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ABLEMAkCL DWATTS DATE (MM/DDNYYY) CER TI I T LIABILITY I 10/8/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFE 4CATE 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 INSU ER(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 endorse ent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s ). CONTACT NAMEm PRODUCER PHONE George Petersen Insurance Agency , Inc. (A/c, No, Ext) : (707) 525-4150 FAX " x): (707) 5254175 P . O . Box 3539 A-ORE . info@gpins .com Santa Rosa , CA 95402 INSURERS AFFORDING COVERAGE MAIC # INSURER A : Homeland Insurance Company of N axv York 34452 INSURER B : West American Insurance Company 44393 INSURED INSURER C : State Compensation Insurance FunCt 35076 Able Maintenance Inc. 3224 Regional Parkway INSURER D : American Fire & CaSual Com an 24066 Santa Rosa , CA 95403 INSURER C , 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 FO R 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. ADDL SUER POLICY EFF POLICY EXP LIMITS INSR TYPE OF INSURANCE POLICY NUMBER LTREACH OCCURRENCE $ 10,000 ,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50,000 CLAIMS-MADE ® OCCUR 793 -00-2642 -0007 10/11 /2021 10/11 /2022 occurrence) $ — 59000 X Pollution & Profess MED EXP (Any oneperson) $ _ PERSONAL & ADV INJURY $ 1000 ,000 GENERAL AGGREGATE 10,000 ,000 GEN'L AGGREGATE LIMIT APPLIES PER , PRODUCTS - COMP/0P AGG 8 10 ,000 ,000 POLICY ® jE�LOC MOLD SEE REMARK $ 1 , 0001000 OTHER : EOMaBIINdEeD SINGLE LIMIT $ 190009000 B AUTOMOBILE LIABILITY X ANY AUTO BAW (22 ) 68661065 4/1 /2021 4/1 /2022 BODILY INJURY (Per person ) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ _, AUTOS ONLY AUTOS WN PROPERT Y AMAGE AUTOS ONLY AUOTOS ONLY Per accident $ EACH OCCURRENCE $ TEXCESS LIAB OCCUR B CLAIMS-MADE AGGREGATERETENTION $ X PER I OTH- STATUTE f ER C WORKERS COMPENSATION 1 000, 000 AND EMPLOYERS' LIABILITY Y / N 9073219 -29 10/ 1 /2021 10/1 /2022 E . L. EACH ACCIDENT $ ' ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA 11000, 000 OFFICEWMEMBER EXCLUDED 9 E. L. DISEASE - EA EMPLOYE $ (Mandatory In NH) 1 ,000,000 If es, describe under E . L . DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 4 /1 /2021 4/1 /2022 A re ate/Occ . 41000, 000 D Excess Auto/EL only ESA (22 ) 58661065 gg g DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached it more space Is required) RE : Proof of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN Able Maintenance, Inc , ACCORDANCE WITH THE POLICY PROVISIONS , 3224 Regional Parkway - Santa Rosa , CA 95403 AUTHORIZED REPRESENTATIVE © 1988 -2015 ACORD CORPORATION . All rights reserved . ACORD 25 ( 2016 /03 ) _ va A rntan.�alrae-ate- ro�' ctaPnri��rks�f ACORD — - —_-_ —_