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CERTIFICATE OF LIABILITYNE DATE (h1MlOp/YYYY) 7 / 2 / 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 ADptT10NAL INSURED, the POlicAles) must be endorsed. If SUBROGATION S WAIVED, subject to the terms and canditIons 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 DeJong Insurance _NAEN19... WALLACh`' PARTRIDGE PHONE --_ . __. . , . 801 S . Iia1n St . $ U1tEa C (A!C,. My EI FAX aly .. ....._ 9 � .3CA '- � �. �'J E-MAIL '1 . -.. _ ry — . .. . __ ..._. . (AlC, No);__ , . ADDRESS: wall e OSS inS1,2]., c�3nce . CO%IL ...._ ..._, Lodi , Ca . 952n2 . . __._ .._.__ ...__.. � INSURER(S) AFFORDING COVERAGE NAfC . . 8 i INSURED , _ „ 1NSURERA : STSTOIV SPECILITY IDIS . CO . - -- - Le" T RHEIINSURER B : __.. . DBA vq BKR SERVICES INSURER C 009 VO 'LTA RD , IN D LOS BANOS , CA . 93635 INSURER E ; -. . COVERAGES INSURER F CERTIFICATE NUMBER: REVISION NUMBER : THIS AIEq.Tp CERTIFY THAT THE POLICIES bV INSURANCE LISTED BCLpHAVE WBCEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DICATNOTWITHSTANDING 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, fNSR i._.. .. . . ... . ..__._._ LTR TYPE OF INSURANCE p l I WV - POLICY NUMBER '-•POLICY EFF POLICY EXPFIF ”" "' _ COh969ERCIAL GENER�A�L+ LIABILITY I i i MMfDRIYYYY t A1PAlppIYYYY 1 LIMITS ^ CIAId�iS•P,IADE PP OCCUR I H8 7 9 ' '� '� �' 0 �•� .. 10 / 1921 . 10 7 9 22 EACH OCCURRENCE j 5 7 / � n „ C 000 � " DAIAW6E 'fO RENTED ... _._. _ V V rr I PRE),}ISFS..(F_ a,ocaurence), , . I "u Q {} (� ..r.. _ I MED EXP (Any cne person) S 10 0 0 Q . / . . _.__. . . ._. ... ' ' PERSONAL & ADV INJURY S. . . I . t. 0. 0 0 [ 0 0 o GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- GENERAL AGGREGATE + S Q {� Q / (7 L, ._.- L JECT J LOC + ! - . . C _ .... ' OTHER* PRODUCTS - COh9P/OPAGG i S AUTOMOBILE LIABILITY I S CON58INED SINGLE LIMIT + S - ., .; ANY AUTO (EP accident) . IF AU. OWNED i SCHEDULED _...__ . . . .... AUTOS ' AUTOS I &F (Per person) S - . .. . ... .: NON•OWNEO 1 I INJURY (Per ac6denl) 5 .. .. .. . . . .. . BOUILY INJURY HIRED AUTOS BODILY AUTOS 1 PROPERTY DAMAGE 5 111 114 IF UMBRELLA LIAR OCCUR EXCESS LIAR EACH OCCURRENCE , $ ,. FIF + . . .I._CLAIMS- MAUE . . .— ._ - - + AGGREGATE + DED I RETENTIONS , - WORKERS COMPENSATION I 1 S : AND EMPLOYERS' LIABILITY ' ANY pROPR1ETOR:PARTNER E):FCu11VE Y / N i STATUTE I OR I H _ .. . . .. . . .. E_. (Mmida R1h1EMBER E%CLUUEU'? INIA !I E, L . EACH ACCIDENT (Mandatory in NH) _ .�....... 5 yea, Cscri a under E.L. DISEASE " FA F. MPI OYFF S DESCRlPTfON OF OPERATIONS below ^- . ------- - ..... . .. _ IF FIL. UISEASE - POLICY LIMIT I S - DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101 , Additional RemaTI(S Schedule, may be attached If more space is required) attention Dave HanCOC]c CERTIFICATE HOLDER CANCELLATION IDover I''L e 3- ng S011.1tiOnS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3824 Jr-lr.rett Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AUStin , Tx 78728 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESCNTATIVE fir,. •..�> !',./ 9988-2014 AC61RD CORPORAF¢ All rights reserved . ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD