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ABLEMAI -CL DWATTS DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 10/8/2021 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 PRODUCER FAX PHONE 707 George Petersen Insurance Agency , Inc. -4175 g (AIC, No, Exc): (707) 525-4150 (Arc, No): ( ) 525 P .O . Box 3539 EA-pAIE s. info@gpins .com Santa Rosa , CA 95402 INSURERS AFFORDING COVERAGE NAIC ft INSURER A : Homeland Insurance Company of New York 34452 INSURED INSURER B : West American Insurance Company 44393 '.... Able Maintenance Inc. INSURER C : State Compensation Insurance Fund 35076 3224 Regional Parkway INSURER D : American Fire & Casualty Company 24066 Santa Rosa , CA 95403 INSURER E : INSURER F : '.. COVERAGES CERTIFICATE NUMBER: am 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 VITH 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. POLICY EFF POLICY EXP INSR ADDL SUBR LIMITS Taaaa� TYPE OF INSURANCE POLICY NUMBER D A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 10000'000 CLAIMS-MADE ® OCCUR 793 -00-26 -72-0007 10/11 /2021 10/11 /2022 DAMAGE TO RENTED _ 50 ,000 PREMISE Ea occu ence $ X Pollution & Profess MED EXP An one person) $ 5,000 PERSONAL & ADV INJURY $ 101000 '000 GENERAL AGGREGATE 10 '000 '000 GENT AGGREGATE LIMIT APPLIES PER: 10 ,0001000 POLICY ® JERCO- El LOC PRODUCTS - COMP/OPAGG MOLD SEE REMARK 11000 , 000 OTHER: OBIN DI SINGLE LIMIT $ 1 , 0001000 B AUTOMOBILE LIABILITY '... X ANY AUTO BAW (22) 58661065 4/1 /2021 4/1 /2022 BODILY INJURY Perperson) $ OTOS ONLY SCHEDULED BODILY INJURY Per accident $ _ HIRED NOW,AUTOS PPeracEcident AMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ C WORKERS COMPENSATION X PER E OTH- AND EMPLOYERS* LIABILITY YIN 9073219-21 10/1 /2021 10/1 /2022 11000, 000 ANY PROPRIETOR/PARTNERIEXECUTIVE NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 1 ,000, 000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE yes, describe under E.L. DISEASE - POLICY LIMIT $ 11000, 000 DESCRIPTION OF OPERATIONS below D Excess Auto/EL only ESA (22 ) 58661065 4/1 /2021 4/1 /2022 Aggregate/Occ . 41000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space Is required) RE : Proof of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Able Maintenance, Inc, ACCORDANCE WITH THE POLICY PROVISIONS. 3224 Regiorial Pa SantaRosa , CA 95403 AUTHORIZED REPRESENTATIVE Oev q ACORD 25 (2016/03) © 1988 -2015 ACORD CORPORATION . All rights reserved . The AGORD-name and-logo-are-registered