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ABLEMAI-CL DWATTS
<br /> CER
<br /> x j DATE(MMIDD/YYYY)
<br /> TIFF TE F LIABILITY INSURANCE
<br /> 10/4/2024 P
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER License# 06032 77 _. coN7ACT
<br /> _-NAME:
<br /> George Petersen Insurance Agency, Inc. (, PHONE FAX
<br /> P.O. Box 3539 (A/C,No,Ext): (707) 525-4150 (A/c No):(707) 525-4175
<br /> E-MAIL _—
<br /> Santa Rosa, CA 95402 1-ADDRESS:info I@gp'nS.com
<br /> INSURER(SI AFFORDING COVERAGE i NAIC li
<br /> INSURER A;Nautilus Insurance CoMp"n - 17370
<br /> INSURED INSURERS:Oregon Mutual Insurance Company 14907
<br /> ---
<br /> Able Maintenance Inc. INSURER C :Praetorian Insurance Company___. 37257
<br /> 3224 Regional Parkway
<br /> - -
<br /> 9 Y ! INSURER D
<br /> Santa Rosa, CA 95403 __ .
<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 /> INSR ADDCSUBR: POLICY EFF `-POLICY EXP -
<br /> TYPE OF INSURANCE - POLICY NUMBER - DtyyyylLIMITS
<br /> A X ' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ 1'000'000
<br /> CLAIMS-MADE � OCCUR ECP2041610-11 ! 10/112024 10/l/2025 DAMAGETORENED 100,000
<br /> --- --
<br /> .� PREMISESfEa_cNTEncfi}
<br /> X Pollution & Professi 5,000
<br /> P
<br /> MEDEX,P(Anyoneperson) ;.$
<br /> _ 1,000'000
<br /> PERSONAL&ADV INJURY
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000
<br /> PRO- ._. _.._ i
<br /> ' POLICY a JECT LOC PRODUCTS-COMP/OP AGG '., 2,000,000
<br /> OTHER:
<br /> :SEE ADDL GOVERA 0,0� 1,00001
<br /> - _ _ _ _ —_ I
<br /> B AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT 1,000,000
<br /> lEa�G4idenlJ $
<br /> X ANY AUTO CM03925298 4/1/2024 j 4/112025 BODILY I NJURY t Perperson)
<br /> ( OWNED SCHEDULED
<br /> ..- AUTOS ONLY AUTOS pp BODILY INJURY Per accident)i s
<br /> AUTOS ONLY . AU�OS ONLY ' L Derr acc dentt]DAMAGE ++: S
<br /> t ,
<br /> S
<br /> X EXCESS LIAB - OCCUR EACH OCCURRENCE $ 9,000,000
<br /> CLAIMS-MADEi FFX2041611-11 10/1/2024 10/1/2025 —
<br /> A I UMBRELLA LIAB X
<br /> AGGREGATE S9,000,000
<br /> _j DED RETENTION$ S
<br /> C }WORKERS COMPENSATION mm—
<br /> AND EMPLOYERS'LIABILITY YIN X. -SIRTUTE i ERH _
<br /> 204000064 10/1/2024 10/112025 1,000,0ANY 00
<br /> OFFICEWOPMREIMBEwEXCLUDEECUTIVE ❑ N/A E.L_EACHACCIDENT _$ _ _
<br /> (Mandatory l"'B[ 1,000,000
<br /> "E_L.DISE'ASE-EA EMPLOYEE, $
<br /> If yes,describe under - � _-- --
<br /> DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT '. S 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) -
<br /> RE: Proof of Coverage
<br /> f
<br /> I
<br /> k
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Able Maintenance, Inc, ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 3224 Regional Parkway
<br /> Santa Rosa, CA 95403 ----- -.---
<br /> AUTHO�RIZZED REPRESENTATIVE f
<br /> ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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