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FARWCOR-01 EBRITO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/11/2018 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 # 0757776 HUB International Insurance Services Inc. 4695 MacArthur Court, Suite 600 Newport Beach, CA 92660 CONTACT Eunice Lee NAME: PHONE (NC, No, Ext): (949) 623-1045 E-MAIL ADDRESS: cal•cpu@hubinternationalcom No):(951) 231-2572 INSURER(S) AFFORDING COVERAGE NAIC X INSURER A :AIG Specialty Insurance Company INSURER B: The First Liberty Insurance Corporation INSURER C : Liberty Mutual Fire Insurance Company INSURER D: INSURER E: INSURER F: INSURED Farwest Corrosion Control Company 12029 Regentview Avenue Downey, CA 90241-3215 26883 33588 23035 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 POLIC ES 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 INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DINYVYY) POLICY EXP (MM/DD/YYYY) UMITS A X COMMERCIAL GENERAL LJABILITY EG16542189 x 08/01/2018 08/01/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 300,000 $ MED EXP (Any one person) 25,000 $ PERSONAL & ADV INJURY 1,000,000 $ GEN'L AGGREGATE POLICY OTHER POLICY LIMIT APPLIES PRO- PER: GENERAL AGGREGATE 2,000,000 $ PRODUCTS - COMP/OP AGG $ 2,000,000 $ B X _ X _ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY X _ SCHEDULED AUTOS NON-OWNED AUTOS ONLY AS6Z61036697208 08/01/2018 08/01/2019 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A — X UMBRELLA LIAB EXCESS LIAB X _ OCCUR CLAIMS-MADE EGU16542191 08/01/2018 08/01/2019 EACH OCCURRENCE 5 10,000,000 AGGREGATE $ 10,000,000 s DED X RETENTIONS 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN N IA WC2Z61036697198 08/04/2018 08/04/2019 X IYAITUTE OTH- ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 5 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: County of San Joaquin. For Information Purposes Only. CERTIFICATE HOLDER CANCELLATION County of San Joaquin Environmental Health Department 1868 East Hazelton Ave. Stockton, CA 95205 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 6, a © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03)