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rp DATE (MM/DD/YYYY) ACRO CERTIFICATE OF LIABILITY INSURANCE ��. _ 06/22/2018 THIS CERTIFICATE IS ISSUED AS p 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 policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 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 endorsements . PRODUCER NAME: ¢ Amy Garcia Calimesa Insurance Services PHONE -1 1 909-446-Q449 L C Ra; 909-446-1122 PO Box 724 E-MAIADD ca iimesainsuranceahotmail.com I NSU RERJ S1 AFFORDING COVERAGE NAIC N Calimesa CA 92320 INSURERA; Security National Insurance Company 19879 INSURED INSURER B : VALLEY DRILLING, DBA: VALLEY DRILLING INSURER c : 12804 16TH STREET INSURER D: REDLANDS CA 92373 INSURER^ I 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 REDU'EED BY PAID CLAIMS. 00 TYPE OF INSURANCE MER CIAL GENERAL LIABILITY CLAIMS -MADE *1 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER JECT POLICY E PRO F LOC AUTOMOBILE LIABILITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ANY AUTO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. OWNED AUTOS ONLY SCHEDULED AUTOS AUTHO REPRESE A E HIRED NON -OWNED nllrf A TIIY •1 A 11 ...I.Ia. . sa AUTOS ONLY AUTOS ONLY UMBRELLA LIASI OCCUR EXCESS WAS CLAIMS -MADE. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NAI 19298101 105124/2018 105/24/2019 APPROVED LIMITS EACH OCCURRENCE $ MED EXP one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE S PRODUCTS -COMPIOPAGG 5 $ C6NISINIED SINMEE UMIT$ (Ea acclde�nl) — BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DRMAGE $ Per sodden! EACH OCCUF AGGREGATE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ EL. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Septic tank installation approximately 6 feet is the depth, service cleaning, repair, and installation of septics 1,000,000 100,000 5,000 1,000,000 2,000,000 1.000,000 ULK I IrIL A I t MULUMM —....----.... �.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Riverside Risk Management AUTHO REPRESE A E 3900 Main Street Riverside CA 92522 nllrf A TIIY •1 A 11 ...I.Ia. . sa ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD