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DATE(MM/DD/YYYY) <br /> ACOOR" CERTIFICATE OF LIABILITY INSURANCE <br /> 03/07/2024 <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 Shala Pearson <br /> NAME: <br /> TLB Insurance Services AICONNo Exf : (916) 790-5863 FAX <br /> No): (888) 329-8842 <br /> CA License #OB82095 E-MAIL shala-pearson@leavitt.com <br /> ADDRESS: <br /> 2358 Maritime Dr, Ste 100 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Elk Grove CA 95758 INSURERA: Westchester Surplus Lines Insurance Company 10172 <br /> INSURED INSURER B : Travelers Property Casualty Company of America 25674 <br /> Walton Engineering, Inc. INSURER C : Service American Indemnity Company 39152 <br /> P.O. Box 1025 INSURER D : Travelers Property Casualty Company. 36161 <br /> INSURER E: <br /> West Sacramento CA 95691 INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 24/25AIl Lines 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 AUUL15 BK POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE � OCCUR PREMISES Ea occurrence) $ 50,000 <br /> X Inc. Professional Liability MED EXP(Any one person) $ 5,000 <br /> A G47393735002 03/06/2024 03/06/2025 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: I GENERAL AGGREGATE $ 2,000,000 <br /> POLICY F PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> JECT <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> X ANYAUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED 81081_785302 03/06/2024 03/06/2025 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED IX <br /> NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> Uninsured motorist $ 1,000,000 <br /> UMBRELLA LIAB X 000, ,10000 <br /> OCCUR EACH OCCURRENCE $ <br /> A X EXCESS LIAB CLAIMS-MADE G47393747002 03/06/2024 03/06/2025 AGGREGATE $ 10,000,000 <br /> DED I X1 RETENTION $ 0 $ <br /> WORKERS COMPENSATION X1 <br /> SPER TATUTE EORH <br /> AND EMPLOYERS' LIABILITY YIN 1,000,000 <br /> C ANYPROPRIMBR/PARTNER/F�CECUTIVE ❑ NIA SAMTWC10020102 10/01/2024 10/01/2025 E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ <br /> Pollution Liability <br /> A G47393735001 03/06/2024 03/06/2025 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 /> 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 /> To Whom it May Concern Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> © 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />