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ABLEMAI-01 SFRUSHOUR <br />A`CORU CERTIFICATE OF LIABILITY INSURANCE DA9/27/DD13 <br />_ � 9!27/2013 <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(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 CONTACT <br />NAME: <br />George Petersen Insurance Agency, Inc. PHONE p <br />P.O. Box 3539 AWC,,N91,X; (800) 236-9046 4178 707 525-4175 <br />Santa Rosa, CA 95402 E-MAIL <br />ADDRESS: <br />INSURED <br />Able Maintenance, free. <br />3224 Regional Parkway <br />Santa Rosa, CA 95403 <br />INSURERS) AFFORDING COVERAGE <br />INSURER A: State Compensation Ins. Fund <br />INSURER 8: <br />INSURER C. _. ._-----'--'--�--'----- <br />INSURER D : <br />INSURER E : �V <br />COVFRAGF.Ci r`M0TICIr A TC all lubr <br />NAIC p <br />- __ -_ _ .. _...��... ,�v •,fir V,� I�VI�ILIL1\. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN (SSUEO 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 BY PAID CLAIMS. <br />INOR --- -- —POLICY- --- ---- --. <br />LTR TYPE OF INSURANCE INS11 U 11 T ev <br />POLICY NUMBER JMMIDOIYYYYI LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCL S <br />COMMERCIAL GENERAL LIABILITY <br />1SAIGQ+GETD1iENTE6 <br />S_-- <br />– CLAIMS -MADE 1-1 OCCUR <br />PREMISES aocaxra� <br />MED EXP (Any ane parson) S <br />PERSONAL b ADV INJURY S V <br />— <br />GENERAL AGGREGATE $ <br />— <br />GEN'1. AOGREGATE LIMIT APPLIES PER: <br />_ <br />PRODUCTS - CCMPIOP AGG $ ` <br />POLICY PRO- 7 LOC <br />S <br />AUTOMOBILE LIABILITY <br />COMBINEDSINGLEL 1 <br />Ea acadent)_ $ <br />ANY AUTO <br />BODILY INJURY (Per pe(w) SALL -- <br />AUTOS AUTOSULED <br />BODILY INJURY (Per ecddent) S <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />acddent S <br />UMBRELLA LU1B OCCUR <br />EACH OCCURRENCE S <br />EXCESS LIAR CLAIMS MADE <br />AGGREGATE $ <br />OED RETENTIONS <br />$ <br />WORKERS COMPENSATIONWC <br />X TATO OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />A <br />E.L EACH ACCIDEN7 S 1,000,00 <br />ANY PROPRIETOWPARTNEWEXECUTIVE 73219-13 <br />OFFICEPUMEMSER EXCLUDED? N f A <br />IOM/2013 <br />10/1/2014 <br />E,L. DISEASE-EAEMPLOYE S 1,000,000 <br />_ <br />(Mandatory NMI <br />II yas, descnbe under <br />down n and <br />DESCRIPTION OF OPERATIONS below <br />E L. DISEASE - POLICY LIMIT I S 1,000,0 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if mon space is required) <br />License # 312844 <br />CANCELLA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Contractors State License Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />PO Box 26000 ACCORDANCE WITH THE POLICY PROVISIONS. <br />Sacramento, CA 95826 <br />AUTHORIZED �REPRESENTATNF, <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />