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'J A j'j a 10, AC4002f 4b� CERTIFICATE OF LIABILITY INSURAN(i! V� 17/20/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO ItIONTS 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 130ES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerfificato holder to an ADDITIONAL INSURED,the polloy(les)must be endorsed. If SUBROGATION R 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 andomement(s). PRODUCER UT Michelle Sanchez Milestone Ptlak Management & Insurance AgencySvfi. (949)379-6956 License No. 0872766 1 ME Nok(949)052-1i3IL 8 Corporate Paric, Suite 130 meanchez@101lestonepromise.com Irvine CA 02606 INSURE%S)AFFOR0INQ COVERAGE a PHOWN INSURED - _LWUJ;MR_A:StRrr SUrPIUS Lines Insurance 13604 Wayne Perry, Inc. iNsURFRaCaneral Ins CO Of America— 24732 INSURE Stan Indsmni9 LiabilitV 92EpRny 38310 0281 Commonwealth Ave. imsuRER clTravelere Pro 2 &Casualty Co of Amer.2 5674 INSRE: Buena Park CA 90621 URE j INSURER F: COVERAGES CERTIRCATENUMBER.I8/16 Master GL, Auto—, REVISION NUMBER., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD7_ INDICATED. NOTWITHSTANDIN(3 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 OFINSURANCE EW.Cyh!WMR JlLI fw'� LIMITS X COMMERCIAL MIMAL LIABIUTY EACH OCCURRENCE S 1,000,000 A CLAIMS-MADE[i]OCCUR PIRS101 300,000 Contr. Pollution Ideb, 1000066047151 12/31/2015 12/31/2016 MED EW"Ong pwson) 23,000 X Rx0f. L1.8b - Claima Hade PERSUM&ADV INJURY 8 1,000,000 GLN'LAGOREQATE LIMITAPPLIES PEP: GPNERAL AGGREGATE $ 2,000,000 POLICY Lflj 1:1 Lac PRODUCTS-COMP(OPAOD $ 2,000,000 rU71 OTHER: AUTOMOBILIZLIMLITYX _T OJENGLE LIMIT s 1,000,000 B ANY AUTO BOINLY INJURY(Parpemn) $ 24-CC-317015-12 ALLOWNED SCHEDULED AUTOS MUM 12/31/2015 12/31/2016 BODILY"RY(PatamIdmO $ HIRED AUTOS AUMS UMBRELLA LIM X EXCESSLIAR OCCUR EACH OCCURRENCE s ,9,000.00 A CLANS-ME I AGGREGATE $ 91000,000 DEDR 100024844151 12/31/2015 12/31/2016 ti WORKERS COMFENSAMON AND EMPLOYERSILIARILITY x ANY PROPRIETORIPARTNERO(ECUTWE YIN E OFRCERA"BER NIA L EACH ACOWENT 1,000,000 C! (MandateryInN14)EXULUDED? 17 10000019610 12131/2015 12/31/2016 E.t-DISEASE.EAEMPLOYE $ 11000ICOO gkMammg,M E.L.DISEASE-POLICY LjmM S :L'00O'0OO 13 D Ryes IPTIOM D Installation rionter 66014790961 12/31/2015 12/31/2016 LIMIr., $250,000 DESCRIPIIGNOFOPMTMSILOCAIIONSIVENCLES WORD 101.Addlganal RejnuftMe*F%my be aftchadif Rwre Upace IS MquIred) Chevron Corporation and Environmental Management Company are named as additional insured where required by written contract. CGVQ=90 is primary and non-contributory. Waiver of subrogation applies where required by written oontract. Pollution Liability coverage also applies if Sudden and Accidental. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 09CANCELLED 89FOR E Chevron Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Environmental Management Company ACCORDANCE WITH THE POLICY PROVISIONS. 6101 Bollinger Carryon Road San Ramon, CA 94583 AUTHORIZED REPRFSENTAIIVU ®1986 2014ACORD CORPORATION.All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD INS02SM144i)