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'`;`oR"® CERTIFICATE OF LIABILITY INSURANCE 7EIMMIDD/YY'YY) 8/11/2019 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 CONTACT Kathy Stutts NAME: Tolman 8 Wiker Insurance Services LLC#OE52073 A/cNNo Ext): (805)585-6156 FAX Na: (805)585-6256 196 S.Fir Street E-MAIL kstutts@tolmanandwiker.com ADDRESS: PO Box 1388 INSURER(S)AFFORDING COVERAGE NAIC# Ventura CA 93002-1388 INSURERA: Capitol Specialty Ins Corp 10328 INSURED INSURER B: United Financial Casualty Co. 11770 INSURER C: State Compensation Ins Fund 35076 Middle Earth Geo Testing,Inc, INSURER D: 954 North Lemon St. INSURER E: Orange CA 92867 INSURER F: COVERAGES CERTIFICATE NUMBER. 19/20 GL/AU/WC/POLL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER MM/DD/YYYY MM/DD/YYYV LIMITS X COMMERCIAL G ENERALLIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO_7 CLAIMS-MADE 7 OCCUR PREM SES(E.occ ERENTD rranca $ 50,000 MED EXP(Any oneperson) $ 5,000 A EV20182696-02 08/08/2019 08/08/2020 PERSONAL BADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [ PRO- ❑ 2,000,000 PRO LOC PRODUCTS-COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COBINED SINGLE LIMIT $ 1,000,000 EM a accident IX ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 02106265-6 03/12/2019 03/12/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X1 PER STATUTE EORH AND EMPLOYERS'LIABILITY Y I N 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A 90592232019 06/02/2019 06/02/2020 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED - 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ CONTRACTOR'S POLLUTION A PROFESSIONAL LIABILITY EV20182696-02 08/08/2019 08/08/2020 LIMIT: $1,000,000 DEDUCTIBLE: $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Verification of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD