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SALEENG-01 N,JANIII.TON GRAVES
<br /> ACORO'
<br /> CERTIFICATE OF LIABILITY INSURANCE D"r-, MIIDD'Y'"v) 1
<br /> 1 2b,12019
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT /CAI"E HOI D:R.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 3Y 1-i:POLICIES
<br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),ALTnORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or Im e^dorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsemen-. A::tjt(ment on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsemengs).
<br /> License#OE02096 —T—
<br /> PRODUCER L NTACT —"--"--'------
<br /> DiBuduo&DeFendis Insurance Brokers,LLC PHONE r ----
<br /> P.O.Box 5479 ac,Ne,Eri):(559)432-0222 Inc,No):{559)4 3'-7941
<br /> Fresno,CA 93755-5479 E i -
<br /> -------- -------
<br /> __._. INSURERIS)AFFORDINGCOVERAGE _ _
<br /> NAIC s
<br /> INSurEaA Valley Forge Insurance Co _ 2050E_
<br /> NsuaeD INSURER e:Transportation Insurance Company20494
<br /> Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289
<br /> 4729 W.Jacquelyn Ave. INS - -- — - --
<br /> LsuRERD:American Casualty Company Of ReadincpA" 120427____
<br /> Fresno,CA 93722 7
<br /> IysuRER E:Continental Casualty Compact_ _ J 204_4_3 _
<br /> INSURER F
<br /> _ _ 1
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ___ _
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PCL CY PERIOV
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT T(:WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFCRDED BY THE POLICIES DESCRIBED HEREIN IS SUBJI:CT TO ALI T IE TERMS,
<br /> EXCLUSIONS AND CONDI--TIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> — --- ----
<br /> INSR�— [SU—BR —
<br /> —-- --T----
<br /> TYPE OF INSURANCE_ POLICY NUMBER POLICY
<br /> EFF POLICY EXP --"--- —"- --"------
<br /> -LTR
<br /> A �( I COMMERCIAL GENERAL LIABILITY LIMITS— _-
<br /> - EACH OCCURRENCE $ 2,000,OCO
<br /> cwMS-MADE Or-CUR X 1 16015893246 12/01/2019 12/0112020 DAMAGE TO RENTED 300,000
<br /> eBE1dISFs1J:a brsur+enc _
<br /> MED EXP/Any one oeTpal
<br /> 15,000
<br /> ` PERSONAL 6 ADV INJURY 2 000,1;00
<br /> GENL AGGREGATE LIMIT APP PER: GENERAL AGGREGATE 4 000,000
<br /> POLICY! JC LOC I PRODUCTS-COMP/OPA 4,040,000,
<br /> OTHER S--"
<br /> B AUTOMOBILE LIABILTY I I COMBMED SINGLE LIMIT 1,000,000:
<br /> __-
<br /> X ANY AU70 6045473729 12/01/2019 12/01/2020 BODILY)FDURY(Per aen:unl _OWNED SCHEDULED SCHEDULED
<br /> AAUTOS ONLY AUTOS
<br /> p BODILY INJURY Gr awdent
<br /> VT
<br /> ""�"1Ev er P.E=t j
<br /> C X J UMBRELLA LIAR X OCCUR EACH OCCURRENCE S,000,ODQ
<br /> EXCESS LIAR j CLAIMS-MADE 6015893232 12/0112019 12/01/2020 — $---
<br /> AGGREGATE — 5,000,001)
<br /> DED I X 1 RETENnONE 10,000 —_. ---- -- I
<br /> D WORKERS COMPENSATION X PER Ol H- ,—
<br /> —
<br /> ANDEMPLOYERS'LIABILRY4�'
<br /> 020581635 12101/2019'12!01/2020 ILU- Com`_
<br /> ANY PROFRIETOR/PARTNER/F ',000,001)
<br /> ppFFICERRAEMEER EXCLUDED/ E L.EACH ACCIDENT(Mtl yez.oesmee under _.L- A -k&JM_PLDYF _ /,000,00(1
<br /> SCRIPTION OF OPERATIONE L.DISEASE-POLICY LIE (Prof./Pollution Liab1895527 12/01/2019 12/01/2020 Each Claim 2000,00(
<br /> E IProfJPollution Liab �AEH591895527 12/01/2019 12/01/2020 Aggregate .1,000,00G
<br /> -- - __-
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES�ACORD 101,Addieonal Remarks SCAWuIc,may he attached H mon space is required)
<br /> Actual Certificate to be issued upon request
<br /> Certificate Holder is named Additional Insured(including Ongoing 6 Completed Operations and Primary Non-Contributory Wording)as respects 3 In Inal
<br /> Liability per attached blanket policy form CNA75079XX(10-16).
<br /> Profess lonsl/Pollution Liability deductible per claim-$25,000
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE-LF:C SFFORE
<br /> SAMPLE CERTIFICATE" THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE ---
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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