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��--� XPRES -1 OP D : CV <br /> ACORO DATE (MMIDDIYYYY) <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): (A1C, No): <br /> Oakdale, CA 95361 EMAIE , kenny a@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 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 EXP LIMITS <br /> I TRCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ <br /> CLAIMS-MADE r OCCUR PREMISES Ea occurrence DAMAGE TO RENTED <br /> $ <br /> MED EXP (Any oneperson) $ <br /> PERSONAL & ADV INJURY S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY F1 PRO- F LOC PRODUCTS - COMP/OP AGG $ <br /> JECT <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 L $ <br /> AUTOS ONLY Per accident $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION $ <br /> A WORKERS <br /> ND EMPLOYERS' LIABILITY X STA TE EOR H <br /> YIN sA603449i-04 08/29/2020 08/29/2021 110003000 <br /> ANYPROPRIPROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT $ <br /> OFFICER/MEMMBB ER EXCLUDED? N / A <br /> (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE S 110002000 <br /> If yes, describe under 110002000 <br /> DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ <br /> 122 F L I I E 1111) <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> rr' 4 <br /> 'y C '1_ <br /> ��. i � � I I J et �. l N <br /> 6 <br /> IF P:'\ 12' r t� 1 '114 ' 1 <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 ) © 19884015 ACORD CORPORATION . All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />