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[t1T_1 IT, II II: rwil
<br />MDFMOSS
<br />ACORO CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 1
<br />10018/2/812019
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Alliant Insurance Services, Inc.PHONE
<br />818 W Riverside Ave Ste 800
<br />Spokane, WA 99201
<br />TACT
<br />NANMF,
<br />FAX
<br />(A/c, No, Ext): (509) 325-3024 (A/c, No):(509) 325-1803
<br />I ADDRESS:
<br />INSURERS AFFORDING COVERAGE NAIC If
<br />INSURERA : Crum 8r Forster Specialty Insurance Company__44520
<br />INSURED
<br />INSURER B : Em IO ers Mutual Casualty Company 21415
<br />INSURER C: Scottsdale Insurance Company 41297
<br />Camtek, Inc.
<br />INSURER D:
<br />P.O. Box 6520
<br />Spokane, WA 99217-0908
<br />INSURER E
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER_
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR TYPE OF INSURANCE ADDL SUER 1= imPOLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑X OCCUR
<br />GLOS85050
<br />10/5/2019
<br />10/5/2020
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMAGE TO RENTED$ 50,000
<br />PREMISES (E occurrence)MED
<br />EXP (Any oneperson) $ 6,006
<br />PERSONAL& ADV INJURY $ 1,600,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY XX JECT F—] LOC
<br />GENERAL AGGREGATE $ 2,000,000
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />$
<br />OTHER;
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />Ea .d.n SINGLE LIMIT $ 1,060,060
<br />BODILY INJURY Perperson) $
<br />X
<br />ANY AUTO
<br />6X11186
<br />10/5/2019
<br />10/5/2020
<br />OWNED SCHEDULED
<br />AURTEO�S ONLY AUTOS
<br />BODILY BODILY INJURY Per accident $
<br />PeOacEaCeMDAMAGE $
<br />AUTOS ONLY AUTOS ONLY
<br />C
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 5,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />UMS0028320
<br />10/5/2019
<br />10/5/2020
<br />AGGREGATE $ 5,000,000
<br />DED I X I RETENTION $ 16,006
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITYTAT
<br />YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
<br />an'C ER/M MgER EXCLUDED?
<br />�ufandatoryFin NH)
<br />NIA
<br />GL0585050
<br />10/5/2019
<br />70/5/2020
<br />PER OTH-
<br />T
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />1,000,000
<br />E.L. DISEASE - EA EMPLOYE $
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />B Equipment Floater
<br />6X11186
<br />10/5/2019
<br />10/5/2020
<br />Rented/Leased Equip 250,000
<br />A Professional Liab
<br />GLOS85050
<br />10/5/2019
<br />10/5/2020
<br />Aggregate 1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />Evidence of Insurance.
<br />Camtek, Inc
<br />PO Box 6520
<br />Spokane, WA 99217-0908
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED
<br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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