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ABLEMAI-CL WATTS <br /> �C`oRo CERTIFICATE OF LIABILITY INSURANCE DATE 0 9/2612(MMAD01 VY) <br /> osnsnol7 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> TACT <br /> PRODUCER <br /> FAX <br /> George Petersen Insurance Agency,Inc. PMONE <br /> P.O.Box 3539 (A/CANa,Esti:(707)525-4150 (A/c,N.):(707)5253176 <br /> Santa Rosa,CA 95402 .InfO g ins.com <br /> INSURERS AFFOROIN80 VFJUOE NAIC9 <br /> INSURER A:State Compensation Insurance Fund 35076 <br /> INSURED INSURER 8: <br /> Able Maintenance,Inc. INSURER C: <br /> 3224 Regional Parkway INSURER D: <br /> Santa Rosa,CA 95403 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 BY PAID CLAIMS. <br /> INSR rypE OF INSURANCE ADOL BURR POLICY NUMBER POLICY EFF POLICY IXP LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE ]OCCUR DRMA E TOtE,RENTED <br /> MED EXP(My one cement <br /> PERS NAL&ADV INJURY <br /> GENL AGGREGATE LIMIT APPLIES PER: GENERALAGGRE TE <br /> POLICY JECT LOC PRODUCT -COMPIOP AGO <br /> OTHER: <br /> COMBINED SINGLE OMIT <br /> AUTOMOBILE DABIUry <br /> ANY AUTO g BODILY INJURY Per arson <br /> AUpTEO�S ONLY AUCHEDDUULNEEDo BODILY INJURY Por accident <br /> AUTOS ONLY AUTOS ONLY dieOPER en1 AMAGE <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE <br /> EXCESS LIAR CLAIMS-MADE A E ATE <br /> DED RETENTIONS <br /> A WORKERS COMPENSATION XPEA ER <br /> R OTH- <br /> AND EMPLOYERS'LIABILITY Y N 073219-17 10/0112017 1010112018 1,0001000 <br /> ANY PROPRIETORIPARTNERIEXECUTIVE M NIA E.L.EACH ACCIDENr <br /> OFFICd FUM MBER IXCLUDED9 1,000,000 <br /> m ata nNNNN�) E.L.DISEASE-EA EMPLOYE <br /> Ifyesdeacribaunder E.L.DISEASE-POLICY UNIT 1,000,00 <br /> DESCRIPTION OFOPERATIONS below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddM.c.t Ramaree Schedule,may be+Bached If mare space Is required) <br /> RE: License#312844 <br /> Proof of Coverage <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 /> Contractors State License Board ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 26000 <br /> Sacramento, CA 95826 <br /> AUTHORIZED REPRESENTATIVE <br /> (�q• q:?—, <br /> ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />