Agmt20 Golden State Flow Measurement, Inc.

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I ' 1. --- � CERTIFICATE OF LIABILITY INSURANCE 1/17 2020 ) 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUI3ROGATION IS WAIVED, subject to the terms and conditions 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 endorscment(s). PRODUCER CONIACT HERITAGE WEST INSURANCE NAME: P tet, [916) 488-9945 (916) 988 Sacramento, 2365 El mento, CA 95821 Camino Ave Ste G A❑❑REsq.susanhw1@sbcglobal.net INSURERISI AFFORDING COVERAGE NAIL# INSURER As LIBERTY MUTUAL INS CO INSURED GOLDEN STATE FLOW MEASUREMENT INC INSURER 1: STATE COMPENSATION INS FUND 4821 GOLDEN FOOTHILL PKWY INSURER C: EL DORADO HILLS, CA 95762 INSURER 0: INSURER E : 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 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. ILTR TYPE OF INSURANCE 'I D WVD POLICY NUMBER htMIDUOYYYY {ytAAOpDPOLIU LIMITS X COMMERCIAL GENERAL LIABILITY Ayl rf EACH OCCURRENCE $ 2 000 000 CLAIMS -MADE LOCCUR -J pR£MS$E$ EooeowrergY 1.3 2 000 ,000 MED EXP (Any one person) $ 10,000 ``; PERSONAL& ADV INJURY i$ 2,000,000 A % `BZS56812549 11/24/19 11/24/20 GEN'L AGGREGATE PER: GENERAL AGGREGATE is 4,000,000 jLI�MITAPPLIES X CI 2TT CI PRODUCTS - COMP/OP AGG I $ 4,000,000 POLICY LOC OTHER DEDUCTIBLE js 0 AUTOMOBILE LIABILITY I Ea leccldern $ 1,000,000 XANYAUTO ! BODILY INJURY (Per pelsun) $ A L_ ALL OWNED SCHEDULED AUTOS AUTOS f 1 BAW56409802 '11/1/1911/1/20 BODILY INJURY (Per accident) $ • X HIRED AUTOS % NON -OWNED pRAUTOS $ Por acc6donl DEDUCTIBLE $ 0 X UMBRELLA LIAB X OCCUR - ESA56812549 EACH OCCURRENCE $ 2,000,060 AGGREGATE $ 2,000,000 A EXCESS LIAR CLAIMS -MADE (FOLLOWS FORM) '11/24/19 :11/24/20 X ! DED RETENTION $ 0 $ WORKERS COMPENSATION I X AND EMPLOYERS' LIABILITY YIN STATUTE ER E,L• EACH ACCIDENT $ 1,000,000 1 B ANY PROPRIETORfPARTNER/EXECUiIVE oFFICER/MEMBER EXCLUDED? } NIA Y I E. L. DISEASE - EA EMPLOYE $ 1r000r000 (Mandatory in NHl 9264932 12/1/19!12/1/20 L If yes, describe under c DESCRIPTION OF OPERATIONS below I _ E L DISEASE -POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) ALL CALIFORNIA OPERATIONS. I I 30—DAX NOTICE OF CANCELLATION ' CERTIFICATE HOLDER CANCELLATION CITY OF REDWOOD CITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1400 BROADWAY STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REDWOOD CITY CA 94063 AUTHORIZED REPRESENTATIVE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014101) The ACORD name and logo are registered marks of ACORD