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XPRES -1 OP D • CV <br /> DATE (MM/DD/YYYY) <br /> � . CERTIFICATE OF LIABILITY INSURANCE 10/07/2020 <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 209 -847-3065 CONTACT Kenneth Verschelden <br /> Basi Insurance Services, Inc. PHONE 209 -847-3065 FAX 209 -848 -4931 <br /> 1491 E G Street A/C, No, Ext): A/C, No <br /> Oakdale, CA 95361 EDoA . kenny@basiinsurance.com <br /> Kenneth Verschelden <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURER A : Insurance Company of West 27847 <br /> INSURED INSURER B : <br /> Xpress Technical Services Inc <br /> DBA IEC Services INSURER C : <br /> P.O. Box 11160 <br /> Oakdale, CA 95361 <br /> INSURER D <br /> 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 TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occu rence $ <br /> MED EXP (Any oneperson) $ <br /> PERSONAL & ADV INJURY $ <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY JPE a LOC PRODUCTS - COMP/OP AGG $ <br /> OTHER: <br /> OND <br /> AUTOMOBILE LIABILITY Ea accciden SINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $ <br /> DED RETENTION $ <br /> PER A WORKERS COMPENSATION X <br /> AND EMPLOYERS' LIABILITY STATUTE EOR H <br /> WSA5034491 -04 08/29/2020 08/29/2021 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N 1 , 000,000 <br /> E. L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N / A <br /> (Mandatory in NH) E. L. DISEASE - EA EMPLOYE $ 1 $ 0001000 <br /> If yes, describe under 1 , 0005000 <br /> DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ <br /> IV <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached if more space is requ d) IL <br /> APR � 5 ZOZt <br /> ®N�ENTpL HEALT <br /> EVVIF' H <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Proof of insurance 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 />