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Commercial General Liability Policy <br />Exclusion Verification Certificate <br />As the insurance agent of record for the below stated policy, I certify that said policy does not contain any of <br />the following exclusions: <br />Subcontractor/Policy Owner: DAHL TAYLOR & ASSOCIATES INC. <br />Insurance Carrier: UNITED STATES FIDELITY & GUARANTY CO. <br />General Liability Policy # BK01885006 <br />Initial <br />Exp. Date: 09/01/05 <br />Residential Operations: the policy does not contain any exclusions or limitations for <br />residential construction. <br />Condominium Operations: the policy does not contain any exclusions or limitations for <br />condominium or multi -family residential construction. <br />Subsidence Coverage: No exclusions or limitations for subsidence <br />* * Mold & Fungus: the policy does not contain any exclusions or limitations for mold & fungus. <br />Broad Form Property Damage <br />Contractual Liability. Policy contains blanket contractual liability. <br />Explosion -Collapse -Underground Operations (X -C -U). No exclusion on the General <br />Liability. <br />Excluded Pollution: Excluded <br />*** Independent Contractors Liability <br />Explain exceptions <br />* This policy does not contain exclusions or limitations specific to residential or condominium <br />construction. <br />This liability policy contains no exclusions relating specifically to mold or fungus. <br />*** This policy provides coverage for the above named insured's liability for work performed by <br />others on their behalf, subject to other policy provisions. <br />Authorized Signature: <br />Date: 08/13/04 <br />Agency: Professional Practice Insurance Brokers, Inc. <br />Address: 2030 Main Street, Suite 350 <br />City, State, Zip: Irvine, CA 92614 <br />11T <br />