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ACO CERTIFICATE OF LIABILITY INSURANCE DAM 9/22 DO YYYY) 9/22/2017 F7T IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS TE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED TATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. T: If the certficate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to nd conditions of the policy,Certain policies may require an endorsement A statement on this Certificate does not confer rights to the holder in lieu of such endom ment(s). PRODUCER TE Heidi Gable TLB Insurance Services -- (925)395-2600 FAX NX(935)387-0]10CA License #OB82095 :hei925)395-2600oitt.corm3000 Oak Road, Suite 210 SURERRAFFORDINGOOVPRAGE Walnut Creek CA 91597 AAdmiral Insruance Compare a24856 MSURED wsuRERe:Integon National Insurance C an 29742 Walton Engineering, Inc. INSURERC:State Caelpensation Insurance Fuad 35076 P.O. Box 1025 INsuREltDBarttOrd Casualt insurance C as 29424 _INSURER E: West Sacramento CA 95691 INSURER F: 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. ILTR TYPE OFWSURANCE R POLICYNUNBER POLICI'EFF POLICY FXP L1MIS X CONMERCUU.GENERALLWBILTY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ®OCCUR DAMAGET RENT D PREMISES Eacccunence $ 50,000 X Incl. Pollution Liab. FSI-SCC-13587-04 3/6/2017 3/6/2018 MED EXP(Any ane ) $ 5,000 X Incl. Professional Liaar- PERSOaIIL S ADV INJURY $ 11000,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PgJCY[::]JECT 1-1 LOC PRODUCTS-COMP/OP AGO S 2,000,000 OTHER: $ AUTONIOG ..E uABR-Ty COMBINED SINGLE LIMP Ea aaipent $ 11000,000 B JX ANY AUTOALLOWNED SCHEDULED aOOILY INJURY(Pw person) $ AUr05 12003163AUTOS 3/6/3017 3/6/2018 BODILY IWURY(Per amtdwt) $ HIRED AUTOS X NON-OWNED PRWOi�DAMAGE Is AUTOS �— S UYBRBIA LAB X OCCUR EACH OCCURRENCE $ 10,000,000 LA X EXCESS LUIS CLNMSMADE AGGREGATE $ 10 000,000 DED I RETENTIONS FSI-Sae-13588-04 3/6/3017 3/6/2018 $ WORAND EMRS N'ERS LSAl10N PER TH- ANDEMPLOYER$'LVIeILDY �,/N X STA ER ANY PROPRIETORiPARTNERIEXECUTIVE E.L EACH ACCIDENT C OFFIGEPM,EMBER EXCLUDED? NIA $ 1,000,000 (111 anry In NH) 9113339-2016 10/1/2016 10/1/3017 E.L DISEASE-EA EMPLOYE S 1,000,000 If yee, esc describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POUCYLIMIT $ 1,000 000 D Inland Marine 57Dfnn C1966 3/6/2017 3/6/3018 (Jmi1 $ 300,000 Rented, Leased or Borrowed 0e ble $ 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,AddMonal Remarks ScI dula,may be aUacMd■ncm space b re ul/8� I ECEED J OCT 06. 2017 CERTIFICATE HOLDER CANCELLATION DERAWRIIIENR 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. AUTHORIZED REPRESENTATIVE Heidi Gable/HEGABL ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)