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ACO CERTIFICATE OF LIABILITY INSURANCE F DATE ,MMIDD/YYYY) <br /> `� 1 12/29/2021 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Edgewood Partners Insurance Center PHONE FAX <br /> 425 California Street, Suite 2400 UdE No. E A/C No : <br /> San Francisco CA 94105 AIL <br /> ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURERA : Homeland Insurance Company of New York One 34452 <br /> INSURED ENCOTEC-01 INSURER B : State Compensation Insurance Fund 35076 <br /> ENCON Technologies, Inc. <br /> dba Encon Environmental and Engineering Services INSURER C : <br /> 12145 Mora Drive Unit 7 INSURER D : _ <br /> Santa Fe Springs CA 90670 INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 1481052217 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS '.. <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR I ADDLSUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD VAID POLICYNUMBER JMMIDDIYYYO MMIDDAYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY 793-00-45-02-0005 4/10/2021 4/10/2022 EACH OCCURRENCE $ 1 ,000,000 <br /> DAMAGE TO RE <br /> CLAIMS-MAGE OCCUR PREMISES HE olccurence $ 100,000 <br /> X Occurrence Form MED EXP (Any one person) $ 10,000 <br /> A <br /> PERSONAL & ADV INJURY $ 1 ,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL- AGGREGATE $ 2,000,000 <br /> X POLICY ❑ PECT RO- ❑ <br /> JLOC PRODUCTS - COMP/OP AGO $ 2,000,000 <br /> OTHER: $ $1 ,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accitlent <br /> ANYAUTO BODILY INJURY (Per person) $ <br /> OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Peraccident <br /> $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br /> B WORKERS COMPENSATION 90661072022 1/1/2022 1/1/2023 X STATUTEOORH <br /> AND EMPLOYERS' LIABILITY YIN <br /> OF IC RMEMB REXCLUDED? ECUTIVE ❑ NIA E.L. EACH ACCIDENT $ 12000,000 <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 12000,000 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,0002000 <br /> A Professional Liability N N 793-0045-02-0005 4/10/2021 4/10/2022 Each Claim 1 ,000,000 <br /> Claims Made Form General Aggregate 2,000,000 <br /> Contractors Pollution Each Occurrence 11000,000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached if more space is required) <br /> License Number 748576 Evidence of Insurance. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Contractor License Board <br /> PO Box 26000 AUTHORIZED REPRESENTATIVE <br /> Sacramento CA 95826 <br /> © 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />