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� <br />AC RD CERTIFICATE OF LIABILITY INSURANCE <br />OATE(M=Df'fYYY) <br />0310412021 <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIR161ATIVELY OR NEGATIVELY AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCIR,AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 Ileu of such andorsement(s). <br />PRODUCER <br />TLB insurance Servfces <br />CR License #0682095 <br />2356 Maritime Dr, Ste 100 <br />Elk Grave CA 95758 <br />coNTACT Shala Pearson - <br />NAME: <br />PHONE (9i6) 7805863 FAX rro : (886) 328-8842 <br />mo No Ext <br />E-MAIL <br />ADDRESS: shala arson@leavitt com <br />INSURER(S)AFFORDING COVERAGE MAIC 0 <br />INSURERA: Admiral Insurance Company 24656 <br />INSURED <br />Walton Engineering, Ina. <br />P.O. Box 1025 <br />West Sacramento CA 95691 <br />tt(SURER B : Travelers Property Casualty Company of Amerioa 25874 <br />INSURERC: Slate Compensation Insurance Fund 35076 <br />[NSURERD: Travelers Property Casualty Company. 36161 <br />INSURER E <br />FNSURERF: <br />COVERAGES CERTIFICATE NUMBER: 21122 Master REVISION NUMBER: <br />THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAhtEDABOVE FOR THE POLICY PERIOD <br />INDicam NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWTH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU8JECTTO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />NSDAL-UL <br />VryD <br />POLICYNUMBER <br />mmeowOLIUY EFF <br />Mmfo toy EXP <br />LIMITS <br />X COMMERCEALGENERALLIAMUTY <br />EACHOCCURRENCE S 1,000'000 <br />PREMISES E_ao(xwenc6) 50,000 <br />CLAMS -MADE © OCCUR <br />MEDEXPAnyoneperson) S 5,000 <br />X Inc. Pollution Liability <br />A <br />FEIECC1368708 <br />03!06/2021 <br />03/0012022 <br />X Inc. Professional LlabMity <br />PER=IAL&ADV INJURY S 1,000,000 <br />GENLAGGREGATEC@.1rTAPPLIESPER: <br />GENERALACOREGATE $ 2,000,000 <br />PRODUCTS-COMPIOPAGG S 2,000,000 <br />POLICY ❑X JPERCT LCC <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITYCEOMBe <br />D SNr'GLE UMFT S 1,000,000 <br />BODILY INJURY(Perperson) S <br />�( ANYALITO <br />BODILY Bi1URY(Peracddertl) $ <br />B <br />OWNED SCHEDULED <br />810BL785302 <br />03106!2021 <br />03106/2022 <br />AUTOSONLY V AUTOS <br />HIRED NON -EC <br />OV:NLY <br />PROPERTYOAMAGE $ <br />Per ecUden <br />AUTOS 01, ^ AUTOS ONLY <br />Uninsured motorist $ 1,000,000 <br />UMBRELLA LIAR <br />X <br />CceuR <br />5ZC OCCURFENCE„• $ 10,00.0,000 <br />AGGREGATE S 10,000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />FEfEXS1358808 <br />03/06/2021 <br />03106/2022 <br />DED I X1 RETENTION $ 0 <br />S <br />WORKERS COMPENSATION <br />X PER <br />UTE I ERH <br />AND EMPLOYERS' LABILITY YIN <br />E.L. EACH ACCIDENT $ 1,000000 <br />C <br />ANYPROPRIETORIPARTNEIEXECUTIVE N <br />NIA <br />9113339 <br />1ofo112020 <br />1010112021 <br />E.L. DISEASE -EA FidPLOYEH S 1,00D,000 <br />OFFICEWAlE1,4DER EXCiUDEO? <br />(MandataryMNH) <br />EL DISEASE-POLICYLIrd IT $ 1,000,000 <br />If ns, desorke trader <br />DESCRIPTIONOFOPERATIOHSb0mv <br />D <br />Inland Marine <br />LeasedlRentedBorrovred <br />6608K816207 <br />03/06/2021 <br />0310612022 <br />Llmil $300,000 <br />DeductMe 52,500 <br />DESCIUPTIO,NOFOPERATIONSILOCATWNSIVENICLES (ACORD 101, Addittonal Remarks Sohodulo, may be at(uhad if more spaca;s requrred) <br />SHOULD ANY OF THE; A13OVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />To Mom it May Concern Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©198a-2019 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />