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BZSERVI -01 JSANANGEL ,acorn CERTIFICATE OF LIABILITY INSURANCE DATE 10 (MMI°D/YYYY) `---�' 10/27/2021 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). PRODUCER CONTACT Laurie Graves NAME: Inszone Insurance Services, LLC PHONE FAX 2721 Citrus Road, Suite A (A/C, No, Ext): (916) 503 -4813 (A/C, No): (916) 636-0134 Rancho Cordova, CA 95742 ADMD"R'ESS : ( graves@inszoneins . com INSURERS AFFORDING COVERAGE NAIC # INSURERA : AXIs Surplus Insurance Company 26620 INSURED INSURER B : InfinitCommercial Auto 11738 BZ Service Station Maintenance, Inc. INSURER C : Insurance Com an of the West 27847 P.O. Box 933 INSURER D : West Sacramento, CA 95691 INSURER E : '.. 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, INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DDIYYYY MMIDDIYYYY '... A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 ' 000'000 CLAIMS-MADE FX] OCCUR EMP20001971 -02 2/15/2021 2/15/2022 DAMAGE TO RENTED 100, 000 PREMISES Ea occurrence $ MED EXP (Any oneperson) $ 10 '000 PERSONAL & ADV INJURY $ 130003W OO AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'0001000 X POLICY ❑ JECT LOC PRODUCTS - COMP/OPAGG $ 21000, 000 OTHER: $ B AUTOMOBILE LIABILITY EOa BINEDISINGLE LIMIT $ 12000, 000 ANY AUTO 504610143114001 8/19/2021 8/19/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED _..__........._..............__,_,....,. AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY STATUTE EERH N / A SA 5062715 00 10/27/2021 10/27/2022 11000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE _$ 11000, 000 If yes, describe under 11000, 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Pollution Liability EMP20001971 -02 2/15/2021 2/15/2022 Aggregate 20000, 000 A Professional Liab. EMP20001971 -02 2/15/2021 2/15/2022 Aggregate 21000 , 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) Verification Of Insurance 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION , All rights reserved . The ACORD name and logo are registered marks of ACORD