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�,,..+•� OP ID: TS <br /> ACOR®• CERTIFICATE OF LIABILITY INSURANCE D1010612021Y) <br /> �.., . 1oro6r2a21 <br /> Swap <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 f <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the ceftifleate holder is An ADDITIONAL INSURED, the policy(les) must be endorsed. It 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 andorsemen s . fi <br /> PRODUCER WT Teri Sa er ` <br /> MVP Premier insurance Agency MOVIE), . 559-900 7211 Aro No : 559.324-7336 1 <br /> 1843 E. Fir Avenue Suite 102 <br /> Fresno, CA 93720 EDD L s: tori insurancemv .Com <br /> A C R AFRANZ4 <br /> tNSUR 8 AFFORDING COVERAGE NAICC <br /> INSURED Franzen-HiII Corporation INSURER A : Ali n General insurance Agency <br /> I <br /> 1100 N. "J" Street <br /> 13056 <br /> Tulare, CA 83274 INSURER e : RLI Insurance Company <br /> INSURER C : Liberty Mutual ins. Co. 23043 <br /> INS UnERD . Insurance Company of the West 27847 <br /> INSURER E : GuideOnsNational Ins Company <br /> 4 <br /> 1 u , <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 I <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 PND CLAIMS. [ <br /> SR TYPEOFINSURANCE POUCYNUMBER WNUD CY UNITS P <br /> GENERALLL40UTY EACH OCCURRENCE S 1 /000,00 <br /> A X COMMERCIAL GENERAL LIABILITY ENV56200200002 10/01/2021 10101/2022 PREMISES (Is occu S 50000 <br /> t <br /> CLAIMS•MADE LXI OCCUR MED EXP (Any one rson $ 6000 <br /> PERSONAL SAOV INJURY S 11000,00 <br /> GENERAL AGGREGATE S 30000100 <br /> GENLAGGREGATE LIMITAPPLIESPER PRODUCTS • COMPIOPAGG S 3A00,00 <br /> POLICY F1 PRO• LOC S I <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LiMiT S 11000,00 <br /> B ANY AUTO CAPOSO6925 10101/2021 10/0112022 (Eaecddent) <br /> BODILY INJURY (Per person) S f <br /> ALL OWNED AUTOS BODILY INJURY (Par accident) S <br /> X 9CNEDULEDAUTOS PROPERTY DAMAGE $ <br /> HIRED AUTOS (PER ACCIDENT) I <br /> S s <br /> NON•OWNEDAUTOS ' <br /> 3 s <br /> UidBRELLA LIARX OCCUR EACH OCCURRENCE S 11000800 E <br /> X EXCESS UAB CWMSoMADE AGGREGATE S 11000,00 <br /> E ENV56200200102 10/01/2021 10/0112022 <br /> DEDUCTIBLE S I <br /> `s <br /> RETENTION S $ = <br /> WORKERS COMPENSATION WC STATU• 0TH• } <br /> AND EMPLOYERS' LIABILITY <br /> D ANY PROPRIETORrPAR7NERIEXECUTAlE YIN SA 505751401 10/0112021 1010112022 E.L. EACHACCIOENT S 11000,00 <br /> OFFICERIMEMSSREXCLUDED? Q NiA <br /> IthWaWry in NH) El DISEASE • EA EMPLOYEE $ 1 ,000100 [ <br /> 11es. dosa rounder E.L. DISEASE POLICY LIMIT S 11000000 <br /> SCRIPTION OF OPERATIONS below <br /> A Pollution Llab EN 6200200002 10/01/2021 1010112022 Limits 1M13 } <br /> I <br /> dESCRIPTIONOFOPERATIONS ILOCATIONSIvEHICLES (AttachACORD101, AddtUonalRomsrksSchedule, Ifmoro space lsrequired) ! <br /> CERTIFICATE HOLDER CANCELLATION <br /> PROOFOF. <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 /> { <br /> F <br /> © 1988.2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD <br />