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CERTIFICATE OF LIABILITYIN URANCE
<br />DATE (MM/DD/YYYY)
<br />11 /6/2025
<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 NAME: �
<br />Inszone Insurance Services, LLC PHONE Certificate Team
<br />2721 Citrus Road, Suite A WC,No, EXt): 877_308-9663
<br />Rancho Cordova, CA 95742 ADDRESS: certs inszoneil
<br />916-400-2625
<br />INSURER S) AFFORDING COVERAGE NAIC #
<br />License#: OF82764 INSURER A: Westchester Surplus Lines Co. 10172
<br />INSURED BZSERVI-01 INSURER B: Infinity Select Insurance Company 20260
<br />BZ Service Station Maintenance, Inc.
<br />P.O. Box 933 INSURER C: Omaha National Casualty Company 32107
<br />West Sacramento, CA 95691 INSURER D:
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 893649076 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 />TYPE OF INSURANCE
<br />ADOL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />G4896722A 001
<br />2/15/2025
<br />2/15/2026
<br />EACH OCCURRENCE
<br />$1,000,000
<br />rA
<br />CLAIMS -MADE OCCUR
<br />DAMAGETO S(RENTED
<br />PREMISES Ea occurrence)
<br />$ 50,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />X POLICY ❑ PRO JECT ❑ LOC
<br />PRODUCTS - COMP/OP AGG
<br />$2,000,000
<br />OTHER:
<br />$
<br />B
<br />AUTOMOBILE LIABILITY
<br />50013611401
<br />8/19/2025
<br />8/19/2026
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />L
<br />$
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />EXCESS LIAB—H
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$
<br />DED
<br />RETENTION $
<br />$
<br />c
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ONCC17012248-02
<br />10/27/2025
<br />10/27/2026
<br />X
<br />PER
<br />STATUTE
<br />OTH-
<br />ER
<br />,
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? ❑
<br />N/A
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$12000,000
<br />A
<br />Professional Liability
<br />G4896722A 001
<br />2/15/2025
<br />2/15/2026
<br />Aggregate
<br />$2,000,000
<br />A
<br />A
<br />Professional Liability
<br />Pollution Liability
<br />G4896722A 001
<br />G4896722A 001
<br />2/15/2025
<br />2/15/2025
<br />2/15/2026
<br />2/15/2026
<br />Each Claim
<br />Aggregate
<br />$1,000,000
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Pollution Liability - Policy Number: G4896722A 001 - Policy Effective Date: 2/15/2025 - Policy Expiration Date: 2/15/2026 - Each Occurrence: $1,000,000 -
<br />Insurer A: Westchester Surplus Lines Insurance Co. - NAIC #10172
<br />Equipment Floater - Policy Number: 57MSBA0829 - Policy Effective Date: 2/15/2025 - Policy Expiration Date: 2/15/2026 - Leased/Rented Equipment:
<br />$100,000 - Deductible: $5,000 - Insurer: Hartford Fire Insurance Company - NAIC #19682
<br />Verification Of Insurance
<br />CERTIFICATE HOLDER CANCELLATION
<br />©1988-2015 ACORD CORPORATION. All rights reserv
<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 />Verification Of Insurance
<br />AUTHORIZED REPRESENTATIVE
<br />ed.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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