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SALEENG-01 MSELTZER ACORO" CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDYYYY) �.� 12/02/2020 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(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 License#OE02096 CONTACT NAME: DiBuduo&DeFendis Insurance Brokers,LLC PHONE No,Ext):(559)432-0222 FAX,No):(559)431-7941 P.O.Box 5479 Fresno,CA 93755-5479 EDoaIE S S: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Valley Forge Insurance Co 20508 INSURED INSURER B:American Casualty Company of Reading PA 20427 Salem Engineering Group,Inc. INSURER c:Continental Insurance Company 35289 4729 W.Jacquelyn Ave. INSURER D:National Fire Insurance of Hartford 20478 Fresno,CA 93722 INSURER E:Continental Casualty Company 20443 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 EXP LIMITS LTR D D YYY MM DD/Y V A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE [X]OCCUR X 6015893246 12/01/202 A2/01/2021 DAMAGE TO RENTED nce $ 300,000 MED EXP(Anyoneperson) $ 15,000 PERSONAL&ADV INJURY $ 2,00,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 POLICY F_X]jE F—] LocPRODUCTS-COMP/OP AGG 4,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO 6045473729 12/01/2020 12/01/2021 BODILY INJURY Perperson) OWNED SCHEDULED AUgT�O�S ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY 1 \IN 1 $ AUTOS ONE PROPERTY DAMAGE Per accident $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE 6015 12/01/2020 12/01/2021 AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,000 $ D WORKERS COMPENSATION X PER 21H- AND EMPLOYERS'LIABILITY 6020581635 12/01/2020 12/01/2021 1,000,000 ANY PROP RIETORiPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in H) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Prof./Pollution Liab AEH59185527 12/01/2020 12/01/2021 Each Claim 2,000,000 E Prof./Pollution Liab AEH59185527 12/01/2020 12/01/2021 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) '•Actual Certificate to be issued upon request** Certificate Holder is named Additional Insured(including Ongoing&Completed Operations and Primary Non-Contributory Wording)as respects General Liability per attached blanket policy form CNA75079XX(10-16). **Professional/Pollution Liability Deductible per claim-$25,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE **SAMPLE CERTIFICATE*' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD