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AC RA��ttt: zszsazi 9/20/22021021 IY) <br /> U CERTIFICATE OF LIABILITY INSURANCE DATE (MM <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 be endorsed . If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement (s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Lockton Companies PHONE 844-290908 FAX <br /> 444 W 47th Street, Suite 900 Exu tA/c N, el; <br /> E-MAIL locktonatfinitl <br /> BScerts <br /> Kansas City, MO 64112- 1906 ADDRESS: BQ Y•com <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br /> INSURER A : Ace American Insurance Co . 22667 <br /> INSURED INSURER 8 : <br /> Barrett Business Services, Inc , -- <br /> L/C/F LARRY & CLIFF ENTERPRISES, INC . DBA: LC SERVICES INSURER C : <br /> 3887 N VALENTINE <br /> INSURER D : <br /> FRESNO, CA 93722 _ <br /> INSURER E : <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER : 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 /> OLICCY EXP I <br /> 'NSR TYPE OF INSURANCE ADDL SUER POLICY <br /> LTR NUMBER MMNUMBER EFF MM/661YYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE T�ORUN�TED <br /> CLAIMS-MADE F] OCCUR PREMISES (Ea occurrence) 5 <br /> MED EXP (Any one person) $ <br /> PERSONAL B. ADV INJURY S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ _ <br /> POLICY ❑ PRO E] LOC PRODUCTS . COMP/OP AGG $ <br /> JECT — <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> Ea accident <br /> ANY AUTO BODILY INJURY (Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS AUTOS <br /> NON OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOSAUTOS Per accident <br /> 3 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE S <br /> DED RETENTION S I S <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS' LIABILITY STATUTE ER <br /> ANY YINECUTIVE ❑ E.L. EACH ACCIDENT $ <br /> 2,000,000 <br /> A OFFICER/MEMBER EXCLUDED? N 1 A C69980430 11 /112021 11 /112022 <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S 2.000,000 <br /> If yes, describe under 2,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached If more space is required) <br /> Policy Slate = CA <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Proof THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br /> Fresno , CA IN ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> © 198(x8/•2014 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD <br />