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ABLEMAI-CL DWATTS sca�d� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) kkm� 10/11/2019 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 AFFORDIED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUF2ER(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 provis ions 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 endorsements). PRODUCER CNRUJ ACT Georgge Petersen Insurance Agency, Inc. PHONE FAX P .O. Box 3539 lac, Nc, Est): (707) 6254160 _tA/c, svo):(707) 5254175 Santa Rosa , CA 95402 E-ab 1 AD k S: info@gpins .com INSURER 5 AFFORDING COVERAGE WC # INSURER A : Homeland Insurance Com an of New York 34452 INSURED INSURER BMW American Insurance Com an 44393 Able Maintenance Inc. INSURER c : State Com 9!19A#on Insurance Fund 35076 3224 Regional Parkway INSURER D : American Fire & Casualty Company 24066 Santa Rosa, CA 95403 INSURER E 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 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 TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EAC OCCURRENCE S 10,0009000 CLAIMS-MADE rX OCCUR 93 -00-26-72-0005 10/11/2019 10111/2020 DAMAGE TO RENTED occus SQOOD X Pollution-Occurrence MED EXP lAny one Person 50000 X Profess-Cialms Made PERSONAL 8 ADV INJURY $ 101000,000 E 1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 10,000,Ot1. " POLICY Fx j LOC PRODUCTS - COMP/OP AGO t 10,OO,Q,000 OTHER: MOLD f 1,0"0;000 B AUTOMOBILELWBIUTY COMBINED SINGLE LIMIT . Il �� S 1 ,000,09090 X ANY AUTO AW (20) 58661065 4/11/2019 4/1 /2020 BODILY INJURY (Per aerson� t OWNED SCHEDULED AU�T�OpS ONLY AUFT�OpSy�NEp BODILY INJURY Per accident S AUTOS ONLY AUTOS ONLY Per�aeEC�Rde�tlt AMAGE $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGRE AT DED RETENTIONS C WORKERS COMPENSATION X( I PER OTH- AND EMPLOYERS' LIABILITY YINFA LITE XJR ANY PROPRIETORIPARTNER/EXECUTIVE 073219-19 10/1 /2019 10/112020 E.L. EACH ACCIDENT 1 ,000,000 IFIenCdEetoRIMEgEREXCLUDED9 NIA A .. .. lry InMNH) , E.L. DISEASE - EA EMPLOYEE S 1,000,000 N yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMB S 1100D,000 D Excess Auto/WC Only ESA (20) 58661065 411/2019 411 /2020 Aggregate/Occ. 4100000090 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES IACORD 101, AddItionsl Remarks Schedule, may be 01athed If 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 01 ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION , All rights reserved. The ACORD name and logo are registered marks of ACORD