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_ ABLEMAI-CL <br /> DATE IMN/DD/YYYY1 <br /> CERTIFICATE OF LIABILITY INSURANCE 091261201 <br /> THIS , CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dr EXTEND CONFERS <br /> OR ALTER THE COVERAGE AFFOR'RED E)Y THE OLICIES <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, <br /> i BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(B), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the cortHlcate holder Is an ADDITIONAL INURED, the policy{Iea) must have ADD1TtON�LuNre an oodarnsement. A statemenovisions or be t n <br /> N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may q <br /> this certificate doss not conferrl hts to the certificate holder In lieu of ouch endcgrsement. e . <br /> PRODUCER .. it <br /> .�._. .__^— _.._ .... <br /> ' PHONE _ ' 5..._--.J._ <br /> GaulsPeterson insurance Agency, Inc, CC (747j 626-4176 <br /> rg A A . q, No, Eat : (707) 6264160 . Ak Ivo <br /> P 'O' Box 3639 DAS�ss: Illf 5o �gp)n9.cOrri _ <br /> Santa Rosa , CA 96402 HAIGN <br /> iNSUREALea AFFOADINO COVERAGE <br /> _— <br /> . INSURERA : Homeland Insurance Compal of Now York 34452 <br /> iNeuREb aINSUKERB • WB61Aflier)CQnInBUran08 .COrripBnI " 44993 <br /> WsuRERc IState Compensation Insurance Fund . 36076 <br /> Able Melntananes Inc. <br /> 3224 Regional Parkway (iN� re. & _Casuatty •C <br /> smR D I American Fiompany. 124066 . <br /> Santa Rosa, CA 96403 INSVREaE_ _ _— V�— <br /> � INSURER. F : . � ' <br /> COVERAGES CERTIFICATE N MISER: REVISION NUMBER: <br /> INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH 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 PAIL? CLAIMS. _ <br /> ADD4 BURR : POLI Y EiF ADL E%P LIMIT&. . <br /> TYpEOFINBURANCE . i POUCYNU116ER i• I : - <br /> j ! LEACHOdWRRENCE . 6 1016 <br /> �0 <br /> A X COMMERCIAL GENERAL LIA61Lm pAfAAG - TO 60,000 <br /> !� CLAIMSMApE �X OCCUR 93-00-26.72-0003 101111201?. 1011112018 , <br /> X Pollution I I AIP &xP (Anyandbeiaont rc <br /> � <br /> X , rois <br /> es• alms Mad" � .- _ R R�•tIADVINJURY S �e <br /> - GENERALAGGRESA TE _ <br /> I OENL AQGREGAtE LpIMpIIT. A (�LIE�B PER: I ' <br /> POLICYJECT L�J ; PR�OD ' MP/OPA00 . E <br /> LOC r � _ 0 . <br /> MOLD <br /> OTHER. It IRE��l <br /> AUTOMOBILE LIABIU Y 1 . CpponfiB.l _ .E r r <br /> X ANY AUTO _ I 13AW (19) 68661065 041o1/2018 0410112019 BO LY INJURY (Per pegnl, . S. <br /> AUTOS ONLY AUTT8� JULED I I .BODILY INJURYPe soddenli, <br /> p I . As EJY ant : OE 3 <br /> ALT06 <br /> ONLY <br /> AUTI�Y I — <br /> I ; <br /> UMBRELLA UAB • OCCUR I 1 . EACH OCCURRENCE , <br /> ! . EXCESS UAB } CLAIMS-MAOEI I �f .AGGREGATE ; 3. _ <br /> I I <br /> DEO RETENTIONS x 167A7I1t , ..p y <br /> C WORErFtgMPL YEASt MILITIqN 1010112018' ; 10101 !2019 <br /> ANDEMPLOYERS' LUU3IUTV Y ) '9079218-18 EL EAPFI, ACCIDENT _, . yr�000,0 0 <br /> IAQ�NFFY RpOPRIIETgOERyIPARTNEER/E%ECUTNC 1 I f ! E 7 YYY,YYL <br /> 'rAin I�eryFln r+l+l EXCIUDEDT N 1 A f €L, DISEASE • EA EMPLOYE <br /> H__ yyaee detnlba under I ! E.L. OMWE • POLICY LIMIT . E 1 ,000,0 0 <br /> WNIPTIONOF ( PERATIONS Wow SA 9 6 99 <br /> r <br /> xcess Auto OnlyRIE " V IA zu <br /> Ir <br /> l I <br /> DESCRIPTION OF OPETIONS 1 LOCATORS I VEHICLES (ACORD 1014 AddlUanal Ramada Svhedale, mty be rNohed R Moro d) IlLMI Ed IL V , JU <br /> apace Ia mqulre <br /> RA '.. <br /> RE: Proof of Coverage <br /> JUN 14 2019 <br /> VNVIRONNIENTAL HLA Tit <br /> CANCELLATION <br /> CERTIFICATE HOLDER <br /> j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Able Maintenance, Inc, ACCORDANCE WITH THE POLICY PROVIS)ONB , <br /> 3224 Regional Parkway <br /> Santa Rosa, CA 96403 AOTHORILBD REPRESENTATNE <br /> ® 1988-2016 ACORD CORPORATION . All rights reserved. <br /> ACORD 26 (2016103) <br /> The ACORD name dlnd logo are registered marks of ACORD <br />