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Client#:2079581 AHLEMAII ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 10/01/2025 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 pollcyjies)must have ADDITIONAL INSURED provlsions or tie endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the poi icy,Certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Rhonda Scialpl US[Insurance Services NW CL1 PAIDNE Imc.Nu.Ext): t�1?503 224.8390 FAX— 81t}362.8130 � 825 NE Multnomah,Suite 1500 ADDRESS: rhonda.scialpl@usi,com Portland,OR 97232 V INSURERS)AFFORDING COVERAGE HA1C p 503 224.8390 INSURER A:Zurich American Insurance Company 16535 INSURED INSURERS: _ Able Maintenance,Inc. INSURER 0 3224 Regional Parkway — — Santa Rasa,CA 95403 INSURER a (INSURER E: - INSURER r: ' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN 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. IrrS♦$ ----�- ADDL'SUBR P❑❑LLIICC PO ICyy E7CP----� --- LTG TYPE OF IHSURAHCE INSR WYD: POUCYNUMB6R_ {MMI6G�).,LMM�DIYY�Y�_ _ LIMBS COiMMERCIALGENERALUABILITY EEAAqCMMHgqGGOCTCURRRENCE 5 - _ €CLAIMS-MADE OCCUR i PREA7.ISSG R occu woe) 3- __ •MED EHP(Any one parson) $ PERSONAL&ADV INJURY 5 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE 5 POLICY❑PRO' JECT LOG PRODUCTS-COM POOP AGG $ OTHER: .l - - - - $ ALITOMCSILELiABILITY +,Ea eccidant3 $_• ANY AUTO _ 130DILY INJURY Per peraon) -$-T --•- DW D SCHEDULED aODILY INJURY Peracciden! $ AUT ONLY AUTOS I ) HIRE❑ NON-OWNED i PROPERTYCTAtYi�{l3E -- AUTOS ONLY AUTOS ONLY ..rPer accident) $ UMBRELLA LIAR ............. --- OCCUR I EACH OCCURRENCE 5 -- EXCESS UAB CtA1MS•MADE; I i _AGGREGATE CEO A WORKERS COMPENSATION .8897913 10/0112025 10/01/202 J( PERAND EMPLOYERS'LIABILITY YIN .STATUTE— ..Fh , ANY PROPRIErOR1PAR'7 NERIEI(ECUTIVE E.L EACH ACCIDENT '$1 t100,Ot10 OFFICERIMEM9ER EXCLUDE07 NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE$1,000,000 derJDrSCRIP•IIONOF OPERATIONS below - EL,DISEASE-POLICY LIMIT $ 1 00 I DESCRIPTION OF OPERATIO N S I LOCATIONS!VEHI ILES(ACORD 131,Add ILIanaI Remarks Schedule,may be attached If more space is requirod) RE: Removing Gas pumps S Tanks 1409 Grove St.LLC,Managing Members of the LLC: Marc Opperman,Scott Silveria and Joe Bell(are named as Additional insured with respects to General Liability per attached. CERTIFICATE HOLDER CANCELLATION 1469 Grave St.LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 280 Kinsey ❑r. ACCORDANCE WITH THE POLICY PROVISIONS. Healdsburg,CA 95448 AUTHORIZED REPRESENTATIVE ®1988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S510999541M51070548 PDNZP