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FARWCOR-01 EBRITO ,4�oRo CERTIFICATE OF LIABILITY INSURANCE D09111ATE /2018 Y) 09/11/2018 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 have ADDITIONAL INSURED provisions or 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 License#0757776 CONTACT Eunice Lee NAME: HUB International Insurance Services Inc. PHONE,Ext):(949)623-1045 ac,No):(951)231-2572 4695 MacArthur Court,Suite 600 E-MAIL Newport Beach,CA 92660 ADDRESS:cal.cpu@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:AIG Specialty Insurance Company 26883 INSURED -INSURER B:The First Liberty Insurance Corporation 33588 Farwest Corrosion Control Company INSURER C:Liberty Mutual Fire Insurance Company 23035 12029 Regentview Avenue INSURER D: Downey,CA 90241-3215 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR EG16542189 08/01/2018 08/01/2019 DAMAGETORENTED 300,000 PREMI E Eaoccurrence) ccu ence $ MED EXP(Any oneperson) $ 25,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY C PRO-- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ MINEB AUTOMOBILE LIABILITY (CEO,aBcideDtSINGLE LIMIT $ 1,000,000 Ix ANY AUTO AS6Z61036697208 08/01/2018 08/01/2019 BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY X AUTOS ONE PROPER DAMAGE AMAGE $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE EGU16542191 08/01/2018 08/01/2019 AGGREGATE $ 10,000,000 DED I X I RETENTION$ 0 $ C WORKERS COMPENSATION X PER 0 AND EMPLOYERS'LIABILITY STATUTE ERH WC2Z61036697198 08/04/2018 08/04/2019 1,000,000 NY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ AN/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:County of San Joaquin. For Information Purposes Only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Count of San Joaquin THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 4 ACCORDANCE WITH THE POLICY PROVISIONS. Environmental Health Department 1868 East Hazelton Ave. Stockton,CA 95205 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD