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I <br />PRODUCER <br />TLB Insurance Services <br />CA License# OBB2095 <br />3000 Oak Rd., Suite 210 <br />Walnut Creek CA 94597 <br />Dennis Cote' -existing <br />0 0 WALTO-2 OP ID: JM <br />CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />09/29/2015 <br />Phone: 925-395-2600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURED Walton Engineering, Inc. INSURER A: Admiral Insurance Company <br />P.O. Box 1025 <br />West Sacramento, CA 95691 INSURER B: Harford Casualty Insurance Co AIR 0 9 Z016 <br />INSURER c: State Compensation Insurance <br />INSURER D: Wesco Insurance Company "y"...... <br />n ., <br />INSURER E: ... _ . a e.®. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ADDT <br />Ew <br />PE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />YY <br />POLICY EXPIRATION <br />TE MM/ Y <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ® OCCUR <br />FEI-ECC-13587-02 <br />03/06/2015 <br />03/06/2016 <br />DAMAGE PREMISES O RENTED nce $ 50,00 <br />MED EXP (Any one person) $ 5,00 <br />PERSONAL &ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE $ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,00 <br />POLICY X PRO- LOC <br />Emp Ben. 1,000,00 <br />D <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />WPA1030224 04 <br />03/06/2015 <br />03/06/2016 <br />COMBINED SINGLE LIMIT $ 1,000,00 <br />(Ea accident) <br />BODILY INJURY <br />(PER PERSON) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(PER ACCIDENT) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />D <br />D <br />X <br />X <br />Comp Ded - $1,000 <br />WPA1030224 04 <br />WPA1030224 04 <br />03/06/2015 <br />03/06/2015 <br />03/06/2016 <br />03/06/2016 <br />PROPERTY <br />(PER ACCIDENT) AGE $ <br />Coll Ded - $1,000 <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESS/ UMBRELLA LIABILITY <br />EACH OCCURRENCE $ 10,000,000 <br />A <br />X OCCUR CLAIMS MADE <br />FEI-EXS-13588-02 <br />03/06/2015 <br />03/06/2016 <br />AGGREGATE $ 10,000,00 <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY IN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />9113339-15 <br />10/01/2015 <br />10/01/2016 <br />X WC STATU- OTH- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT $ 1,000,00 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,00 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,00 <br />OTHER <br />A <br />Pollution /E&O <br />FEI-ECC-13587-02 <br />03/06/2015 <br />03/06/2016 <br />Poll/E&O 1,000,00 <br />B <br />Installation Float <br />57UUMZC1966 <br />03/06/2015 <br />1 03/06/2016 <br />lint Fltr 2,000,00 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. <br />r_FRTIPIr_ATIF MAI nm2 I AKIf PI I ATInKI <br />TOWHOMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />To Whom It May Concern <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVEDennis Cote' -Existing <br />ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />