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<br />CERWICATE OF LIABILITY INSURANCE
<br />DATE(MMIDD/YYYY)
<br />02/191202/
<br />THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY A,l/iEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOY]. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BET#VEEN 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 209-524-6157
<br />Arrowhead Ins. Agy, Inc.- Mod.
<br />3508 Dale Road
<br />CONTACT Arrowhead Insurance Agency Inc
<br />PHONE 209-524-6157 FAX209-524-6101
<br />(A/C, No, Ext): (A/C, No):
<br />E-MAIL
<br />ADDRESS:
<br />Modesto, CA 95356
<br />Arrowhead Insurance Agency Inc
<br />INSURERS AFFORDING COVERAGE NA1C #
<br />INSURER A: Zenith Insurance Company 13269
<br />EACH OCCURRENCE $ 1,000,000
<br />INSURED
<br />Pacific Southwest Irrigation
<br />Corp
<br />8372 S Jack Tone Rd.
<br />Stockton, CA 95215
<br />INSURERS: Zenith Insurance Company 13269
<br />INSURER C
<br />INSURER D
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY [ jEET [:] LOC
<br />OTHER:
<br />GENERAL AGGREGATE S 2,000,000
<br />INSURER E
<br />INSURER F
<br />A
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DDIYYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ®OCCUR
<br />CFP00015365
<br />03101/2020
<br />03/01/2021
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMAGE TO RENTED$ 100,000
<br />PRE ISES (Ea occuFence)MED
<br />EXP (Any oneperson) $ 5,000
<br />PERSONAL &ADV INJURY S 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY [ jEET [:] LOC
<br />OTHER:
<br />GENERAL AGGREGATE S 2,000,000
<br />PRODUCTS -COMP/OP AGG $ 2,000,000
<br />A
<br />AUTOMOBILE LIABILITY
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -AWNED
<br />AUTOS ONLY AUTOaa ONLY
<br />1 L
<br />CFP00015365
<br />03/01/2020
<br />03/01/2021
<br />COMBINED SINGLE LIMIT 1,000,000
<br />Ea accident $
<br />BODILY INJURY Per person)$
<br />BODILY INJURY Per accident $
<br />PROPERTY AMAGE
<br />Per accident $
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAR
<br />HCLAIMS-MADE
<br />OCCUR
<br />CFP00015365
<br />03/01/2020
<br />03/01/20211AGGREGATE
<br />EACH OCCURRENCE $ 2'000,000
<br />$
<br />DED I I RETENTION$
<br />I $
<br />B
<br />WORKERS COMPENSATIONX
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N / A
<br />2135001804
<br />07101/2020
<br />07/01/2021
<br />PER OTH-
<br />TATUTE ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />A
<br />Blanket Equipment
<br />CFP00015365
<br />03/01/2020
<br />03/01/2021
<br />Blanket 1,793,053
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2015/03) © 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 />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Proof of Insurance
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Arrowhead Insurance Agency Inc
<br />ACORD 25 (2015/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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