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FARWCOR-01 EBRI' ACRO CERTIFICATE OF LIABILITY INSURANCE FD 09 11/2018Y) 09/11 /2018 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 # 0757776 CONTACT Eunice Lee NAME: _ HUB International Insurance Services Inc. PHONE No, Ext): (949) 623-1045 FAX 4695 231-2572 4695 MacArthur Court, Suite 600 Newport Beach, CA 92660 ADD"RIESS: cal.cpu@hubinternational.com INSURED Farwest Corrosion Control Company 12029 Regentview Avenue Downey, CA 90241-3215 INSURER F: Cr1VFRAr:FS CERTIFICATE All IMRFR• RFVISIr1N All IMRFR• 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. INSRTYPE ILTR OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF DD POLICY EXP D/YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X OCCUR EG16542189 08/01/2018 08/01/2019 EACH OCCURRENCE $ 1'000'000 DAMAGE TO RENTED $00,000 PREI (E. occurrence) MED EXP (Any oneperson) 25,000 PERSONAL BADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PPOLICY ❑X PEC LOC OTHER: GENERAL AGGREGATE 21000,000 PRODUCTS - COM P/OPAGG 2'000'000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X AUOTO� ONL� IAS6Z61036697208 08/01/2018 08/01/2019 COMBINED SINGLE LIMIT $ 1,000,000 Me accident)X BODILY INJURY Per person)$ BODILY INJURY Per accident $ PPeOr acEc'IRdent AMAGE $ $ A X UMBRELLA LIAB EXCESS LIAB I X OCCUR CLAIMS -MADE EGU16542191 08/01/2018 08/01/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED I X I RETENTION $ C WORKERS COMPENSATION EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC2Z61036697198 08/04/2018 08/04/2019 X PER T ERH- AND 1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ 1'000'000 1,000,000 E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: County of San Joaquin. For Information Purposes Only. CANCELLEO County of San Joaquin Environmental Health Department 1868 East Hazelton Ave. Stockton, CA 95205 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 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