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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DID/YYYY) 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). CONTACT NAME: PHONE ip1c.14Q,Exo: (805)783-2111 FAX (NC. NO: (805)783-2113 E-MAIL ADDRESS: Slopez@alliedcicom INSURER(S) AFFORDING COVERAGE NAIC INSURER A: AmTrust Insurance Company INSURER e Wesco Insurance Company INSURER C: State Compensation Insurance Fund INSURER : Great American Insurance Company INSURER B: INSURER F : REVISION NUMBER: PRODUCER ALLIED COMMERCIAL INS SERVICES PO Box 1392 San Luis Obispo, CA 93406 0E57798 INSURED Living Water Well Drilling T2 Construction 2475 Dunn Rd Merced, CA 95340 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 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 LTR TYPE OF INSUFtANCE ADDL INSO SUBR' WVD POLICY NUMBER POUCY EfF IMWDDIYYYYI POLICY EXP OtINVDD/YYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1 CLAIMS-MADE [ >1 OCCUR -0AmAGE TO FIENTff PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 A NA114529205 01/15/21 01/15/22 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 7,- LOC PRODUCTS - COMP/OP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT accident) _f_Ea $ 1,000,000 ANY AUTO _____ BODILY INJURY (Per person) $ OWNED AUTOS ONLY X SCHEDULED AUTOS WPP187061800 08/01/20 08/01/21 BODILY INJURY (Per acddent) $ HIRED AUTOS ONLY ttite IN NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 -, EXCESS UAB - CLAIMS-MADE AGGREGATE $ DED RETENTION $ S WORKERS COMPENSATION X 1 PER STATUTE OTH- ER AND EMPLOYERS LIABILITY 1 / N ANY PROPRIETOR/PARTNER/EXECUTIVE El. EACH ACCIDENT S 1,000,000 C OFFICER/MEMBER EXCLUDED? (Mandatory In NH) y NIA 9146845-20 11/17/20 11/17/21 EL DISEASE - EA EMPLOYEE $ 10O ,000 If yes, descnbe under DESCRIPTION OF OPERATIONS below El. DISEASE - POLICY LIMIT $ 1,000,000 D Inland Marine IMP 5305832 05 00 01/15/21 01/15/22 2006 Mud Puppy MP170-S 042106TTO1MP170 $35,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 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 ,Lrej City of Merced 678 West 18th Street Merced, CA 95340 Phone: (209) 388-7000 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03)