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SALEENG-01 MSELTZER <br /> ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 12/02/2020 <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 <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 lieu of such endorsement(s). <br /> PRODUCER License#OE02096 CONTACT <br /> NAME: <br /> DiBuduo&DeFendis Insurance Brokers,LLC (A/c,No,Ext):(559)432-0222 (AX, <br /> HONE <br /> P.O.Box 5479 No):(559)431-7941 <br /> Fresno,CA 93755-5479 ADDRE <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Valley Forge Insurance Co 20508 <br /> INSURED INSURER B:American Casualty Company of Reading PA 20427 <br /> Salem Engineering Group,Inc. INSURER C:Continental Insurance Company 35289 <br /> 4729 W.Jacquelyn Ave. INSURER D:National Fire Insurance of Hartford 20478 <br /> Fresno,CA 93722 INSURER E:Continental Casualty Company 20443 <br /> INSURER F: <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 <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 PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR D VD M DD Y Y M DD Y <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000,000 <br /> CLAIMS-MADE OCCUR X 6015893246 12/01/202 2/01/2021 DAMAGE cel $ 300,000 <br /> MED EXP(Any oneperson) $ 15,000 <br /> PERSONAL&ADV INJURY $ 21000'000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4'000,000 <br /> POLICY JECT LOC PRODUCTS-COMP/OP AGG 4'000'000 <br /> OTHER: <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea accidentl1,000,000 <br /> X ANY AUTO 6045473729 12/01/2020 12/01/2021 BODILY INJURY Perperson) <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> C X UMBRELLA LIAB X OCCUR5,000,000 <br /> EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE 6015 12/01/2020 12/01/2021 AGGREGATE 5,000,000 <br /> DED X I RETENTION$ 10,000 <br /> D WORKERS COMPENSATION y PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N 6020581635 12/01/2020 12/01/2021 ISTATUT ER 1,000,000 <br /> ANY P'POPRIETOR/PARTNER/EXECUTIVEF—] E.L.EACH ACCIDENT <br /> �FFIG=R/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> E Prof./Pollution Liab AEH59185527 12/01/2020 12/01/2021 Each Claim 2,000,000 <br /> E Prof./Pollution Liab AEH59185527 12/01/2020 12/01/2021 Aggregate 4,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) <br /> **Actual Certificate to be issued upon request** <br /> Certificate Holder is named Additional Insured(including Ongoing&Completed Operations and Primary Non-Contributory Wording)as respects General <br /> Liability per attached blanket policy form CNA75079XX(10-16). <br /> **Professional/Pollution Liability Deductible per claim-$25,000 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> **SAMPLE CERTIFICATE** THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />