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,x:ITL. UId04U U6UFdIR;e 010lerS (I ZUWJZUb 10) IL:A Dun,I7 w. ,p <br /> DATE(MMIODIYYYY) <br /> _ACQRV® CERTIFIGISTE OF LIABILITY INSURMNCE 2/21/2014 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> ES <br /> BELOW AFFIRMATIVELY <br /> TH 3 CERTIFICATE OFE <br /> INSRNEGATIVELY NALTER COVERAGE AFFORDED T <br /> INSURANCE DOES CONSTITUTE A CONTRACT BETWEEN THE3SUINGNRSURES), AUTHORHE I AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: 11 the certificate holder Is an ADDITIONAL INSURED,the policy(Ies)must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement s). <br /> PRODUCER NAME: Kathy Williams <br /> Mt. Diablo Insurance Brokers, Inc. PHONE (925)297-4070 FAX W; (93513ST-4074 <br /> 3557 Mt. Diablo BoulevardEIll <br /> kathy tutdiabloinsurance.com <br /> Suite 21 INSURE S AFFORDNG COVERAGE NAZCA <br /> Lafayette CA 94549 INSURERA:Everest Indemnit 0851 <br /> INSURED INSURERS:Everest National Insurance Co. 10120 <br /> wsURERC State C . Ins. Fund of CA 5076 <br /> L G B Environmental, Inc. INSURERD. <br /> 893 Boggs Terrace INSURERE. <br /> Fremont CA 94539 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:CL1393003353 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 BYPAID CLAIMS. <br /> IffWV <br /> TR TYPE OF INSURANCE POLICY NUMBER MMSUOR II NYYY MMIDDIYYYV LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE f 2,000,000 <br /> DAMAGE TO RhRTI!I5-- <br /> X COMMERCIALGENERALLASILITY rREMISES E.ocaeence S 50,000 <br /> A CLAIMSJMADE Q11W1 X Y EF414LOS088131 0/1/2013 0/1/2014 NED EXP(ARy mw person) f 5,000 <br /> X Polluti On Liability PERSONAL 6 ADV INJURY S 2,000,000 <br /> X Asbestos F Lead GENERAL AGGREGATE f 2,000,000 <br /> GEN'.AGGREGATE LMIT APPLIES PER PRODUCTS-COMP(OPAGG f 2,000,000 <br /> POLICY X PROJECWC Mold Abatement f 1,000,000 <br /> AUTOMOBILE LIABILITY COMUINtU SNGLL UMII <br /> fEa wd.,,N S 1,000,000 <br /> B MY AUTO BODILY INJURY(Pel perms) f <br /> ALL X SCHEDULED F4CA00128131 0/1/2013 0/1/2014 OODILY NJURY(Per a¢we1M) S <br /> AUTOS <br /> NON OWNED PROPERTY DAMNe f <br /> HIRED AUTGS AUTOS fp.r acctleM <br /> S <br /> UMBRELLA LIAR IH FAI TH II(11:1 IHRFNC, f <br /> EXCESS LIAR CLP.IMS-MADE AGGREGATE S <br /> DED RETENTION f <br /> VMORNERS COMPENSATION y X VK:ORyGTAT11- OTH- <br /> AND EMPLOYERS'LIABILITY LIM <br /> ANY PROPRIETORPARTNERIEXECUTIVE YIN EL EACH ACCIDENT f 1 000 000 <br /> OFFIGERIMEMDER EXCLUDED) ED NIA 0/1/2013 0/1/2014 <br /> (: (MEMMPIYIDNHI 07337513 EL.DISEASE-EA EMPLOYE f 1,000,000 <br /> If yyees,deembe ur4e, <br /> LIE, <br /> IDN OF OPLRAI IONS Dekw EL.UIStP4E-VULCY Lrtd❑ f 1,000,000 <br /> DESCRP71ON OF OPERATIONS I LOCATIONS 1 VEHICLES (AbgM1 ACORO 101,g4dItI00e1 Remarer SCM1edule,I!more tPAae It requlNd) <br /> The certificate holder is recognized as additional insured, but only as respects liability arising from <br /> named insureds operations. Policy endorsements apply and are attached hereto. <br /> CERTIFICATE HOLDER CANCELLATION <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 /> AUTHORIZED REPRESEWATIVE <br /> Robert Salvo/KATHY <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025.,fHw5)01 The ACORD name and logo are registered marks of ACORD <br />