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SALEENG-01 MSELT2 <br />,�►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />12/02/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # OE02096 CONTACT <br />NAME: <br />DiBuduo & DeFendis Insurance Brokers, LLC lA C,"No, Ext): (559) 432-0222 FAX, No):(559) 431-7941 <br />P.O. Box 5479 E-MAIL <br />Fresno, CA 93755-5479 ADDRESS: <br />INSURED <br />Salem Engineering Group, Inc. <br />4729 W. Jacquelyn Ave. <br />Fresno, CA 93722 <br />F: <br />V. <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />PA <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM DD Y YY <br />POLICY EXP <br />MM DDIVYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE 2,000,000 <br />CLAIMS -MADE � OCCUR <br />X <br />6015893246 <br />12/01/202 <br />2/01/2021 <br />DREAGETO RMISS (EaENToCcEDn 300,000 <br />MED EXP (Any oneperson) $ 15,000 <br />PERSONAL & ADV INJURY $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 4,000,000 <br />POLICY Fxl JECT F-1 LOC <br />PRODUCTS - COMP/OP AGG 4,000,000 <br />OTHER: <br />B <br />AUTOMOBILE LIABILITYCOMBINED <br />SINGLE LIMIT 1,000,000 <br />BODILY INJURY Perperson) <br />X ANY AUTO <br />6045473729 <br />12/01/2020 <br />12/01/2021 <br />BODILY INJURY Per accident $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />���,,,,/// <br />PROPERTY AMAGE <br />Per accident $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE 5,000,000 <br />AGGREGATE 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />6015 <br />12/01/2020 <br />12/01/2021 <br />DED I X I RETENTION $ 10,000 <br />$ <br />D <br />WORKERS COMPENSATION <br />X I PER I OTH- <br />AND EMPLOYERS' LIABILITY <br />YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />6020581635 <br />12/01 /2020 <br />12/01 /2021 <br />1,000,000 <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />E.L. DISEASE - EA EMPLOYEE 1,000,000 <br />E.L. DISEASE - POLICY LIMIT 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E <br />Prof./Pollution Liab <br />AEH59185527 <br />12/01/2020 <br />12/01/2021 <br />Each Claim 2,000,000 <br />E <br />Prof./Pollution Liab <br />AEH59185527 <br />12/01/2020 <br />12/01/2021 <br />Aggregate 4,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />** Actual Certificate to be issued upon request ** <br />Certificate Holder is named Additional Insured (including Ongoing & Completed Operations and Primary Non -Contributory Wording) as respects General <br />Liability per attached blanket policy form CNA75079XX (10-16). <br />** Professional/Pollution Liability Deductible per claim - $25,000 <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />** SAMPLE CERTIFICATE ** <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />