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�..---� MJKCONS -01 DADACAYA ', ACORL? CERTIFICATE OF LIABILITY INSURANCE DATE 11 /23/202 YY) �.....-- ' 11 /23/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy( les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s . PRODUCER License # OE67768 CAME?CT Almle DadaCay IOA Insurance Services PHONE g49 297-5530 52002 FAX 949 2 130 Vantis (AIC, No, Ext): ( ) (A/C, No): ( ) 97-5960 Suite 250 AbmDARIEss: almle .dadacay@ioausa . com Allso Viejo, CA 92656 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Nautilus Insurance Company 17370 INSURED INSURER B : Key Risk Insurance Com pany 10885 Sunwest Engineering Constructors, Inc. INSURER C : State Compensation Insurance Fund of CA 35076 4780 Cheyenne Way INSURER D : Travelers Property Casualty Company of America 25674 Chino, CA 91710 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER : REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPITA LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 210003000 CLAIMS-MADE X OCCUR ECP202766213 12/1 /2020 12/1 /2021 DAMAGETO S ( RENTED 100, 000 X X PREMISES Ea occurrence) $ MED EXP (Any oneperson) $ 59000 PERSONAL & ADV INJURY $ 210001000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 41000,000 POLICY [X] JECT D LOC PRODUCTS - COM P/OPAGG $ 41000,000 OTHER: Deductible : $5,000 PRODUCTS LIAR. $ Included B AUTOMOBILE LIABILITY Ea accciden SINGLE LIMIT $ 1 , 0001000 X ANY AUTO BAP202766112 12/1 /2020 12/1 /2021 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOppSyWVNN BODILY INJURY Per accident $ AUTOS ONLY A�OSONEY PPeOracEcdent AMAGE $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6' 0001000 X EXCESS LIAR CLAIMS-MADE FFX202766312 12/1 /2020 12/1 /2021 AGGREGATE $ 61000, 000 DED X RETENTION $ 10 , 000 $ C WORKERS COMPENSATION X STATUTE OERH AND EMPLOYERS' LIABILITY 9243819-20 12/1 /2020 12/1 /2021 1 ,000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N X E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑Y N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 11000' O00 If as, describe under 1 ,0002000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A PL - Per Claim $1MIL ECP202766213 12/1 /2020 12/1 /2021 Per Aggregate 2 ,0001000 D Leased/Rented - RC 6303R122616 12/1 /2020 12/1 /2021 Deductible : $1 ,000 250, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) Contractors Pollution Carrier: Nautilus - Policy #ECP202766213 Effective: 12/01 /2020 to 12/01 /2021 Aggregate: $4MIL - Each Claim : $2MIL - Ded : $5,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AAUUTJHORRIIZD �E {�yRREPPR�ESEN[T/'A�TIIVE ACORD 25 ( 2016/03) © 19884015 ACORD CORPORATION . All rights reserved . The ACORD name and logo are registered marks of ACORD