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PROOF OF INSURANCE (2021 - 2022) CLOSEDCERTIFICATE OF INSURANCE_.___m ..... _ ISSUE DATE 8/17/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE .............................. E CERTIFICATE HOLDER. mTHIS 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(IES) MUST 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 ENDORSEMENT(S). ..................................................... _--_----_ ___ _...--.....,m _... PRODUCER INSURER(S) AFFORDING COVERAGE _.......... ........................ Northeast Agency Insurance Services INSURER A: Colony Insurance 8209 IBM Dr., Bldg 102 Suite 100 Charlotte, NC 28262 INSURER B: N/A INSURED INSURER C. _._. ....... _............. _. �.._. Bayshore Water Conditioning Inc dba Elite Water INSURER D Systems and Echo Water Service 10611 Calle Lee Ste 113 Los Alamitos, CA 90720 INSURER E: Colony Insurance ........................................... ...... ...__ ._.... _ ........_._.. _._....._...._. COVERAGES .._.......... 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. _.. ------------- .._._...Aw_. ...... ..�....... INSIR TYPE OF POLICY POLICY POLICY _ LIMITS LTR INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE _-------_ MP4264349� mm 7/1/2020IT 7/1/2021 GENERAL .. ....... _...._ q GENERAL LIABILITY AGGREGATE 2,000,000 PRODUCTS-COM/OP AGG, 2,000,000 .......................................... PERSONAL & ADV INJURY 2,000,000 EACH OCCURRENCE 2,000,000 ....... ._...... ....._......... DAMAGE PREM RENTED TO YOU 100,000 MED EXPENSE (Any one person) 5,000 BP,., ......._-...... _, m PERSONAL LIABILITY COMBINED SINGLE LIMIT MEDICAL PAYMENTS TO OTHERS .......... ..... _... .... _ ............. ........... C EXCESS LIABILITY EACH OCCURRENCE AGGREGATE _ ........ _ - ............. ....., D _- E PROPERTY MP4264349 7/1/2020 7/1/2021 BUILDING CONTENTS 100,000 LOSS OF USE _._.... .... .... .................. ..... _ .............. ........ ........ ........_ _------.. DESCRIPTION OF OPERATIONS / SPECIALTY ITEMS Plumbing residential or domestic, Plumbing commercial & industrial, Rental Stores, Banks and Offices other than Governmental ... _...... _ _ . .... ........ .. . ......_.......... CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED For Informational Purposes Only BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED SIGNATURE IMPORTANT NOTICE 1. THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED NONADMITTED" OR "SURPLUS LINE" INSURERS. 2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS. 3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED. 4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON -UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR "SURPLUS LINE" BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE TOLL -FREE TELEPHONE NUMBER: 1-800-927-4357. OR INTERNET WEBSITE WWW.INSURANCE.CA.GOV ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR ON -UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC'S INTERNET WEB SITE AT WWW.NAIC.ORG THE NAIC--THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS --IS THE REGULATORY SUPPORT ORGANIZATION CREATED AND GOVERNED BY THE CHIEF INSURANCE REGULATORS IN THE UNITED STATES. D-2 (01/20) Effective January 1, 2020 Page 1 of 1 5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.YOU CAN FIND A LINK TO EACH STATE FROM THIS NAIC INTERNET WEBSITE: HTTPS://CONTENT.NAIC.ORG/STATE WEB MAP.HTM. 6. FOR NON -UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON -UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR "SURPLUS LINE" BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. 7. CALIFORNIA MAINTAINS A "LIST OF APPROVED SURPLUS LINE INSURERS(LASLI)."ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEBSITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: WWW.INSURANCE.CA.GOV/01-CONSUMERS/120-COMPANY/ /07-LASLI/LASLI.CFM. 8. IF YOU, AS THE APPLCIANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE EFFECTIVE IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU. D-2 (01/20) Effective January 1, 2020 Page 2 of 2 Fold here Cut along edge ♦ X Allstate, You're in good hands. Please use the printed Insurance Cards below. Please use the printed Insurance Cards below. You're in gom:i hands Please use the printed Insurance Cards below. Please use the printed Insurance Cards below. California Proof of Allstate, If you have an accident or loss: Auto