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BZSERVI-01 �__ NFANIN <br /> CERTIFICATE OF LIABILITY INSURANCE DAT DlYYYY) <br /> 11 !4!2/412020 <br /> THIS CERTIFICATE IS ISSUED AS A 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 INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER C TACT Laurie Graves <br /> Inszone Insurance Services, Inc. PHONE,, No, Ext): (915) 503-4813 IAAie, No):(916) 636-0134 <br /> 2721 Citrus RoadE-MAIL I raves inszoneins .com <br /> Suite A ADDRESS' <br /> Rancho Cordova, CA 95742 _ INSURERIS) AFFORDING COVERAGE ' NAIC # <br /> INSURERA : Axis Surplus Insurance Company_-- <br /> INSURED — INSURER B : Infinity Select Insurance Com asl an 20260 <br /> BZ Service Station Maintenance INSURER C ; Berkshire Hathaway Homestate Companies 20044 <br /> P.O. BOX 933 INSURER 0_: -- - <br /> West Sacramento, CA 95691 INSURER E <br /> INSURER F <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 POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 PAID CLAIMS. <br /> INSR ADDL SUER — - -- --- <br /> POLICY EFF POLIIp <br /> LR IMMIDTYYYY <br /> Y EXP LIMITS <br /> ; TYPE OF INSURANCE 3 NSD POLICY NUMBERIMMIDDIYYYYL <br /> T X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 _ 1 ' 000°000 <br /> DAMAGE TO RENTED 100 ,000 <br /> CLAIM5•MADE CX I OCCUR EMP20001971 .01 2115/2020 211512021 r PPEMISF (Fa occurrence 5 — _ <br /> MED EXP (Any oneperson) 5 10 ,004 <br /> PERSONAL & ADV INJURY $ 1 ' 000 ,000 <br /> FRP <br /> ' ---- -'------ GENERAL AGGREGATE <br /> S 21000 ,000 <br /> GE T AGGREGATE LIMIT APPLIES PER: <br /> POLICY PR LOC PRODUCTS - COMP/OP AGG S 2 '000,000 <br /> X <br /> JEcr ❑ CONTRACTORS POL 1 , 000 ,000 <br /> _ OTHER: <br /> AUTOMOBILE LIABILITY Ea acadED1SiNGLE LIMIT $ 1 , 000 ,000 <br /> X ANY AUTO 504-610144114.001 8/19/2020 ' 8119/2021 BODILY INJURY (Perperson) i 5 _ <br /> OWNED SCHEDULED BODILY INJURY (Per accident S <br /> AUTOS ONLY AUTOS BODILY <br /> AOS ONLY AUTO E t er PERTY DAMAGE <br /> HT ED N N P opcEadent) 5 <br /> 5 <br /> UMBRELLA UABE.[C <br /> CUR EACH OCCURRENCE S <br /> EXCESS LIAR IMS•MADE ` AGGREGATE <br /> DED ' RETENTION 5 $ <br /> F www <br /> C EMRCOMPENSATION <br /> Y STATUTE EER <br /> AND H <br /> YIN N VSWC113488 10/27/2020 1012712021 E.L. EACH ACCIDENT $ 11000 ,000 <br /> ANY PROPRIETORIPARTNERlEXECUTIVE IN / A <br /> FICERtMEPAGER EXCLUDED? 1 }000,000 <br /> artdatory in NH) E.L. DISEASE - EA EMPLOYEE $ _ <br /> It es, describe under E.L. DISEASE - POLICY LIMIT $ 1 ,©00'000 <br /> DESCRIPTION OF OPERATIONS below. <br /> A CPL and PL EMP20001971 .01 211512020 2/1512021 'Aggregate 2, 0001000 <br /> DESCRIPTION OF OPERATIONS P LOCATIONS t VEHICLES (ACORD 101 , Additional Remarks Schedule* may be attached If more space is required) <br /> Verification Of Insurance <br /> CERTIFICATE HOLDERCANCELLATION <br /> SHLo <br /> F THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Verification Of Insurance ACWITH THE POLICY PROVISIONS. <br /> AUTHOR�IZ`ED REPRESENTATIVE <br /> f! <br /> ACORD 25 (2416/03) © 1988-2015 ACORD CORPORATION . All rights reserved . <br />' The ACORD name and logo are registered marks of ACORD <br />