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A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMppY YY 3/7/2017 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 18 WANED, 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 Ileu of such endorsement(s). PRODUCER CONTACT Heidi Gable NAME: TLS Insurance Services PHONe.BaB. (925)395-2600 Fax .(925)287-0710 CA License #OB82095 E-MAILADD .heidi-gable@leavitt.com 3000 Oak Road, Suite 210 INBU S AFFORDING COVERAGE NAIC0 Walnut Creak CA 94597 INSURERAIidmira . Insruance C011aPaoV &24856 INSURED INSURERB:Inte on National Insurance COMP&MV 29742 Walton Engineering, Inc. INSURERC:Stat:e Compensation Insurance Fund 35076 P.O. Sox 1025 INSURERD:Hartford Casualty Insurance Company29424 INS RERE: West Sacramento CA 95691 1 ISu COVERAGES CERTIFICATE NUMBER:17/18 All Policies 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, INSLTR TYPEOFINSURANCE UL ODCY NUMBER POLICY EFF POUCYEXP LIMIT $ COMMERCIALGENERALLIABILRY I EACH OCCURRENCE $ 1,000,000 -ff0PZM RENTED A CWMSdAADE OCCUR PRMSES Ea Amarence S 50,000 8 Incl. Pollution Liab. psI-scc-1358]-04 3/6/2017 3/6/2018 MED EXP(Any one Wscc) S 5,000 R Incl. Professional Liab. PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 x POLICY❑JET IF 7 LOC PRODUCTS-COMPIOP AGO $ 2,000,000 AUTOMOBILE LIABILITY I s 1,000,000 B 'g ANY AUTO BODILY INJURY(Pep.) $ ALL OWNED SCHEDULED 12003162 3/6/2017 3/6/2018 BODILY INJURY(Par amided) $ AUTOS AUTOS NON-0WNED PROPERTY DAMAGE P HIREDAUTOS N. AUTOS eaaMed $ I S UMBRELLA LIAR I R OCCUR EACH OCCURRENCE s 10,000,000 A g EXCESS LV1B CLAIMSMADE AGGREGATE $ 10 000 000 DED RETENTION$ PEI-373-13588-04 3/6/2017 3/6/2018 1 $ WORKERS COMPENSATION g PER 7r1ANO EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXCUnVE Y)N EL EACH ACCIDENT $ 1 000 000 C, OFFICERJMEMBER E%CLUOED+ [:] NIA 9113339-2016 10/1/2016 10/1/2017 (Mandatary In NH) EL DISEASE-EA EMPLOYU $ 1,000,000 ff yes desa6e urMer E CRIPTON OFOPERATIN h m EL DISEASE-POLICY LIMIT $ 1.000.000 D Inland Marine 570 (71966 3/6/2017 3/6/2018 Umft $ 300,000 Rented, Leased or Borrowed DaWable $ 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$ (ACORD 101,Addtional Remarks Schedule,may be adaahad M mon&pip k pqulHd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE To Whom It May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE Heidi Gable/HEGABL ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS026(2oi4m)