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DATE(MM/DD/YYYY) ACCC)RL7►`� CERTIFICATE OF LIABILITY INSURANCE lilta� 1 11/15/2023 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 CONTACT NAME: Linda Snyder InterWest Insurance Services, LLC PHONE 530 897 3189 ac No 1357 E LASSEN AVE E-MAIL0. CHICO CA 95973-7824 ADDRESS: Isnyder@iwins.com INSURERS AFFORDING COVERAGE NAIC# License#: OB01094 INSURER A: Colony Insurance Company 39993 INSURED TOWN&CO-05 INSURER B : State Comp Ins Fund CA 35076 Town & Country Contractors Inc 3206 Luyung Dr INSURER C : Clear Blue Specialty Ins Cc 37745 Rancho Cordova CA 95742 INSURER D : INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 1125725554 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDPOLICY MM/DDY EFF POLICY Y LIMITS LTR A X COMMERCIAL GENERAL LIABILITY Y Y PACES4278165 10/1/2023 10/1/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE M OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 X Pollution-Contr MED EXP(Any one person) $5,000 X Prof. Liab PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $2,000,000 POLICY ❑ PROJECT M LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: Poll/Prof Liab $ 1,000,000 C AUTOMOBILE LIABILITY Y Y BW03STR230008300 2/27/2023 2/27/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident) $ A UMBRELLA LIAB X OCCUR EXC4278166 10/1/2023 10/1/2024 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ g WORKERS COMPENSATION 9218782 10/1/2023 10/1/2024 X I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: ARCO Airport Stockton, Job No. 24-010, 4607 South Airport Way, Stockton, CA 95206. Additional Insured status applies to requested entities if required by written contract per the attached policy form/endorsement(s). Waiver of subrogation applies to General Liability and Auto liability as respects to requested entities if required by written contract per the attached policy form/endorsement(s). Primary non-contributory applies to requested entities if required by written contract per the attached policy form/endorsement(s). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Airport Petroleum Inc ACCORDANCE WITH THE POLICY PROVISIONS. 2190 Meridian Blvd, Ste G Concord CA 94520 AUTHORIZED REPRESENTATIVE United States 04�1t / ^� © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD