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TYLOR-1 OP ID: RS <br /> [7DA1TE(MM1DDlYYYY) <br /> CERTIFICATE LIABILITY ' 0/15/2025 <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 endorsements. <br /> PRODUCER 831-337-4661 NNAN�EACT Clayton Carter <br /> Clarion Pacific Insurance PHONE 831-337-4661 FAX 831-612-1810 <br /> 2035 N..Pacific Ave. (A/C,No,Ext): (A/C,No): <br /> Santa Cruz,CA 95060 EMAIL Clayton@Pac-Risk.com <br /> ADDRE S: <br /> Ryan Deane INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Century Surety Ins.Company <br /> INSURED INSURER B:AmGUARD Ins. Company 42390 <br /> Tyyler McMillan's Well Service,LLC State Com ensation Ins. Fund 35076 <br /> 9530 Hageman Rd.,Ste B#349 INSURER C: p <br /> Bakersfield,CA 93312 INSURER D: <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE ® OCCUR CCP1334885 10/04/2025 10/04/2026 DPREMISES(Ea AMAGE TO RENTED $ 50,000 <br /> urre <br /> MED EXP(Any one rson) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY IA jE LOC PRODUCTS-COMP/ AGG $ 2,000,000 <br /> OTHER: <br /> B AUTOMOBILE LIABILITY COMBI NED <br /> dentSINGLE LIMIT $ 1,0Q6,000 <br /> ANY AUTO TYAU669427 10/04/2025 10/04/2026 BODILY INJURY Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY X AUTOS <br /> SSyV BODILY INJURY Per accident $ <br /> AUT03 ONLY AUTOS ONLY PPerr eatl DAMAGE $ <br /> A UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 6,000,000 <br /> }( EXCESS LIAB CLAIMS-MADE CCP1334886 10/04/2025 10/04/2026 AGGREGATE $ 5,000,000 <br /> DED I X I RETENTION$ 10,000 $ <br /> C WORKERS COMPENSATION X STATUTE <br /> OTH- <br /> AND EMPLOYERS'LIABILITY N 9315112-25 03/26/2025 03/26/2026 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? Y N/A E.L.EACH ACCIDENT $ _ <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 /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) <br /> *** EVIDENCE OF INSURANCE*** <br /> CERTIFICATE HOLDER CANCELLATION <br /> EVID111 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Tylor McMillan's Well Service ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 9530 Hageman Rd,Ste B#349 <br /> Bakersfield,CA 93312 <br /> AUTHORIZED R'Ej/yP//R�"E/'S`'ENTATIV�E <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />