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283659 A� .^ Q® l�V(J'R CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDrrYYY) 2/5/201/5/2018 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). PRODUCER Commercial Lines - (628) 201-9001 USI Insurance Services National, Inc. - CA Lie#: OD08408 CONTACT NAME: PHONE FAX A/C No): AIC(AIC' ADDRESS: CertRequests@usi.com INSURERS AFFORDING COVERAGE NAIC# 201 Mission St, 11th Floor INSURER A: Redwood Fire and Casualty Insurance Company 11673 San Francisco, CA 94105 INSURED INSURER B • INSURER C Maggiora Bros. Drilling Inc. INSURER D: 595 Airport Boulevard INSURER E : INSURER F: Watsonville, CA 95076 enVra2Aral=c rFRTIFICATF NIIMRFR- 12656992 REVISION NUMBER: see below 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. ILTR TYPE OF INSURANCE ADDL INSDPOLICY SUBR NUMBER EFF MM/DPOLID/YYYY EXP POfoolLICY YYY MMY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE EJ OCCUR EACH OCCURRENCE S DAMA PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1-1PRO JECT ❑ LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L 1 COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident 1 $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑ OFFICER/MEMBEREXCLUDED? (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA's MAWC916660 1/1/2018 1/1/2019 X EOH STATUTE R E.L. EACH ACCIDENT $ 1'000'000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of Insurance rrcorlclrrArc unl nco CANCELLATION San Joaquin County Environmental Health Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1888 East Hazelton Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Stockton, CA 95025 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD U 19138-ZU1b AGUKU GUKMUKA I IUIv. An rlgnis reserveo. ACORD 25 (2016/03)