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ACORifDATE(MM/DDRYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 04/16/20 <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: It the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorserlent(a). <br /> PRODUCERN�4ME7 HovseP Fidanian <br /> H. Fidanian Insurance Agency PHONE (818)249-3330 F <br /> A/C rm Ed: Nc.ND (818)299-7879 <br /> AX <br /> Glendale, CA 91208 L= <br /> 3403 Oakmont View Drive E-MAIL HOVSep@fidanianinsurance.com <br /> ADDRESS: P <br /> MURER(S) AFFORDING COVERAGE NAICp <br /> CA Lic.# OM76861 INSURER A: Century Surety Company 36951 <br /> INSURED Ross McLaren Fuel Systems, Inc. INSURER e: <br /> INSURER C <br /> 28030 Valcour Dr. INSURER D <br /> Canyon Country, CA 91387 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 /> NSP ADDL Woo <br /> LTR TYPE OF INSURANCE lrsrr "D POLICY NUMBER MM/Dl POLICY EFF POLICY EXP <br /> LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> XCOMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 <br /> CLAIMS-MADE Fx-1 OCCUR MED EXP(Any one person) $ 5,000 <br /> A CCPS91817 04/15/20 04/15/21 PERSONAL eADVINUURY s 1,000,000 <br /> GENERAL AGGREGATE S 2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-GOMP/OP AGG S 2,000,000 <br /> X POLICY PflO� LOC S <br /> AUTOMOBILE LIABILITY COMBI D SINGLE LIMIT <br /> E.accident S <br /> —AUTO BODILY INJURY(Per Person) $ <br /> ALL OWNED SCHEDULED <br /> BODILY INJURY(Per acddenl) $ <br /> AUTOS AUTOS <br /> NON-OWNEO PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> $ <br /> UMBRELLA LIAR OCCUR - EACH OCCURRENCE 5 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE S <br /> DED RETENTION 5 $ <br /> WORKERS COMPENSATION NCSTATU- OT H ` <br /> EMPLOYERS'LIABILITY -YIN TORY LIMITS ER <br /> ANY PnD-HE?CfVPARRLWEXECU C E.L.EACH ACCIDENT <br /> CEN.EL -A EXCLUDED? .❑ NIA. <br /> +• <br /> D <br /> (Mandatory In I" E.L.DISEASE-EA EMPLOYEE S <br /> 11 yes,descdbo W or <br /> DESCRIPTION OF OPERATIONS.below E.L.DISEASE-POLICY LIMIT $ <br /> CONTRACTORS ENVIRONMENTAL — <br /> A CCP891817 04/15/20 04/15/21 POLLUTION LIAB— $1,000,000 <br /> PROFESSIONAL LIAR—$1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Add limal Remarks Schedule,II mare space is required) <br /> CERTIFICATE HOLDERCANCELLATION <br /> Ross McLaren Fuel Systems, " Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> DBA: Ross McLaren Fuel System Testing THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> & Consulting ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ®1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD25(2010/05) The ACORD name and logo aro registered marks of ACORD <br /> f <br />