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AC40R" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/07/2024 THIS CERTIFICATE IS ISSUED ASA 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( ies) 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 endorsement(s) . PRODUCER CONTACT Shale Pearson NAME: TLB Insurance Services AICONN Ext): (916) 790-5863 (A FANo): (888) 329-8842 CA License #01382095 E-MAIL shala-pearson@leavitt.com ADDRESS : 2358 Maritime Dr, Ste 100 INSURER(S) AFFORDING COVERAGE NAIC 7« Elk Grove CA 95758 INSURERA : Westchester Surplus Lines Insurance Company 10172 INSURED INSURER B : Travelers Property Casualty Company of America 25674 Walton Engineering, Inc. INSURER C : Service American Indemnity Company 39152 P. O. Box 1025 INSURER D : Travelers Property Casualty Company, 36161 INSURER E : West Sacramento CA 95691 INSURER F : COVERAGES CERTIFICATE NUMBER: 24/25 All Lines 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 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 AUDLbUlJKPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 CLAIMS-MADE ❑X OCCUR DAMAGE TRE TED 50 , 000 PREMISES Ea occurrence $ X Inc. Professional Liability MED EXP (Any one person) $ 5 , 000 A G47393735002 03/06/2024 03/06/2025 PERSONAL & ADV INJURY $ 1 , 0001000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2 , 000,000 ROCTPOLICY ❑ JPELOC PRODUCTS $ 2 , 000, 000 OTHER: I F $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ,0003000 Ea accident X ANYAUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED 8108L785302 03/06/2024 03/06/2025 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Uninsured motorist $ 1 , 000 , 000 UMBRELLA LIAR " "" """ "" 'y "" " "" OCCUR EACH OCCURRENCE $ 10 ,000, 000 A X EXCESS LIAS CLAIMS-MADE G47393747002 03/06/2024 03/06/2025 AGGREGATE $ 10 , 000, 000 DED I X1 RETENTION $ 0 $ WORKERS COMPENSATION S X TATUTE EORH AND EMPLOYERS' LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ NIA SAMTVVC10020101 10/01 /2023 10/01 /2024 E.L. EACH ACCIDENT $ 1 , 000, 000 OFFICER/MEMBMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 13000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 13000 , 000 Pollution Liability A G47393735001 03/06/2024 03/06/2025 Limit 13000 , 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN To Whom it May Concern Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION . All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD