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_ I ABLEM4 <br />fft..� CERTIFICATE OF LIABILITY r <br />OP ID: Sd <br />TIT <br />TYPE OF INSURANCE <br />09/30111 <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IIJSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certtflcate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsemen s . <br />PROCUIDM <br />George Petersen Ina Agency 707-525.495 <br />P. O. Box 3639 707-525.417t <br />627 College Avenue <br />Santa Rosa, CA 96402 <br />ACT <br />c No <br />A POWOR EMS 8 - <br />INSUREMS1 APMI MM: C!nvERAGE NAIL d <br />Douglas Dlltey <br />nNSUftERA:iCW Grau <br />INSURED Able Maintenance, Inc. <br />3224 Regional Parkway <br />Santa Rosa, CA 95403 <br />INSURERe: <br />INSURER c r <br />.MBURER O: <br />INS E <br />INSURER IT I I <br />COVERAGES CERTIMATE MIiMRPQ- bren�..�...r....... <br />nva.W n. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANYAEQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TIT <br />TYPE OF INSURANCE <br />ADM <br />SUBF <br />POLICY NUMBER <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE S_ <br />COMMERCfAL GENERAL LIABILITY <br />CLAIM E ❑ OCCUR <br />P AtPSE3 {Soso �aranca S ---s <br />MED EXP (Arty ser p ne S ---- <br />PERSONAL A ADV INMRY S <br />GENERAL AGGREGATE S <br />GEWL AGGREGATE LEANT APPLIES PER <br />POLICY D P LOC <br />PRODUCTS - COMPIOPAGG 1 <br />S <br />AUTOMOBILE LIABILnYMIN <br />SIN f tT <br />M <br />ANYAUTO <br />ALL <br />AVTOS�m <br />HIREOALITOS ADN-OMEDUTOS <br />BODILYINJURY (Per paragt) S <br />SODILY INJURY (Par ) S <br />R S <br />S <br />u LIAR <br />OCCUR <br />EACH OCCURRENCE $ '® <br />EX S LIAR <br />CIAIMS41ADE <br />AGGREGATE $ <br />ECTNTN S <br />S <br />A <br />MRKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOWARTHERIEXECU'l"YIN <br />OFR ��R EXCLUDED? ® <br />(Mandalory M NH) <br />ff DESCRIPTION IPTION O OPERATID bebw <br />NIA <br />L.60OM303 <br />10/01111 <br />10/01112 <br />YJC STATU OTN- <br />EL EACH ACCIDENT s 100000 <br />r <br />E.L. DISEASE - EA EMPLOYE S 1,000,00 <br />E.L. DISEASE - POLICY LIMIT 1 1,000 Q <br />DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (Aft ch ACORD 101, AddNOonai Remarks Schedule, It mera space is required) <br />RE: License #312844 <br />Proof of Coverage <br />Contmetars State License <br />Board -Workers Comp Unit <br />PO Box 26000 <br />Sacramento, CA 95828 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPRAnON DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />®1988 2010 ACORD CORPORATION. All drthfe rsocanmrr <br />ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD <br />