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ACC>R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3 / 5 / 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 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 NAME CT Shale Pearson Leavitt United Insurance Services , Inc . PAHiONN Ext : FAX ac No : ( 888 ) 329 - 8842 CA License # OJ02939 AIL ADDRESS: shala -pearson@leavitt . com 2358 Maritime Dr , Ste 100 INSURER(S1 AFFORDING COVERAGE NAIC # Elk Grove CA 95758 INSURERA :Admiral Insurance Company 24856 INSURED INSURERB :Travelers Insurance Company 19046 Walton Engineering , Inc . INSURERC :State Comensation Insurance Fund 35076 P . O . BOX 1025 INSURER D : INSURER E : West Sacramento CA 95691 INSURER F : COVERAGES CERTIFICATE NUMBER: 19 / 20 Master 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 ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYYY MM/DODnYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 DAMAGE TO RENTED 50 , 000 A CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ X Inc . Pollution Liability PEXECC1358706 3 / 6 /2019 3 / 6 / 2020 MED EXP (Any one person) $ 51000 X Inc . Professional Liab . PERSONAL & ADV INJURY $ 1 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000 , 000 POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: Products Completed $ 2 , 000 , 000 AUTOMOBILE LIABILITYEa aBINEDtSINGLE LIMIT $ 11000 , 000 B JX ANY AUTO BODILY INJURY (Per person) $ AU OS SCHEDULED8106x992397 3 / 6 / 2019 3 / 6 /2020 BODILY INJURY Per accident $ AUTOS AUTOS ( )NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS X AUTOS Per accident Uninsured motorist combined $ 1 , 000 , 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10 , 000 , 000 A X EXCESS LIAB Id CLAIMS-MADE AGGREGATE $ 10 , 000 , 000 DED X RETENTION $ 0 FEIEXS1358806 3 / 6 / 2019 3 / 6 /2020 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N X STATUTE EERH ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBEREXCLUDED? N / A $ 1 , 000 , 000 C (Mandatory in NH) 9113339 10 / 1 / 2018 10 / 1 / 2019 E.L. DISEASE - EA EMPLOYE $ 1 , 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE . POLICY LIMIT $ 1 000 000 B Inland Marine QT6608X816207 3 / 6 / 2019 3 / 6 / 2020 Limit $ 300 , 000 Leased , Rented or Borrowed Deductible $ 2 , 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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 Shala Pearson / SHFRED © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01 ) The ACORD name and logo are registered marks of ACORD INS025 (201401 )