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AC V CERTIFICATE OF LIABILITY INSURANCE DATE(MM DDM/Y1) 08/05/2021 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 pollcy(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 CONTACT AME: KathyKSIUtts Tolman 8 Wiker Insurance Services LLC#OE52073 I?voNN( BOS)585-6156 FAX Na_ (805)585-6156 196 S Fir Street -MAIL kstutts@tolmanandwiker.com ADDRESS: PO Box 1388 INSURER(S)AFFORDING COVERAGE NAIC 0 Ventura CA 93002-1388 INSURERA: Capitol Specialty Ins Corp 10328 INSURED INSURER B: United Financial Casualty Co. 11770 INSURER C: State Compensation Ins Fund 35076 Middle Earth Geo Testing,Inc. INSURER D: 134 S.Glassell,Suite H INSURER E Orange CA 92866 INSURER F COVERAGES CERTIFICATE NUMBER: 21/22 GUAU/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. IEFF POLICY FXP TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE I—XI OCCUR PREMISES Ea occurrence S 50,000 MED EXP(Anv one person) S 5'000 A Y Y EV20182696-04 08/08/2021 08/08/2022 PERSONAL 6 ADV INJURY S 1'000'000 GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 2,000,000 POLICY ❑X PED-CT ❑Lac 2,000,000 PRODUCTS-COMP/OP AGG S OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea acddent X ANYAUTO BODILY INJURY(Per person) S B OWNED SCHEDULED 02106265-8 03/25/2021 03/25/2022 BODILY INJURY(Per acodentl 5 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR HCLAIMS-MADE AGGREGATE S DED RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER 1,000,000 C ANY PROPRIMB R/PARTNER/EXECUTIVE ❑ NIA Y 9059223-2021 06!02/2021 06/02/2022 E.L.EACH ACCIDENT s (MandatoryOFFICERIM In NER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes.desoibe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ LIMIT: $1,000,000 CONTRACTOR'S POLLUTION A PROFESSIONAL LIABILITY EV20182696-04 08/08/2021 08/08/2022 AGGREGATE: $2,000,000 DEDUCTIBLE: $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If mon apace Is inquired) GL:Certificate Holder is Additional Insured as respects to operations of the Named Insured per form CG20100413.GL/WC:A Waiver of Subrogation is added In favor of the Additional Insured per forms(GL)ENV0300516 and(WC)2572/10217.Endorsements apply only as required by current written contract on file."GL:EXCLUDES ALL WRAP/OCIP PROJECTS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Terracon Consultants,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 10841 S.Ridgeview Road AUTHORIZED REPRESENTATIVE Olathe KS 66061 C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD