SP 1558634A Customer Copy

Renewal of Number
*** RENEWAL CERTIFICATE ***
POLICY DECLARATIONS
United States Liability Insurance Company
1190 Devon Park Drive, Wayne, Pennsylvania 19087
No. SP 1558634B A Member Company of United States Liability Insurance Group

NAMED INSURED AND ADDRESS:
Your Solarmate
4306 Ansel
Irvine, CA 92618

POLICY PERIOD: (MO. DAY YR.) From: 03/04/2017 To: 03/04/2018 12:01 A.M. STANDARD TIME AT YOUR
MAILING ADDRESS SHOWN ABOVE

BUSINESS DESCRIPTION: Energy Consultant, Green Building Consultant
IN CONSIDERATION OF THE RENEWAL PREMIUM STATED BELOW, EXPIRING POLICY NUMBER SP 1558634A IS RENEWED
FOR THE POLICY PERIOD STATED ABOVE. PLEASE ATTACH THIS RENEWAL CERTIFICATE TO YOUR EXPIRING POLICY.
THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED.

PREMIUM
Specified Professions Professional Liability Errors And $2,313.00
Omissions Coverage Part

TOTAL: $2,313.00

Coverage Form(s) and Endorsement(s) made a part of this policy at time of issue
See Endorsement EOD (1/95)
Agent: COASTAL BROKERS INSURANCE (PLEASANTON, CA) (1064) Issued: 02/24/2017 12:56 PM
6602 Owens Drive, Suite 300
Pleasanton, CA 94588

Broker: NEK
By:
Authorized Representative

THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART DECLARATIONS,
COVERAGE PART COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF,
UPC (08-07) COMPLETE THE ABOVE NUMBERED POLICY.
EXTENSION OF DECLARATIONS

Policy No. SP 1558634B Effective Date: 03/04/2017

12:01 AM STANDARD TIME

FORMS AND ENDORSEMENTS

The following forms apply to the Specified Professions Professional Liability Errors And Omissions coverage
part
Endt# Revised Description of Endorsements

PROF-001 06/01 Absolute Pollution Exclusion - Professional
PROF-002 06/01 Mold, Fungus, Bacteria, Virus And Organic Pathogen Exclusion -
Professional
SP 07/09 Specified Professions Professional Liability Coverage Form
SP 211 07/09 Professional Services Exclusion Endorsement
SP 230 07/09 Architects And Engineers Services Exclusion
SP 283 04/13 Pro Security Endorsement
SP CA 01/10 California State Amendatory Endorsement
SP Jacket 09/10 Specified Professions Professional Liability Policy Jacket

Endorsements marked with an asterisk (*) have been added to this policy or have a new edition date and are attached with this certificate.
EOD (01/95) All other terms and conditions remain unchanged. Page 1 of 1
SPECIFIED PROFESSIONS PROFESSIONAL LIABILITY ERRORS & OMISSIONS COVERAGE PART
DECLARATIONS
PLEASE READ YOUR POLICY CAREFULLY.
THIS IS A CLAIMS MADE POLICY COVERAGE FORM AND UNLESS OTHERWISE PROVIDED HEREIN, THE
COVERAGE OF THIS FORM IS LIMITED TO LIABILITY FOR CLAIMS FIRST MADE DURING THE POLICY
PERIOD, OR THE EXTENSION PERIOD, IF APPLICABLE. DEFENSE COSTS SHALL BE APPLIED AGAINST
THE DEDUCTIBLE.

No. SP 1558634B Effective Date: 03/04/2017
12:01 AM STANDARD TIME

ITEM I. NAMED INSURED AND PRINCIPAL ADDRESS
Your Solarmate
4306 Ansel
Irvine, CA 92618

ITEM II. POLICY PERIOD: (MM/DD/YYYY) From: 03/04/2017 To: 03/04/2018

Specified Professions Professional Liability
ITEM III. LIMITS OF LIABILITY $2,000,000 EACH CLAIM
$2,000,000 ANNUAL AGGREGATE

ITEM IV. DEDUCTIBLE: $1,000 EACH CLAIM
ITEM V. PREMIUM: $2,313
ITEM VI. RETROACTIVE DATE: Full Prior Acts

ITEM VII. Coverage Form(s)/Part(s) and Endorsement(s) made a part of this policy at time of issue:
See Endorsement EOD (01/95)

ITEM VIII. Solely in the performance of Professional Services as a(n) Energy Consultant,
Green Building Consultant for others for a fee.

THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD.

SP 150 (09/11) Page 1 Of 1
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UNITED STATES LIABILITY INSURANCE GROUP
WAYNE, PENNSYLVANIA

Thisendorsement modifies insurance provided under the following:

SPECIFIED PROFESSIONS PROFESSIONAL LIABILITY COVERAGE FORM

PROFESSIONAL SERVICES EXCLUSION ENDORSEMENT

In consideration of the premium, paid it is agreed that the Company shall not be liable to make any
payment for Loss or Claim Expenses in connection with any Claim made against any Insur ed based
upon, arising out of, directly resulting from, in consequence of, or in any way involving the rendering or
failure to render services as a(n):

Mold Remediation Service, Construction Project Management, Services as a General Contractor,
Construction Services, Owners Respresentative, Energy Retrofit Services, Equipment or
Machinery Installation

All other terms and conditions of this policy remain unchanged. This endorsement is a part of the
Insur ed's Policy and takes effect on the effective date of the Insur ed's policy unless another effective date
is shown.

SP 211 (07-09) Page 1 of 1
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