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(,ypu'1 b13y Acnirow CERTIFICATE OF LIABILITY INSURANCE °9/22/2017 �---� 9/22/2D1T 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(les)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 Heidi Gable NAME: TLB Insurance Services PHONEg (925)395-2600 �F(925)287-0710 CA License #0882095 ADDRESS:heidi-Qablegleavitt.cam 3000 Oak Road, Suite 210 INSURER($)AFFOFMM COVERAGE NAIC6 Walnut Creek CA 94597 _ NSURELA-%dmiral Inaruance ConTany 024856 INSURED nannusts:Integm National Insurance Coulpany 29742 Walton Engineering, Inc. INSURERC:State Compena&tion Insurance Fund 35076 P.O. Box 1025 INSURERD:Hartford Casualty Insurance C any 29424 INSURER E: West Sacramento G 95691 1 NBURERF: 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. I= TYPE OFNSURANCE POLICY EFF POLICYEIP JIM POLICY NUMBER Laf1s X COMMERCIAL GENERAL LIARNY EACH OCCURRENCE $ 11000,000 D RENTED so,000 A CWMSMADE X OCCUR PREMISES Ea occurrence S X Incl. Pollution Liab. lEI-MCC-13587-Od 3/6/2017 3/6/2018 MED EXP(My one Person) $ 51000 X Iacl. PSOfeasinad. Liab. PERSONAL&ADV INJURY $ 1,000,000 GEN-L AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 X POLICY 1::1 PRO- ❑ PELT LOC PRODUCTS-COMP/OP AGG E 2.000,000 OTHER: $ AUTOMOBILE LWaIIY COMBINED SINGLE L $ 1.000,000 Ea accident H X ANY AUTO BODILY INJURY(Per Persm) $ ALL ED SCHEDULED 12003162 3/6/2017 3/6/2018 BODILY INJURY(Per aocklent) $ X X NONEED PROPERTY DAMAGE E HIRED AUTOS AUTOS Per eccitlent $ umB LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 A X EXCESS I" CLAIMS-MADE AGGREGATE $ 10,000,000 OED RETENTION =X-II9-13588-04 3/6/2017 3/6/2018 $ [YORKERS COIFENLITKN AND EMPLOYERS'W1BLr1Y YIN X ATUTE ER ANY PROPRIE 0R,PARTNERIEXECUTIVEE.L EACH ACCIDENT $ 1,000,000 O OFFICERMEMBER EXCLUDED? F—] N/A 1111Ngeory In NN) 9113339-2016 10/1/2016 10/1/2017 E.L.DISEASE-EA EMPLOYE $ 11000,000 ff s,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Inland Marine 57O016C3966 3/6/2017 3/6/2018 LIm0 $ 300,000 Rented, Leased or Sorrowed $ 500 DESCRIPTION OF OPERATIONS ILOCATION$I VEHICLES IACOMD 101,Addmoml Remarks SCMdule,may N aftehs B sere.,..is r dg wjI. TAT 0 O c OC 2O1t7 ENVIPONMENTAL HEALTH n r_. CERTIFICATE HOLDER CANCELLATION T 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. AUTHOR®REPRESENTATIVE Heidi Gable/HEGABL G ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and IGgo are registered marks of ACORD INS025(201401 i