Insurance Card You're in good hands, . Get medical attention if needed. Allstate Northbrook Indemnity Company NAIC# 36455 PO Box 660598, Dallas, TX 75266-0598 • Notify the police immediately. Nick and Pamela Lendino 10542 Sausalito Ct • Obtain names, addresses, phone numbers (work & home) and Los Alamitos CA 90720-2129 license plate numbers of all persons involved, including passengers and witnesses. This policy meets the requirements of the applicable California financial responsibility law(s). ■ Call 1-800-ALLSTATE (1-800-255-7828), POLICY NUMBER YEAR / MAKE / MODEL logon to allstate.com or contact your Allstate agent 024 630 771 2017 Acura Mdx as soon as possible. EFFECTIVE DATE VEHICLE ID NUMBER B T McMahon Ins Svc 01/24/21 EXPIRATION DATE (562)493-2963 07/24/21 309 Main Street This card must be carried in the vehicle at all times as evidence of insurance. Seal Beach, CA 90740 California Proof of Allstate, If you have an accident or loss: Auto Insurance Card You're °n goad hands. •Get medical attention if needed. Allstate Northbrook Indemnity Company NAIC# 36455 PO Box 660598, Dallas, TX 75266-0598 • Notify the police immediately. Nick and Pamela Lendino 10542 Sausalito Ct • Obtain names, addresses, hone numbers (work & home) and P Los Alamitos CA 90720-2129 license plate numbers of all persons involved, including passengers and witnesses. This policy meets the requirements of the applicable California financial responsibility law(s). • Call 1-800-ALLSTATE (1-800-255-7828), POLICY NUMBER YEAR / MAKE / MODEL logon to allstate.com or contact your Allstate agent 024 630 771 2020 Mercedes-B GIc300 as soon as possible. EFFECTIVE DATE VEHICLE ID NUMBER B T McMahon Ins Svc 01/24/21 EXPIRATION DATE (562) 493-2963 07/24/21 309 Main Street This card must be carried in the vehicle at all times as evidence of insurance. Seal Beach, CA 90740 A0948-82-84 DATE(MM/DD/YYYY) ACC)REP CERTIFICATE OF LIABILITY INSURANCE 01 /04/2021 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 policy(ies) 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 endorsement(s). CONT PRODUCER Becky Huddle Insurance Agency ACT Rebecca Huddle 729 Sunrise Ave Ste 504 PHONE pxl); 916-789-7500 t AX N�) 916 789 2545 Roseville CA 95661 E-MANE mr�n�r�,�" staff.rhuddlefarmersauencv.com INSURED Bayshore Water Conditioning DBA Elite Water Systems 10611 CALLE LEE SUITE 113 LOS ALAMITOS, CA 90720 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. �m................ _. e.,... _...... NNSRR ...........TYPE OF INSURANCE IAtMtiL{'S( #R. POLICY NUMBER..... MMIDD EFF MDd'CI� EX"" ., 7............................................................................ LIMITS COMMERCIAL GENERAL LIABILITY L—i( EACH OCCURRENCE I $ ® ,.-GA��rAa')'G fimt�i�E ... CLAIMS -MADE OCCUR _,..REMI'�E'$.. Ea rre,�ur $"� MED EXP (Any one prel�ce erson) $ PERSONAL & ADV INJURY $ ..,....__.. _ _._._------ --------- ........ GEN L AGGREGATE LIMIT APPLIES PER: „--- ---....__ ......... ... ...,.,...., GENERAL AGGREGATE $ EPRO- JECT POLICY ,IE�CT LOC - - PRODUCTS -COMP/OP AGG I $ --- OTHEt $ AUTOMOBILE LIABILITY CO 9INE09INGLEUMIT $ LI rcien./.I ..... ................,.......... ANY AUTO BODILY INJURY (Per person) $ OWNED � SCHEDULED BODILY INJURY (Per ac cidenl) $ AUTOS ONLY AUTOS .. 1 ..... ... HIRED NON -OWNED RONFATY.._ M�lAGE AUTOS ONLY AUTOS ONLY .$ a� ) ..$................................... $ UMBRELLA LIABHOCCUR � ,EACH OCCURRENCE { m, .,$ " ...................... EXCESS LIAB CLAIMS -MADE ..._... ........... AGGREGATE ': $ .... ........... .....�.,w. ............ .. ....... DED RETENTIONS $ WORKERS COMPENSATION j PER O1H f STAT_IJTF A AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N A0948-82-84 1/1/2021 11 -1/1/2022 _FR ____.... EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N / A` """"" """"""""" "" """"""" ""' 1,000,000 (Mandatory in NH) E L. DISEASE EA EMPLOYEE. $ ;------- If yes, describe under ,.,..._.,........__.._._--- -._._._._... ....._.. 1,000,000 DESCRIPTION OF OPERATIONS below EL, DISEASE - POLICY LIMIT i $ 0�� EIEDESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) License # 704860 PAHr:FI 1 ATInFJ CONTRACTORS STATE LICENSE BOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WORKERS COMP UNIT ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 26000 AU 4ORl�EO REPRESENTATIVE .. 7 SACRAMENTO, CA 95826 I Rebecca Huddle ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD