2022/01/01 Blackmore Co, LLCoiQo'
COVERAGES
CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE i{UMBER' 22.23 V\'C REVISION NUMBER
o^rt (uDotYYYY)
1?,1512oi21
THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIOHTS UPOI{ THE CERNFICATE HOLDER. THIS
CERIIFICATE OOES NO? AFFIRMATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER IHE COVERAGE AFFOROEO BY THE POLICIES
BELOW. TH|S CERTTFTCATE OF TNSURANCE DOES NOT CONS]ITUTE A CONTRACT BETWEEN THE ISSUtNG TNSURER(S), AUIHORIZEO
REPRESENTATIVE OR PROOUCER, ANO THE CERNFICATE HOLOER.
IMPORTA t It th. cartitic.t. hoHrr l. .n AOOITIONAL INSUREO, th. pollcy(i.3) murt h.v. ADOITIONAL INSUREO p,ovirbn! or b. .ndor..d
It SUBROGATTON lS WAIVEO, .ubj.ct to th. t ,ft. .nd conditbn. ot th. policy, cGrt in pollcL. m.y nquir. rn .odo,!.m.nt. A .t t mrtt on
thia cartificda doa! not cont r rightt to lh. c.,litic.t. holdc, in li.u ol auch qndor&m.nt(.).
?iooirctt
Jama3 G Pa*ar lniulrnca Arloclrias
Lic.nx t05&959
P O Box 3917
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Cario Stubblofiold CISR
(539) 22-7722 1659\ 2n-1721IIII
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C.rbstubblcf .ld@bp.rk r.com
IISURER AFFORDIIIC COVEiIA6E
lnsur.r}ce Co ofthe Wesl
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E.ckmor. C, LLC
A.ckmo.. Equlpmant Co
4157'l D.t St
Muni.ta
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INSURER D
NSUREi E
cA 92562 II3UF
THIS IS TO CERTIF/ THAT THE PCx.ICIES OF INSURANCE LISTEO BELOW HAVE AEEN ISSUEO TO THE INSJREO NAMEO ABOVE FOR THE PO-ICY P€RIOO
INOICATEO NOTYV|iHSTANoI{IG AI.IY REOI]IREMENI, TERM OR CONOtTloN OF AI.IY CCNTRACT OR OIHER OOOJMENT wlTH RESPECT TO \,\}IICH THIS
CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN THE INSTJRANCE AFFORDEO BY THE POLICIES DESCRBED HEREIN IS SUBJECT TO AIT THE TERMS
EXCLUSIoiIS AllO @NOITIoI,IS oF SUC-H PctlclEs LIMITS SHol AI MAY HAVE BEEN RED(rcED Bt PAD CLAIMS.
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SHOULO A}fY OF IHE AIOVE DESCRIBED FOLrcIE! fE CAT'C:LLIO 3CFOIE
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cA 92546
City ol M.nil6o
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