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AcoR" CERTIFICATE OF LIABILITY INSURANCE moi. 7TE,MM,°°"YYY' Oa I0 0z'j 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(ies) 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 CONTACT Kathy Stuffs NAME: Tolman & Wiker Insurance Services LLC #OE52073 AHS No Ell: (805) 585-6156 aC No): (805) 585-6156 196 S. Fir Street E-MAIL kstutts@tolmanandwiker.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # PO Box 1388 Ventura CA 93002-1388 INsuRERA: Capitol Specialty Ins Corp 10328 INSURED INSURER B : United Financial Casualty Co. 11770 CLAIMS -MADE FXI OCCUR INSURERC: State Compensation Ins Fund 35076 INSURER D: Middle Earth Geo Testing, Inc. _ INSURER E: 954 North Lemon St. 1 INSURER F Orange CA 92867 COVERAGES CERTIFICATE NUMBER: 20/21 GL/AU/WC/POLL 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 LTR TYPE OF INSURANCE ADDLISUBRI INSO WVD POLICY NUMBER POLICY EFF MMIDDNYYY) POLICY EXP (MMIODNYM LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000'000 CLAIMS -MADE FXI OCCUR PREMISES Ea occurrence S 50,000 MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 A EV20182696-03 08108/2020 08/08/2021 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JET F—]LOC PRODUCTS -COMP/OP AGG $ 2,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ X ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NONAWNED AUTOS ONLY AUTOS ONLY 02106265-7 03/15/2020 03/1512021 BODILY INJURY (Per accident) S PROPERTY DAMAGE $ Per accltlent UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAR DED I I RETENTION $ S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 9059223-2020 06102/2020 06102/2021 X PER STATUTE OT ER E.L. EACHACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below LIMIT: $1,000,000 A CONTRACTOR'S POLLUTION PROFESSIONAL LIABILITY EV20182696-03 08108/2020 08/0812021 AGGREGATE: $2,000,000 DEDUCTIBLE: $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) i Verification of Coverage "GL: EXCLUDES ALL WRAP/OCIP PROJECTS r'FRTIFIr]ATF HOI nrP CANCFLLATION <c) 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE <c) 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD