2021/03/31 Valley Pipeline Services, Inc.oiQo'CERTIFICATE OF LIABILITY INSURANCE
c1221503268 REVISION NUMBER
o1t4512022
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXT
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
RMATI LYCATE
A LTE
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Cynthra Cadenhead
(951)302-0470(951)694-5200
cynthra@lemec!lainsuranceservices.com
AFFOROING COVERAGE
10833Gemini lnsurance ComPaflY
Temecula lnsurance Services
41923 Second Streel
Suile 201
Temecula cA s2590
44393Vlbst American lnsurance ComPanY
35076State Compensation lns Fund
24482Ohro Secunty lns!raflce ComPanY
Valley Pipeline Seruices lnc DBA'Valley Pipelrne
73161 Fled \ /erng Dr. Sie 200
cA 92260Pa m Deserl
COVERAGES CERTIFICATE NUMBER:
CATE
PE DooTHELCOAMEDNoABVETloHESUNEDBEENHAVESSUDSeTBDLOWESUNANCETETHIESPOLICocTOEHSSTTtsHSCRESPETTotct!4EUNT THoORuETDOCcNTRACToot"t coN oDITI oNMENTETEANDTuGNUoNOHSToNDTECA T Tt-l MSTERINSUSJECTOECBEHERDEHE1oCSEDSoDRDEAYHET!S NCNORPERTA8ESUEOSEcT D CLA MStlDUEEOCBAVEBEB€ITSLIM SHOWNSUPOLCESCHCONANDoDToNSLUSIEXCNSo
s 1,000.000
$ 100 000SES
s ExclLrded
$ 1,000,000PERSONAL AAOV INJURY
$ 2 000 0oo
$ 2,000,000PRODT]CTS COMP/OPAGG
s 10,000
03131t2022
Deductible
a3t31DAzlvcGP026411
COMMERCIAL GENERAL LIABILITY
", ^r*roo. [l o""r^
LAGGREGATE LIMITAPPLIES PERGEN
L l JEcr L,.l
s 1 000,000
5BOOILY NJURY (PeT D4.SO.)
5BODILY INJURY (Per Ecc denl)
s 1000Deduclible
121451202212tO5t20218AW56619091OW\]EO
AI]TOSONLY
HIREO
SCI,IEDULEO
NON.OWNEO
AUTOMOBILE LIABILITY
a
s 4,000,000
s 4,000,000
EXCESS LIAB
$ NoneDeductible
03t3112A2203t31t2021vcFx001271
X NoneoEo oT1.1
ER
, i.000,000E L EACHACCIOEN'T
EL DISEASE FA EJVPIOYEE
s 1,000 000
$ 1 000.000
EL DSEASE POLICY L M I
a1116t2023011161202290a6042-2022C
WORXEFS COSPENSATION
AND EIIPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/E'(ECUTIVE
OFFICER/MEMBER EXCLI]DEO'
OF OPERATIONS b€low s1 350.540
s300 000
$28 980
scheduled Limil
RenULeased EqurPment
BPP Limil
a3t31t2022a3/31t20218K556619091D
Contractors EqupmenvBPP
Deductible $1 000
OESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101 additionalR'm.rl3 Sch.dule, nay bolltich.d ifmoG.p.ce is Equked)
Certificate holder ts hereby named as add(onallnsured
CANCELLATIONCERTIFICATE HOLOER
O 1988-2015 ACORD CORPORATION. Allrights reserved.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SEFORE
THE EXPIRATION OATE THEREOF, NOTICEWILLBE DELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS
AUTIORIZEO REPRESENTAII\€
/ LAwtcA 92586
29714 Haun Road
ACORO 25 (2016/03)The ACORD name and logo are registered marks of ACORD