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Client#: 1986338 JPPET ACORDT,, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 7/22/2022 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 AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Natalya Chmil USI Insurance Services , LLC ac "N Ext : 916-883-0617 A/C, No): 610-537-2346 Lic # 01311911 ADORIess: natalya.chmil@usi .com 10940 White Rock Rd 2nd FI Rancho Cordova, CA 95670 INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A : Insurance Company of the West 27847 INSURED INSURER B : JP Petroleum Service 3065 Asante Lane INSURER C : INSURER D : West Sacramento, CA 95691 INSURER E : INSURER F : — COVERAGES CERTIFICATE NUMBER : REVISION NUMBER: IIIN 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 CONTRACTOR 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 ADDL UBR POLICY EFF POLICYy EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD MMIDDIY`rYY LIMITS COMMERCIAL GENERAL LIABILITY EA CHOEECCCURRENCE $ CLAIMS-MADE OCCUR PREMIS JO occur ante $ MED EXP (Any one person) $ _ PERSONAL & ADV INJURY $ GENT. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIH 1 1 $ AB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO RETENTION $ $ A WORKERS COMPENSATION WSA506672300 08/01 /2022 08/01 /2023 XPER OTH- AND EMPLOYERS' LIABILITY ---- ANY PROPRIETOR/PARTNERIEXECUTIVE YIN N E.L. EACH ACCIDENT $ 1 ,000, 000 OFFICERIMEMBER EXCLUDED? F N / A (Mandatory in NH) E.L. DISEASE EA EMPLOYEE $ 1 ,000, 000 If yes, describe under _ --- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,000,000 1111111 IN III Pill 1111 MINI I 111 11 1 MINIM I 1 11 11 1111 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) License Number: 811471 . Proof of Workers Compensation Coverage. CERTIFICATE HOLDER CANCELLATION Contractors State License Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Workers Compensation Unit ACCORDANCE WITH THE POLICY PROVISIONS. P.O . Box 26000 Sacramento, CA 95826 AUTHORIZED REPRESENTATIVE © 8.2015 ACORD CORPORATION . All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S36808282/M36808279 NXCJ5