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4? <br />Appendix B: Insurance: <br />Evidence Only Certificate of Liability Insurance: <br />A� a CERTIFICATE OF LIABILITY INSURANCE ioizirzozo <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), AUTHORRED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, Me policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain Policies may require an endorsement. A statement on this certificate does not center rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />CONTACIr Brandy Ahearn <br />NANC <br />Newhnnt Insurance Services. LLC <br />PHoae (415)754-3635 A. N <br />$52nd Street <br />ADEEomFRS brandy.ahaam@newfrontcom <br />Floor 18 <br />INSURFAS AFFORDING COVER AGE NA1C0 <br />San Frandsm CA 94105 <br />INSVREFA: Everest Indemnity Insurance Cc low <br />INSURED - <br />_ <br />INSURER A: Everest Oenal Insurance Co 16044 <br />usua Rc: Everest National Insurance Cc 10120 <br />CiE9Uara, 1. <br />IHSUPETI o: <br />22iJ6 Vanowen St Ste 30D <br />West HRH CA 91 317' <br />INSBRFII E: <br />INa11PFA 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. NOTMTHSTANDING 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 POLICES. LIMITS SHOWN MAY HAVE BEEN RECUCEDBY PAIDCLAIMS. <br />INSR .-. iAa�L BNBR MUCYEF POLICTFXP ._..... . <br />T ITPEOFINSORANCE I PoL.YNUMBER LIM" <br />X OOMMENCAIGEY LLWBILRT <br />CLAIMSMgOE X OCCUR <br />I <br />! <br />EACNCCCURRFNCE 5 1,DDDool <br />Oq E ORf�MOED�® <br />PR ses s 1oD,DOB <br />s 101000 <br />A <br />51GLO14701-201 <br />10117=0 03126=1 <br />FEFwNAL S ADV INJURY 5 1.0w.000 <br />GENL AGGREGATE UNIT AWUES PER: _ <br />FOUCY iC jP CLOG <br />GENERgLAAGREGATE 5 24000,000 <br />PROWCLS.COa9.4P AGG 5 2.GODODD <br />_ <br />S <br />OTHER. <br />AUTOLFGBILEWBNTY - - <br />COMBINEDMNGLEUMn a 1000 DOO <br />BOLILYLV INJINU URTPoI pnm) S <br />X qNY AUTO � <br />B <br />_ <br />A�Owrvm �iJixOm9SICAD00588-202 <br />10/17=0 03Q612021 <br />mnLYINNRYHParameeiy 5 <br />HIRED AUTOS Noel <br />A. <br />FNWERl1 OAIMCE 5.—..... <br />S <br />X UMBREUALAB X OCCUR <br />ERCHOCIXIftRENCE 5 10,00BAOD <br />A <br />IXCFssuga CUINS.MPGE 51 CCDU5874-201 <br />10/17R020 0326/2021 <br />Assrocare s 10,000.000 <br />5 <br />TIED RETENl10N5 <br />C <br />WORNERSCOMPmS1TON <br />AND EMPLOYERS LASUTT YIN <br />ANYPRCPRI FrUaI RmMEDIanon"' <br />OWICERMEMaERRCLUDEV NJq $3000045$7-201 <br />veneamlyIsNH) <br />n ytt aa:mee uneer <br />DEBCRIP9CNOFOPEAAI..A fix <br />032fiY1020 0326/2@1 <br />X 6TgTVTE EP <br />___.. _... <br />ELEAGPACCIDEm 5 I'OoDOGS <br />— -- --- <br />ELDISE05E-EPEMPLOYEE 5 1.00BOOB <br />- — <br />ELDISESIF POUCYUW1 S 1,00DOOD <br />DEBCRIPTONOFWP ONSILO MONSIVEHICLES IACORO101,geenbmiR a145ellalule,Mayee dWaMOMa cel.re ulna) <br />Evidence of coverage. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CBIgUaTQ Inc. <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />227M Vanowen St <br />AUTIOR6EOREFINeSNTATNE <br />/7 <br />West Hills CA 91307 <br />®1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 23 (2014/01) The ACORO name and logo are registered marks of ACORD <br />Confidential Information 15 <br />800.613.5903 J www.Citiguardinc.com <br />