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® CONTRACTORS STATE LICENSE BOARD STATE OF CALIFORNIA • • 9821 Business Park Drive, Sacramento, California 95827 Governor Gavin Newsom Mailing Address: P . O. Box 26000 , Sacramento , CA 95826 • ® 800 . 321 . CSLB (2752) www. cslb. ca. gov I CheckTheLicenseFirst. com Date Created Workers ' Compensation Insurance 03/31 /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 AGENT/BROKER NUMBER: OB29370. Edgewood Partners Insurance Centers ( EPIC) CONTACT 3000 Executive Pkwy NAME: Certificates Department Ste 325 PHONE Fax San Ramon , CA 94583 (A/C. No. Ext): 9252447700 (A/C. No): E-MAIL: EPICcerts@epicbrokers . com INSURER AFFORDING COVERAGE. NAIC # '.. INSURED INSURER A: ZURICH AMERICAN INSURANCE COMPANY 16535 GETTLER RYAN INC 6805 SIERRA CT STE G DUBLIN , CA 94568 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 ADDL SUBR POLICY EFF POLICYEXP e LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD%YYYY LIMITS '.. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE P RO- POLICY Q SECT D LOC PRODUCTS - COMP/OP AGG OTHER A WORKERS COMPENSATIONN / A WC090463402 04/01 /2021 04/01 /2022 AND EMPLOYERS' LIABILITY Contractors license number or application fee number of insured : License Number: 220793 Comments CERTIFICATE HOLDER CANCELLATION Contractors State License Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, OTICE WILL BE DELIVERED IN P . O . BOX 26000 ACCORDANCE WITH THEPOLICY PROVON Sacramento , CA 95826 AUTHORIZED REPRESENTATIVE Certificates Department I VIII IIIIIII III VIII') VIII ILII) VIII II IIII I IIIIII IIID VIII VIII VIII VIII IIII IIII II'llll 'IIIIIIIIIIIIIIIIIIIII'IIIIIIIIIIII 'IIIIIIIIIIIII III) WC - CERT 220793 03 / 31 / 2021 V1 .0