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. �' E Iii V - ® DATE (MM/DD/YYYY) ACC?o CERTIFICATE OF LIABILITY INSURANCE / 03/02/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CSR IF�ICd OLDER. 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 ISSUINO INSURER(8), (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 CONTACT Shala Pearson NAME: TLB Insurance Services PHONE (916) 790-5863 a/Xc No) : (888) 329-8842 A/C No Ext CA License #OB82095 E-MAIL shala-pearson@leavitt. com ADDRESS: 2358 Maritime Dr, Ste 100 INSURER(S) AFFORDING COVERAGE NAIC If Elk Grove CA 95758 INSURER A : Admiral Insurance Company 24856 INSURED INSURER B : Travelers Property Casualty Company of America 25674 Walton Engineering, Inc. INSURER C : Service American Indemnity Company 39152 P. O. Box 1025 INSURER D : Travelers Property Casualty Company. 36161 INSURER E West Sacramento CA 95691 INSURER F : COVERAGES CERTIFICATE NUMBER : 22/23 Master 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 . INSR AVUL 5UUM POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDD/YYYV MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110002000 DAMAGE TO RENTE17 50,000 CLAIMS-MADE FX] OCCUR PREMISES Ea occurrence $ X Inc. Pollution Liability MED EXP (Any one person) $ 5, 000 A X Inc. Professional Liability FEIECC1358708 03/06/2022 03/06/2023 PERSONAL & ADV INJURY $ 1 ,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000,000 POLICY ❑X PRO- JEC F�j LOC PRODUCTS - COMP/OPAGG $ 2,0000000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED 8108L785302 03/06/2022 03/06/2023 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED I NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Uninsured motorist $ 1 ,000 ,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10 ,000,000 X AEXCESS LIAB CLAIMS-MADE FEIEXS1358808 03/06/2022 03/06/2023 AGGREGATE $ 101000 , 000 X DED I X1 RETENTION $ 0 $ WORKERS COMPENSATION X PER STATUTE EORH AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 ,000,000 C OFFICER/MEMBEREXCLUDED? N / A SAMTWC10020100 10/01 /2022 10/01 /2023 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 If yes, describe under 1 ,000 ,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Inland Marine D Leased/Rented/Borrowed 6608K816207 03/06/2022 03/06/2023 Limit $3002000 Deductible $29500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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 © 1988-2015 ACORD CORPORATION . All rights reserved . ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD