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• Policy Number: SISlEIL70035613 • Date Entered: 03/26/2013 '4��VDATE® CERTIFICATE OF LIABILITY INSURANCE 5/3/2013 Yr 5/3/2013 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: PHONE . (831)688-1434 7397 Soquel Dr FAX No. (831)662-9635 E-MAIL Aptos, CA 95003 ADDRESS: INSURERS AFFORDING COVERAGE NAICN INSURERA:Starr Indemnity 5 Liability Cc INSURED Remediation Risk Management, Inc. dba INSURERS:Granite State Insurance Cc Triton Construction INSURER C:Mid—Century Insurance Company 2560 Soquel Ave #202 INSURER D: Santa Cruz, CA 95062 INSURER E: INSURER 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. ILTR TYPE OF INSURANCE SU POLICY NUMBER POLICY EFF POLICY EXP MM/DDrvYYY MMlpp/YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A COMMERCIAL GENERAL LIABILITY SISIEIL70035613 /24/2013 /24/2014 PREMISES Ea occurrence -S50,-000 CLAIMS-MADE ®OCCUR MED EXP(Any cl»person) $5,000 Cont Pollution PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,021 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRC JFCTLOC $ AUTOMOBILE LIABILITY COMBINED SIN LE LIMIT 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Par..idem $ NA HIRED AUTOS NON-OWNED 604818589 /11/2013 /11/2014 PROPERTY DAMAGE C AUTOS Per accident $ C $ A, UMBRELLA LIAR OCCUR EACH OCCURRENCE $4,00 OOO EXCESS uae CLAIMS-MADE SISIXNV71015413 /24/2013 /24/2014 AGGREGATE $4,000,000 DED I RETENTION$ $ WORKERS COMPENSATION WC STATU- I OTH- ANDEMPLOYERS'LIABILITY YIN R B OFFICEWMEMBER EXCLUDEPROPRIETOWPARTNED?ECUTIVE ❑ N/A WC001113001 /1/2013 /1/2014 E.L.EACH ACCIDENT $1,000,000 (Mandatory In MQ E1.13I8EASE-EAEMPLOYEE $1,000,000 It yes,descnbe under DE SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,D O G,000 A Prof Liability SISIEIL70035613 [/24/2013 /24/2014 Occurrence $1,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is refulred) *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. SAMPLE AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD hoduced using For ns Bass Plus software.w .FoimsBoss.com;Impressive Publishing SDO-208-1977