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CERTIFICATE OF L <br /> 14BILITY INSURANCE DATE(MMIODNYYY) <br /> ETHIS CERTIFICATE IS ISSUEDi — 11/4/2016 <br /> AS A OF INFORMAYIION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I <br /> HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY <br /> AFFORDED BY THE POLICIES B AMEND,EXTEND OR ALTER THE COVERAGE <br /> 'T <br /> H <br /> H <br /> L <br /> C <br /> D <br /> 9 E <br /> ER <br /> R <br /> TIF'C' <br /> THIS —I <br /> AFFORDED D By <br /> S <br /> 0 <br /> 11 SU BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br /> ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the POIICY(les)must be endorsed.If SUBROGRATION*ls WAIVED, <br /> subject to the terms <br /> subject to the terms and conditions of the policy,certain P0116les may require an endorsement.A statement on this certificate does <br /> not confer rights to the certificate holder In lieu of rtlfl <br /> f such endorsement(s). <br /> P 0 UCFR <br /> PRODUCER Onnpolnt -Underwriting Inc. CON E:Steven MCC b <br /> .8390 E Crescent Pkwy,Suite 200 <br /> GreenwoodIllage,CO 80111 PHONE(AIC,.----,--NoExQ:(360)828-0644 IFAX(A/C.NO):(360)828-0699 <br /> EMAIL ADDRESS: –,........... <br /> INSURERS} <br /> AFFORDING COVERAGE NAIC# <br /> INSURER A: ACE American Insurance Company <br /> INSURED 22667 <br /> INSURER t3: <br /> Barret Business Services,Inc.L/C/F INSURERC: <br /> LARRY&CLIFF ENTERPRISES,INC. DBA LC INSUR I ER 0: <br /> SERVICES <br /> .3887 N VALENTINE INSURER E. <br /> FRESNO,CA 93722 INSURERF___._._ <br /> ._..-_.__.__.__-..._..__......_.._...._..___•.__.__... ..--- _...--..--...---------- <br /> L,VvftKAGES CERTIFICATE NUMBER: <br /> THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAYI t3EEN 133UED TO THE INSURED REVI NUMBER: <br /> EVABOVE FOR THE <br /> NOTWITHSTANDING ANY REQUIREMENT,TERMOR CONOrrlON OF ANY CT OR OTHER DOCUMENT RESPECT TO WHICH ICY PERIOD INDICATED. <br /> DESCRIBEDISSUES OR MAY PERTAIN.THE�f3URANCE AFFORDED BY THE POLICIES IS CERTIFICATE MAY BE <br /> IN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF <br /> SUCH POLICIES.LIMITS SHOWN MAY GAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBij- POLICY EFF -j0-LICyWW <br /> LIMITS <br /> GENERAL LIABILITY (MWDW" (MMDIYYYY) <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> _= <br /> IAA-S-MADS OCCUR DAMAGE TO RENTED PREMISES(Ea <br /> ocairence) $ <br /> MED EXP(Arty one Persm) <br /> PERSONAL&A0r INJURY <br /> GENL AGGR Te LIMIT APPLIES R: $ <br /> GENERAL AGGREGATE <br /> —]POLICY pai. nCOC <br /> PRODUCTS COMP/OP AGG <br /> AUTOMOBILE LIASPLITY <br /> ANY AUTO COMBINED SINGLE LIMIT" <br /> ALL OWNEDAUTOs MSCHEDULEDAUTOS (Ea accident) - $ <br /> BODILY FNAJRY(Per person) <br /> HIRED AUTOS NONAANNED,AUTOS <br /> BOOILYINA Ry(per soddenj) <br /> PROPERTY DAMAGE <br /> UMBRELLA L <br /> OCCUR $ <br /> EACH OCC <br /> UR <br /> EXCESS LIAR OCCUR URRENCE <br /> DED AGGREGATE <br /> T RETENTION$ <br /> =�r�aTMP <br /> A WGRKERSComp OY <br /> AND EMPLOYERS, $ <br /> YIN RWC1/0112017 <br /> ANY PROPRIETORIPARTNERI EXECUTIyE 048820521 - TORY LIMIT$. I <br /> OFFICER/MEMBER EXCLUDED? Y JorH- <br /> ER <br /> N/A E-L.EACH ACCIDENT $2.000.000 <br /> (Mandatory in NH)0 yes.des Covered!etatew <br /> CrItle Under <br /> DESCRIPTION OF OPERATIONS below CA E.L.DISEASE EA EMPLOYEE UDESCRIP000-000 <br /> E.L.DISEASE POLICY LIMITI RM OF OPERATIONS I LOCATIONS 17VEHI—CLES )RD 101,Additional Rernar�e SduA",N more spaos ft raqd" $2,000.000 <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES <br /> POLICY,PROVISIONS. CM <br /> a C <br /> EXPIRATION DATA THEREOF,NOTICE WILL BE DELnfIE-'tD% <br /> WIT V <br /> Proof of coverage _p awD <br /> AUTHORIZED REPRESENTATIVE <br /> SEP 0 8 2017 <br /> Richard Poling <br /> 0)1988-2010 ACORD CORPORATION rights <br /> ACORD 25(2010t05) All At ALTH <br /> The ACORD name atid logo are registered marks of ACORD. DEPARTMENT <br />