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^� ABLEMAI-CLIMWODArym
<br /> GMORGAN
<br /> ,4�oRc�p CERTIFICATE OF LIABILITY INSURANCE DA,1 00/3//312002222
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE. POLICIES
<br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 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 /> _.._._.__._.._.�...___ C ACT
<br /> PRODUCER License # 0603247 _ --- ---- -- -- --
<br /> � � pp _..� __ . . _ .... .
<br /> t195E
<br /> George Petersen Insurance Agency, Inc. (A/C, No, Ext): ( 707) 525-4150 bac No) (707) 525-4175
<br /> P.O . Box 3539
<br /> rA ARILknfo gpins . com
<br /> Santa Rasa , CA 95402 --
<br /> INSURERISJ AFFORDING COVERAGE _ _ NAIC If
<br /> - - . . - -
<br /> _ I.,.._J_iNsuRER A homeland Insurance_Company of New York 34452 -.
<br /> INSURED INSURER B : West American. Insurance , Comuany__ 144393 ._ . ,..,,...__.
<br /> Able Maintenance Inc. •: INSURER C : WCF National Insurance Gump _ .... � _ ...... _-
<br /> 3224 Regional Parkway INSURER D : American Fire &_ Casualty Con?a� 24066
<br /> Santa Rosa , CA 95403 IN
<br /> [.INSURER F SURER E - _.:
<br /> COVERAGES W _ 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. NOTVVITHSTANDING 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 /> � . _ .._.
<br /> SUER POLICY EFF I POLICY ERP LIMITS
<br /> INSR - ( POLICYNUMBER i IMM/DDIYYYYI 1thklpo!
<br /> I•TJ1 TYPE OF INSURANCE h�SC 1y,Y - }
<br /> A X COMMERCIAL GENERAL LIABILITY I " EACH OCCURRENCE g 1 O ,000,OO1
<br /> 4 �J I 1 11 -
<br /> DAMAGE TO RENTED 50,000
<br /> CLAIMS-MADE a OCCUR 793-00.26-72-0007 10/11 /2021 10!1112022 FREIw119E , tE oecurre ce} 5 _. _, ,, ,
<br /> —. 5,000
<br /> X Pollution Z Profess MED EXP (Any one parson ) # _
<br /> _ 10,0000000
<br /> PERSONAL &ADV INJURY^ $
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE .._ y 10,000,000
<br /> O
<br /> PRODUCTS - COMP/OPAGG S __ 10000 ,00
<br /> POLICY a JEeT D LOC r
<br /> r MOLD SEE REMARK $ 100000000
<br /> 1 _.. OTHER:.. _ 1 ,000,000
<br /> B I AUTOMOBILE LIABILITY jkaia 411 /2023 ODILYINJURY (Per osteon $COMBINED SINGLE
<br /> X j ANY AUTO BAW (23) 64 30 97 58 4/1121)22 1 r` S
<br /> I
<br /> or
<br /> SCHEDULEDri j BODILY INJURY {Per accidealZ $ _
<br /> AIUTOS ONLY AUT OS
<br /> q PROPERTY DAMAGE
<br /> AUT%S ONLY .. .__ 001 O�Y I I Pereccldenl! „_, S _
<br /> µ UMBREUA LIAR I ; OCCUR EACH OCCURRENCE
<br /> CLAIMS-MADE ' , AGG„REGATE ____
<br /> �'�`EXCESS LIAB �
<br /> DED RETENTION $ I I --- ----
<br /> , ,S
<br /> PER OTH-
<br /> C WORKERS COMPENSATION X_ + � 1 ... . . FR-
<br /> AND EMPLOYERS' LIABILITY YINF _ 1 .. -.
<br /> I ANY PROPRIETORIPARTNERlEXECUTIVE 4850338 101112022 1011 /2023 E. L. EACH ACCIDENT ; 1 ,000,000
<br /> N / A 1
<br /> OFFICER/MEMBER EXCLUDED? ; I ,000 ,000
<br /> (MandatoryIn H) E L. DISEASE EA EMPLOYEE
<br /> — 120000000
<br /> If yes describe under E.L. DISEASE - POLICY LMIT
<br /> I : S
<br /> DESCRIPTION OF OPERATIONS
<br /> D { Excess Auto/WC only ESA ( 23) 64309758 4/ /2' - 022 4/1 /2023�'AggregatelOcc. 4,000,000
<br /> I
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached If more apace is required)
<br /> RE : Proof of Coverage
<br /> 1
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Able Maintenance, Inc, ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 3224 Regional Parkway
<br /> Santa Rosa, CA 95403
<br /> AUTHORIZED REPRESENTATIVE
<br /> ACORD 25 ( 2016103 ) O 1988 -2015 ACORD CORPORATION . All rights reserved ,
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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