAL INS SERVICES ANN (805►783-2111 _ _ ]_(A/c.Ho): (805)783-2113 PO Box 1392 ADORess: slopez@alliedci.com San Luis Obispo, CA 93406 INSURER(S)AFFORDING COVERAGE _ ___ NAIC M OE577.98INSURER A: AmTrust Insurance Company INSURED Living Water Well Drilling INSURER 13: Wesco Insurance Company INSURER C: State Compensation Insurance Fund T2 Construction INSURER D: Great American Insurance Company 2475 Dunn Rd INSURER E: Merced CA 95340 1 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. INT R TYPE OF INSURANCE ADDL SUBR; POLICY NUMBER POLICY EFF POLICY EXP LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ $ 11000,000 �� DAMAGETO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A NA114529205 01/15/21 01/15/22 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ]JE� �� LOC PRODUCTS-COMPIOP AGG $ 2,0001000 OTHER: $ AUTOMOBILE LIABILITY EMBINEa accideDISINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B AUTOOWNED S ONLY SCHEIx AUTODULED WPP187061800 08/01/20 08/01/21 BODILY INJURY(Per accident) $ XHIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident I $ I_ UMBRELLA LIAB EACH OCCURRENCE $ OCCUR _._ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ OTH WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATUTE ER Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBEREXCLUDED? � NIA 9146845-20 11/17/20 11/17/21 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S 1 000,000 If S describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 Inland Marine 2006 Mud Puppy D IMP 5305832 05 00 01/15/21 01115/22 MP170-S $35,000 0421067701 MP170 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Certificate holder is named as additional insured as their interests may appear on this policy(s). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Merced THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 678 West 18th Street ACCORDANCE WITH THE POLICY PROVISIONS. Merced,CA 95340 AUTHORIZED REPRESENTATIVE �A� � Phone: (209)388-7000 Krr/l4w,W. .[/ �- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD