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ABLEMAI-CL pWATTS
<br /> ACp CR CERTIFICATE OF LIABILITY INSURANCE DATE (MYY)
<br /> � 9/281120232023
<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 pollcy(les) must have ADDffIONAL 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 rlyhte to the certificate holder In ( leu of such endorsement(s).
<br /> PRODUCER~License IF U603247 nCT
<br /> George Petersen Insurance Agency, Inc. ,SIC"N, E,dil (707) 5254150 1 (a, No)I(707) 5254175
<br /> ! P.O. Box 3539 �g Info a pins .Com
<br /> ' Santa Rosa, CA 96402
<br /> INSURERISiAFFORDING COVERAGE _ ,,....
<br /> HAIC11
<br /> INSURER Av Homeland Insurance_Company of New York 34452
<br /> INSURED ( iNsURERe0reg onMutual_ Insurance_Com pany14907
<br /> Able Maintenance Inc. INsumRcIWCF National insurance_Company 40617 . _
<br /> 3224 Regional Parkway INSURER D : Toklo Marine Specialty Insurance 123850
<br /> Santa Rosa, CA 85403 INSURER E :
<br /> INSURER F
<br /> COVERAGES . _.-4 CERTIFICATE NUMBER_ . REVISION NUMBER :
<br /> _ �_.� ._ ____ . . __ _� ..� ._ — _ _ ... _..
<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, NOTVNTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 TQ ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> (NSR 'ADDLS ik ... tICYNUMBER POLICY EFF POUCYEXP I L1Mn'B
<br /> _ TYPE OF INSURANCE ' tr)SL� w v _ l,a M.C.(11 Yrri ldntftC I —
<br /> 'ORJ — — ---- — 100000,000
<br /> COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE f
<br /> A X CLAIMS•MADE �X OCCUR '783-00-28-72-0008 10/11 /2022 ' 10111/2023 DAMAGE TO RENTED 50000
<br /> R! h11 � c Ln a ^u- -:rI S
<br /> X Pollution & Profesei MED E%P {anr one e&mcn 3 5,000
<br /> PERSONAL & ADV INJURY b , 1!1'000'000
<br /> GEN'LAGGRE�ATE LIMIT APPLIES PER
<br /> GENERAL AGGREGATE _ ; 10,000,000
<br /> POLICY I ^ I j LOC PRODUCTS - COMP/OPAGG , ' S _ 10 ,000,000
<br /> MO�t D SEE REMARK 9 1 ,000101(0
<br /> OTHER: _ __.. ...._._ _._. -__ _,_. _ ___ _.___. .. _:._..._ ,_ __ _ _ -- 1 0 01NED SINGLE LIMIT S 1 , 01000
<br /> B AUTOMOBILE LIABILITY IEI; ;—oftnit ...,.. -.
<br /> X ANY AUTO CM03926298 4/112023 411 /2024 BODILY INJURY LPer *45on _ S _
<br /> A�REP�RE��SDWILY AUUTOSSWUN�EOp aODILY_INJURY' Pereccldent,1 S
<br /> AUTD30NLY 1AOTOSONLY {Pe raxdarn1dAMAGE _ 1IIIIIS
<br /> IS S
<br /> ( OCCUR EACMOCCURRENCE , s
<br /> UM13RELLA LU
<br /> EXCESS LIAO CLAIMS-MADE ) AGGREGATE
<br /> DED RETENTION !
<br /> C WORKERS COMPENSATION X_._ hR.7tTb . ....�
<br /> AND EMPLOYERS' LIABILITY .4050336 10M12023 101112024 � 1 , 000,000
<br /> ANY PROPRIETORIPARTNERIMCUTNE YIN I E.L EACH ACCIDENT, ,,
<br /> p I E M EXCLUDED4 ElINIA 1 10001000
<br /> (Mand�cry In NN) �� I E.L DISEASE - EA EMPLOYE(_ $
<br /> '
<br /> If yea, describe under r 1
<br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY OMIT S 1 000 000
<br /> _ 0;00
<br /> p�1Excess Auto $ mpto� y I Ply 85�-'8860 � 411 !2023 4ii/30�4 Aggregate! ce. ,
<br /> I
<br /> ES Proof O13
<br /> OF OPEPA7ONS I LOCATIONS I VEHICLES (ACORD 161, Additional Remarks Schedule, may be attached if more space is required)
<br /> R
<br /> E
<br /> I
<br /> .... ... _._._..... _ - _...._._ _..�......
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> _.. ._ .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Able Maintenance, Ines ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 3224 Regional Parkway
<br /> Santa Rosa, CA 95403
<br /> AUTHORIZED REPRESENTATIVE
<br /> ACORD 25 (2016/03) ® 1888-201 ti ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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