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• .�C® LEHRA-1 OP ID:RERE �...--- CERTIFICATE OF LIABILITY INSURANCE OA05/03/2016Y) o51o3ezols 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 palicy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain polities may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 916-673.1233 CONTACT Members Edge Insurance Service NAME Inc Fax:916-673-1234 ra FAX 1101 Investment Blvd.Ste 110 fArc.H°'E,„,, I(A/C,NO E-MAIL El Dorado Hills,CA 95762 ADDRESS: - Daniel Duarte INSURER(S)AFFORDING COVERAGE NAIC(I INSURER A Colony Insurance Company 39993 INSURED Stommel Inc! INSURER e:Allied Insurance Co of America 10127 Lehr Auto Electric I Pusuit North I INSURER C:National Union Fire Ins 19445 Auto Additions 4707 Northgate Blvd INSuRER 0 Sacramento,CA 95834 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 1 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 , LTR TYPE OF INSURANCE NSR,WVD, POLICY NUMBER IMM/DIYYYY) IMMIOD/YYYV) LIMITS GENERAL LIABILITY -- -- EACH OCCURRENCE 5 1,000,000 A X COMMERCIAL GENERAL UABMLITY X ACA-2624-3 05/01/2016 05/01/2017 PREMISES(Ea ocwrrsnco) S 300,000 JCLAIMS-MADE f X ,OCCUR MED EXP(Any one person) S 5,000 X i f PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICYT n LOC I Garage s 2,000,000 AUTOMOBILE LIABILITY OOMBINEDSINGLELIMIT 1,000,000 B ANY AUTO ACP 3007624195 05101/2016 05/01/2017 (Ea BODILY I __„ NJURY(Per person) $ AUTOS OWNED SCHEDULED AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NONO WNED PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB •S }OCCUR - C X EXCESS LIAB CLAIMS MADE BE 038239845 05/01/2018 0510112017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 CED X RETENTIONS s WORKERS COMPENSATION I I WC STATU- UTµ. AND EMPLOYERS'LIABILITY TORY Limas 1 ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y r N i E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? a N I A (Mandatory in NH) 1 EL DISEASE-EA EMPLOYEE S U yes,describe under DESCRIPTION OF OPERATIONS scow E.L.DISEASE-POLICY LIMIT i DESCRIPTION OF OPERATIONS!LOCATIONS f VEHICLES(Attach ACORD 101,Addlllond Remarks Schedule,If more space is required) Certificate holder is named as Additional Insured with respect to liability arising out of operations performed CA2048 the Named Insured. Additional Insured CA per endorsement form 0156 0310 and 2048 0299 attached. *10 day notice of cancellation in the event of non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 x-- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD