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ACOREY CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 03/04/2021 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 policy(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 Shala Pearson NAME: TLB Insurance Services PHONE (916) 790-5863 FAX (888) 329-8842 A/C No Ext): A/C, No CA License #OB82095 E-MAIL shala-pearson@leavitt.com ADDRESS: 2358 Maritime Dr, Ste 100 INSURER(S) AFFORDING COVERAGE NAIC # Elk Grove CA 95758 INSURERA: Admiral Insurance Company 24856 INSURED Company INSURERS: p �asuaty pan Travelers Property Cl Com of America 25674 Walton Engineering, Inc. INSURER C: State Compensation Insurance Fund 35076 P.O. Box 1025 INSURER D: Travelers Property Casualty Company. 36161 INSURER E: PERSONAL &ADV INJURY $ 1,000,000 West Sacramento CA 95691 INSURER F: GUVERAGE5 CERTIFICATE NUMBER: zwzz master RFVIAInNI NI 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, INSR LTR TYPE OF INSURANCE AUDL INSD SUBR WVD POLICY NUMBER POLICY EFFPOLICY MM/DD/YYYY EXP MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TORENTED 50,000 PREMISES Ea occurrence $ X Inc. Pollution Liability 5,000 MED EXP (Any one person) $ X Inc. Professional Liability PERSONAL &ADV INJURY $ 1,000,000 A FEIECC1358708 03/06/2021 03/06/2022 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY � PES ❑ LOC2,000,000 GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY (Per person) $ BOWNED SCHEDULED AUTOS ONLY AUTOS Ix 81081-785302 03/06/2021 03/06/2022 BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE $ Per accident Uninsured motorist S 1,000,000 UMBRELLA LIAB OCCUR """""""" ""'y"' """• EACH OCCURRENCE $ 10 000,000 A X EXCESS LIAB CLAIMS -MADE FEIEXS1358808 03/06/2021 03/06/2022 AGGREGATE $ 10,000,000 DED I X1 RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICER/MEMBCERIMEMBER EXCLUDED? R/PARTNER/EXECUTIVE Y1 (Mandatory in NH) Ifyes, describe under DESCRIPTION OF OPERATIONS below N/A 9113339 10/01/2020 10/01/2021 X PER STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Inland Marine D Leased/Rented/Borrowed 66081<816207 03/06/2021 03/06/2022 Limit $300,000 Deductible $2,500 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN To Whom it May Concern Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD