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�1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/14/2016 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 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 CONTNAME: Heidi Gable TLB Insurance Services, Inc. PHO C NN (925oe Lg)*)395-2600 FAX A/C No (925)267-0710 CA License #OB82095ass-Teidi-gable@leavitt.com 3000 Oak Road, Suite 210 INSURERS AFFORDING COVERAGE NAICM Walnut Creek CA 9459 INSURER A Admiral Insruance Company a24856 INSURED Walton Engineering, Inc. SEP c 6 216 INSURER B:Inte on National Insurance Company 29742 INSURERc:State Compensation Insurance 35076 P.O. Box 1025 INSURER D:Hart ford Casualtv Insurance ommnanv 2Qd2d West Sacramento CA 95691 ENVIRONMENTAL EA60H rw r NSURER F' C(VFRAnFS rGRTIGIreTG MI IA _ .,/ 1111 T.11 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. IN TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP L POLICY NUMBER DD/YY M/DD/YYri LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 50,000 PREMISES Ea occ R nce $ MED EXP (Any one person) $ 5,000 X Incl. Pollution Liab. FEIECC1358703 3/6/2016 3/6/2017 X Incl. Professional Liab. PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PE O- F LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 EMPL BENEFITS LIAB $ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 B XANY AUTO AOSCHEDULED AUUTOSS AUTOS 12003162 3/6/2016 3/6/2017 BODILY INJURY (Per person) $ BODILY INJURY $ (Per accident ) NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ X Uninsuredmotorist combined $ 500,000 UMBRELLA LIABOCCUR HCLAIMS-MADE EACH OCCURRENCE $ 10, 000, 000 AGGREGATE $ 10, 000, 000 A X EXCESS LIAR DED RETENTION $ FEIEXS1358803 3/6/2016 3/6/2017 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE[7 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N/AE.L.. 911333915 10/1/2015 10/1/2016 X I PER OTH- STATUTE ER EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS below D Inland Marine 57UUMZC1966 3/6/2016 3/6/2017 Limit $ 300,000 Rented, Leased or Borrowed Deductible $ 2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) -- I,AIVI,tLLA I IUIN 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 is Cote/JUBAUT U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 r7m 4m �