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r . Policy Number: SISIEIL70035612 • Date Entered: 05/3/2012 CERTIFICATE OF LIABILITY INSURANCE DATE 5/3/2012 Y 5/3/2012 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 be endorsed. If SUBROGATION 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 CONTACT KING INSURANCE SERVICES NAME: 7397 Soquel Or PHONE . (831)688-1434 n, Na. (831) 662-9635 E-MAIL Aptos, CA 95003 AODREss: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Starr Indemnity 6 Liability Co INSURED Remediation Risk Management, Inc. INSURER B:Granite State Insurance Co Triton Construction dba RRM Inc. INSURER C:Mid-Century Insurance Company 2560 Soquel Ave #202 INSURER D: Santa Cruz, CA 95062 INSURER E: NSURER F 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 WPE OF INSURANCE POUCYNUMBER MPOEV�D01 MWDKO—CYEXP LIMITS GENERALLIAMUtt EACH OCCURRENCE §1,000,000 A COMMERCIAL GENERAL LIABILITYSISIEIL70035612 /24/2012 /24/2013 PREMISES Eacoamence $50,000 CLAWS46ADE ®OCCUR MED EXP(Any one person) $5,000 Cont Pollution PERSONAL B ADV INJURY $1,000,000 7 GENERALAGGREGATE $2,000,000 GENL AGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 POLICY 7 PRO- LOC $ AUTOMOBILE UA91LItt Ea a¢IOEernit LIMIT $1,000,000 ANY ALTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTO BODILY INJURY(par scodm) $ HIREDAUTO0WNED PR PE —$- CC CC AUTOS 604818589 /11/2012 /11/2013 Peaccident) $ A UMBRELLALIAB OCCUR4,000,000 EACH OCCURRENCE $ EXCESS LIAR CLAMS-MADE SISIXNV71015412 /24/2012 /24/2013 AGGREGATE $9,000,000 DEO RETENTION$ $ WORKERS COMPENSATION WC STATU- AND EMPLOYRS'UABILITY OTH- FFXCECUTY/N B OICERMEMBER EXCLUDED? ❑ NIA WC001113001 /1/2012 /1/2013 E.L.EACH ACCIDENT 1$1,000,000 (Mandatory In NH) E.L.DISEASE-EAEMPLOYEE $1,000,000 Il yas,dasOibe untla, DESCRIPTION OF OPERATIONS belo, E.L.DISEASE-POLICY LIMR $1,000,000 A Prof Liability SISIEIL70035612 /24/2012 /24/2013 Occurrence $1,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ANach ACORD 101,Additional Remarks Schedule,If mon space Is occulted) *10 day notice of cancel due to non payment and 30 day notice for all other reasons. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE u�} ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Produced using Farms Boss Plus software.ww,vYormsBoss.com;Impressive Publishing 800-208-1977