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AWKL) ‘......--- CERTIFICATE OF LIABILITY INSURANCE DATE (Mk1IDD/YYYY) 11/17/2023 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 Bolt Insurance Agency PO BOX 204389, AUSTIN, TX 78720 CONTACT NAME: Progressive Commercial Lines Customer and Agent Servicing PHONE FAX (A/C, No, Ext): 1-800-444-4487 (A/C. No): E-MAIL ADDREss: progressivecommercial@email.progressive.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: United Financial Casualty Company 11770 INSURED American Grit 2138 Grand Canal Blvd Apt 304 Stockton, CA 95207 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 392061411149216243D1117231164430 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 LTR TYPE OF INSURANCE ADDL INSD SUBR INVD POUCY NUMBER POLICY EFF (MMIDDNYY() POLICY EXP (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL UABILITY OCCUR EACH OCCURRENCE $ CLAIMS-MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- I I POLICY JECT I I LOC OTHER: PRODUCTS - COMP/OP AGG $ $ A _ _ — AUTOMOBILE UABIUTY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY —v— — I'AUTOS SCHEDULED NON-OWNED AUTOS ONLY N N 975028443 11/17/2023 05/17/2024 COMBINED SINGLE LIMIT (Ea accident) $300,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY D A M A G E (Per accident) $ $ UMBRELLA UAB EXCESS LJAB OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AND ANYPROPRIETOR/PARTNER/EXECUTIVEI I OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A ffkruTE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A See ACORD 101 for additional coverage details. N N 975028443 11/17/2023 05/17/2024 $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION American Grit 2138 Grand Canal Blvd Apt 304 Stockton, CA 95207 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0141444Z - © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD