|
DATe
<br /> ...� r . w r-. r r -r-t. A I , n J �- G N I D S. 01 16/10 1
<br /> 1CQRD:. CERTIFICATE Ur LIAR AL1 a Y � { ISURjAA CCE ; 'T�TO-2 �
<br /> UCER THIS CERTIFICATE IS ISSUED AS A".ATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE l
<br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR j
<br /> Ins'Urance Services ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> 0 oak Rd. , Suite 210
<br /> .nut cree'.K CA 94597 NAIL ?
<br /> �fle: 925.395-2500 �ax; 925-287-0714 -` -- — INSURERS AFFORDING COVERAGE � —
<br /> ai~D —{ iN5URER ft', fenCu ranca r..-ar Acan SP——:"c Cc
<br /> INSURER B: Delos Insurance,oCo.
<br /> j INSURER C: SeaBrighL- Insurance Co
<br /> Walton. Engineering, Inc. _I- �4b9(?
<br /> P,O. Box 1025 IINsuREnD. Hartford insurance Co
<br /> West Sacramentro CA 95691 ;INWIERE.
<br /> JERAGES
<br /> AE POLICIES OF Ih5'JRANCE LISTED GELD'•'!HAVE BEEN ISSUED TO TRE INSU''REO r.AJl,ED AnCVE FOR THE POLICY%'`'RECD INDICATED.!JOTVs'ITHSTA!..DE:AG
<br /> .!Y R:QUIREMENT,TERN4 OR CONDITIOrj OF ANY CONTRACT OR OTHER OOC'J:-1=-NT S'r't71i RESPECT 70 E'dkilCN.THIS CERTIFICATE MAY BE ISSUED OR
<br /> AY PERTAIN,THE IP:SUPLYhiCE AFFORDEG BY THE POLICIES DESCRIBEC HEREIN IS SUU_1wC7 TO ALL THE TERr;S,EXCLUSIONS AND CON!DITiO1JS OF SUCH
<br /> )LICIES-AGGRCGATE LI;,IITS SHlO VN.':'AY HAV,--BEEN REDUCED BY PAID CU,!-,'s J} 1 -EKY ( SPI A ', L.I'liiT9
<br /> 17D' POLICY IAURAi3ER DATE .L11ODlYY I DATE(MMMD' I
<br /> NSR "i-YPEOFI:JSURANCE " , 1, 000 000
<br /> EACH DCGU�REz;cE 'a r
<br /> 1 GENERAL LIABILITY , BMISCi 5 so
<br /> ' 000
<br /> COoIAMERC;AL GENERAL LIABILITY I, HCC 1010 0 6 0 01-01. � 03/06/10 � C3/
<br /> 4 6/11 { PREMIs[S(Ea acc:.:rencn) I 5 , d 4 0
<br /> h.IED EXP(Any one Person) `S
<br /> i CLAIIAS LIAOE 'L.ix OCCUR
<br /> PERSONAL li•ADV INJURY I S �.,, 0 0 0, 0 0 0
<br /> I " GENERAL AGGREGATE [s2 , 0_
<br /> 00, 000
<br /> PRODUCTc�Col,',PIOP AGG 15 2, 000, 000GENT AGGREGATE LEMIT APPLIES PER: E.RII] )3 " 1, o00,000
<br /> PRO-
<br /> POLICY X JEOT LOC I
<br /> AUTOrtOB4LE LIABILITY i COMBINED SINGLE L!IAIT 5 1, 000, 00()
<br /> I 0 3/0 6 10 03/06/11 (Ea Bccldant)
<br /> X ANY AUTO DpA5 5 C 1.7 92@2 , / I
<br /> ! j BODILY INJURY 15
<br /> 'ALL OWNED AUTOS 4 I (Par Pelson)
<br /> [�I
<br /> I SCHEDULED 11ll`CDS j
<br /> j HIRED AUTOS
<br /> i BODILY den:)W%JUI g
<br /> •� j (per ac:iden:]
<br /> i I
<br /> I dAON-OWNED AUTOS ! I
<br /> PROPERTY DAMAGE 6
<br /> (Per accidanl)
<br /> I
<br /> I AUTO 011-Y-EA A�S
<br /> I GARAGE LIABILITY + I EA ACC i 5
<br /> OTHER THAN
<br /> ! ANY AUTO I I "AUTO ONLY' AGG $
<br /> j —
<br /> I EACH OCCURRENCE !s 10 , 000, 0 0 0
<br /> I t EXCESS7UR,4BRELLALIABILITY
<br /> ( ti 03 /06/10 i 03/06/11 AGGREGATE Io 10 ,000,000
<br /> OCCUR cLAc.tsLlACE ( EXSw01006002-D1
<br /> —� DEDUCTIBLE I
<br /> RETEIITION 5
<br /> I ) X, T0"VL:l.l1T5 ER t�
<br /> I WORKERS c0.'hPENSAT;OH AND "
<br /> y , EMPLOYERS"LIABILITY •` BB1103003 € 10/01/10 I 10/01/11 E.L.EACH ACCIDENT 5 1.r 000, 004
<br /> As'JYPROPRIETOR<PARTNEFUEXECUTIVE i I E.L.DISEASE-LAEi;,PLOYEE 5 1 , 0100, 000
<br /> OFRCERIMEMBER EXCLUDED? I 1, 0 0 0 000
<br /> Vyes,Cesu'beun'er E.L.D15EAS=-POLIC'i LC1i:T I5 ,
<br /> SPECIAL PROVISIONS tela;,
<br /> OTHER
<br /> Pollution/1 &0
<br /> I'. DOCIO1006i001�-0i i 03/06/10 03/06/11
<br /> v' poll/E&0 1 , 000, 400
<br /> i 03/06f11 ;.r.st 9'ltr 2 ' 000, 000
<br /> .f
<br /> Installation Fltr 57mSI'36050 03/06/10
<br /> ESCR;PTiON OF OPEIWTIOr1S?LOCATIONS!VEiI',CLES I EXCLU5101AS ADDED BY END0RSE.,'VJT1 SPECIAL PROVISIONS
<br /> k10 days notice applies if Cancelled for non-payment of pre,T-un. 1,I
<br /> CANCELLATION
<br /> 1EFZTIFICATE HOLDER SHQGLD AbaGR '�!C!ES LIEvBEFORE-THE EXP€ A-Cy
<br /> ` cCIBED!
<br /> !
<br /> D T "fEREOr, ".E;B 3 U G I':SURER L':CEAV i "J I,.:41_ 30DAYS rc! `Lr
<br /> r.v ,�F.TC .IiL�-.i�:IF,-;,TL iiC!.CE"i r..,,..r TO T'iE Cr c,iS'.. F!•'LURE TO C'0 SO SH::LL
<br /> To
<br /> concern POSE LIAE11 iY;'F i,.,:K!:,D"..`r^Ot:TaIE kR:SL'iiER, ITS ALENTS OF
<br /> :,c�RESE!,TAT!VES.
<br /> IE T) 1.
<br /> R
<br />
|