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1 __ BZSERVI - 01 JGINES '4�R " CERTIFICATE OF LIABILITY INSURANCE DAT12212D23 2! 22/ 2023 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 rights to the certificate holder in lieu of such endorsements ) . PRODUCER CONTA AME : CT LBUrIe Graves N Inszone Insurance Services , LLC PHONE FAX 2721 Citrus Road , Suite A ( AIC , No , Ext ) : ( 916 ) 503 -4813 (AIC No ) ; ( 916 ) 636 -0134 Rancho Cordova , CA 95742 E-oR1ESs : lgraves@inszoneins . com INSURERS AFFORDING COVERAGE NAIC # INSURERA : StarStone Specialty Insurance Co . 44776 INSURED INSURER B : Infinity Select Insurance Company 20260 BZ Service Station Maintenance , Inc . INSURER C : Insurance Company of the West 27847 P . O . Box 933 INSURER D : West Sacramento , CA 95691 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 TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . INSR ADDL SUBR POLICY EFF POLICY EXP LTR I TYPE OF INSURANCE 1 D POLICY NUMBER IDD DDM/YYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110001000 CLAIMS - MADE I OCCUR L86445231 AEM 2 / 15/ 2023 2 /15/2024 DRE AMAGEIESEa TO RENoccuTEDrrence 100 , 000 $ MED EXP (Any oneperson ) $ 102000 PERSONAL & ADV INJURY 11000 , 000 GEN ' L AGGREGATE LIMIT APPLIES PER : GENERALAGGREGATE $ 2 , 0001000 X POLICY LOC PRODUCTS - COMP/OP AGG $ 2 , 0001000 OTHER : $ B AUTOMOBILE LIABILITY COMBINE DI SINGLE LIMIT $ 1 , 0001000 X ANY AUTO 504610143114001 8/ 19 /2022 8/ 19/ 2023 BODILY INJURY_ ( Per person ) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOSBODILY � AUTOS ONLY AR OT 'a PPeora idenDAMAGE $ $ UMBRELLA LIAB HOCCUR FACH OCCURRENCE $ EXCESS LIAB CLAIMS - MADE AGGREGATE $ DED RETENTION $ C WORKERS COMPENSATION X PER 9TH - AND EMPLOYERS' LIABILITY TATUTE E 1 , 000 , 000 YIN WSA 5062715 02 10/27/2022 10/27/2023 E . L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER /EXECUTIVE FFICERIMEMBER EXCLUDED ? N / A Mandatory in NH) E . L . DISEASE - EA EMPLOYEE $ 110000000 DIf yes, descdbe under E . L . DISEASE - POLICY LIMIT $ DESCRIPTION un OPERATIONS below 13000 , 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ( ACORD 101 , Additional Remarks Schedule , may be attached If more space is required ) Verification Of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Verification Of Insurance THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS . AUTHORIZED REPRESENTATIVE ACORD 25 ( 2016/03 ) © 1988 -2015 ACORD CORPORATION . All rights reserved . The ACORD name and logo are registered marks of ACORD