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LEAMBAC-01 LBEARD AC'OR", CERTIFICATE OF LIABILITY INSURANCE �..-■-' DATE(MMIDDIYYYY) 3/22/2024 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 SU BROGATION 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 License # 0288149 CONTACT NAME: PHONE 209 524-6366 FAX 209 524-6846 (A/C, No, Ext): ( ) (A/C, No):( ) TSM Insurance & Financial Services 1317 Oakdale Rd. Bldg. 910 Modesto, CA 95355 E-MAIL INSURERS AFFORDING COVERAGE NAIC # 6/29/2024 INSURER A: Kinsale Insurance Co. 38920 INSURED INSURER B: Nationwide Mutual Insurance Company 23787 INSURER C: Everest Premier Insurance Company 16045 Learn Backhoe & Underground INSURER D: $ 1'000'000 4907 Griffin Road Hug hson, CA 95326 INSURER E $ 2'000'000 INSURER F: $ 2'000'000 COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 0100155334-2 6/29/2023 6/29/2024 EACH OCCURRENCE $ 1'000'000 PREMI ETORENTED PREMISES Ea occurrence 100,000 $ GENT MED EXP (Any oneperson) $ 5'000 PERSONAL &ADV INJURY $ 1'000'000 AGGREGATE LIMIT APPLIES PER: POLICY � PET 1:1LOC OTHER: GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP/OPAGG $ 2'000'000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNEDX SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ACPBA7881889465 6/29/2023 6/29/2024 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PeOaccident DAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED FFRETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEMBOR/EXCLUDR/E ECUTIVE �Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 7600024638231 8/1/2023 8/1/2024 X PER OTH- STATUTEER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE- EA EMPLOYEE $ 1'000'000 E.L. DISEASE- POLICY LIMIT 1,000,000 $ B Rent/Lease/Borrowed ACPCIM7881889465 6/29/2023 6/29/2024 Equipment 100,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) San Joaquin County Department of Public Works is listed as additional insured per the attached endorsements. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE San Joaquin Count Department of Public Works q y p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1810 E. Hazelton Ave Stockton, CA 95205 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD