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A`COR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) <br /> x/7/2022 <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 /> PRODUCER CONTACT <br /> NAME: Pamella French <br /> Basi Insurance Services , Inc . PHONE FAX <br /> 1491 E G Street • 209-847-3065 (Ale No): 209-8484931 <br /> Oakdale CA 95361 ADORess; amelia .french hubinternational .com <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURER A : State Compensation Insurance Fund of California 35076 <br /> INSURED XPRES-1 <br /> INSURER B <br /> Xpress Technical Services Inc <br /> XPress Auto Services , Inc INSURER C <br /> P . O . Box 11160 INSURER D : <br /> Oakdale CA 95361 INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 1452509788 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 TYPE OF INSURANCE ADSL SUBR POLICY NUMBER POLICY EFF POLICY EXP <br /> LIMITS <br /> LTR <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE F] OCCUR PREMISES Ea occurrence $ <br /> MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY ] JECT PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION $ $ <br /> A WORKERS COMPENSATION9286967-22 8/29/2022 8/29/2023 X <br /> AND EMPLOYERS' LIABILITY STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y1 NIA E.L. EACH ACCIDENT $ 1 ,000 ,000 <br /> OFFICER/MEMBEREXCLUDED? <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000 ,000 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 , 000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached If more space Is required) <br /> Information Purposes Only <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 /> ACCORDANCE WITH THE POLICY PROVISIONS . <br /> Evidence of Insurance AUTHORIZED (� IEPRESENTATIVE <br /> © 1988 -2015 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />