Laserfiche WebLink
05/10/99 09:21 FAX 425 251 8782 BARGHAUSEN <br />APR 12 99 15:09 FROM GETTLER-RYAN INC TO 14252518782 <br />- (;ER'fIFIGATE OF INSURANCE <br />PRODUCER <br />Matsen Insurance Brokers <br />100 Stony Point Road Ste.160 <br />rim <br />PAGE.002/007 <br />DATE (MMfDOIYY) <br />04/07/99 <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATICIN <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ! <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR i <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />F . v . BOX :11.11 COMPANIES AFFORDING COVERAGE <br />Fanta Rosa, CA 95402 I COMPANY <br />_ AAdmiral Insurance Company <br />INSURED <br />Gettler-Ryan, Inc.Pey <br />nns lvania General Ins. Co. <br />6747 Sierra Court, Sul �� f.rjANY —I <br />Dublin, CA 94568 Fremont Compensation Ins. Co. ! <br />F;;OMPANY <br />('1 General Security Insurance Co. <br />COVERAGES ��_6 i1`Fy�5:[ <br />THIS IS TO CERTIFY THAT THE POLICIES OF 6N9 EZ HAVE BEEN L4SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERICC <br />INDICATED, NOTWITHSTANDING ANY REQUFEMEN):PgF, l,QR. Cfl(WR}� NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH Tw-4 <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TA y1lS A DED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />— —i <br />C TYPE OF INSURANCE POLICY NUMBER <br />GENERAL LIABILITY A98AG04689 <br />X COMMERCIAL GENERAL LIABILITY. <br />CLAIMSMADE X, OCCUR' <br />_OW NER'S b CONTRACTOR'S PROT <br />X BI PD Ded:S 400 <br />_ <br />!per occurence <br />It AUTOMOBILE LIABILITY BA015 94 9 5 0 3 <br />X I ANY AUTO <br />ALL OWNED AUTOS <br />' SCHEDULED AUTOS - <br />! X HIRED AUTOS <br />X-1 j NON -OWNED AUTOS <br />JI <br />GARAGE LLABIUTY <br />ANY AUTO <br />IPOUCY EFFECTIVE POLICY EXPIRATION! LIMITS <br />DATE(MMIDD/YY) I DATE(MMIOO/YY) . <br />04/01/98'04/01/00 GENERAL AGGREGATE (33 <br />—000,000 <br />' PRODUCTS.COMPIOP AGGI S3 , 0 0 0, 0 0 0 <br />PERSONAL 8 ADV INJURY 53 , 000 000 <br />EACH OCCURRENCE . 53, 0 0 O, 0 0 0 <br />FIRE DAMAGE (Any One Iire)i 51 0 0 , 0 0 0 <br />MED EXP (Any one person} SEXc lode d <br />04/01/99 04/01/00 <br />COMBINED S;NGLE LIMIT ;51, 000, 000 <br />' BOOILY INJURY 5 <br />(Per person) <br />BODILY INJURY <br />(Per ecNdenl) 5 <br />1 <br />PROPERTY DAMAGE i S <br />'AUTO ONLY -EA ACCIDENT iS <br />OTHER THAN AUTO ONLY: I <br />NCESSLIABILITY CE9000020 <br />04/01/99 !04/01/00 IrEACHoccuRRENcE <br />Is2, 0001 000 <br />{Lr UMBRELLAFORM Excess Auto <br />; <br />IAGGFiEGATE <br />IS <br />I_ I X ; OTHER THAN UMBRELLA FORM! <br />! <br />�s <br />( WORKFRSCOMPENSATION AND WN9980853101 <br />1!04/01/99 <br />04/01/00 ; X !STATUTORY LIMITS <br />f <br />EMPLOYERS' LIABILITY <br />:EACH ACCIOENT <br />ISI , 000, O 0 0_ <br />THE PROPRIETOR/I 1 INCL <br />' <br />DISEASE -POLICY LIMIT <br />'S1. 000, OOO_ <br />I PARTNERS/EXECUTIVE I'—" <br />X ' EXCL. <br />'DISEASE•EACHEMPLOYEE!51,000 0ao <br />OFFICERSARE: - <br />OTHER i A98PLO4686 <br />j04/01/98 <br />04/01 00 ;Aggregate <br />$3,000,000 <br />jProfessional ; Claims Made <br />Each Claim <br />' <br />$3,000,000 <br />S,iab. Incl. Poll.i <br />l <br />( ESCRIPT(ON OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITLMS <br />Certificate holder is named additional insured <br />per attached form CG2010. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVORTOMAIL <br />-;0 DAYS WRITTEN NOTICZToTHE CERMFICATIE HOLDER NAMED TOTHL! LEFT. <br />BUTFAILURE TO LMML WCt1 NOTICB SMALL IMPO$a NO OSU(IATION CR UABILfI'Y <br />AUTHORIZED <br />