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DATE (MWDWM <br />M. <br />'0712611996 <br />CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER 25 <br />THIS <br />ASSOCIATES <br />IIML Q CONFERS NO RIGHTS UPON THE CERTIFICAYE <br />slGERSETH INSURANCE <br />.'710 Gateway Oaks Drive <br />CERTIFICATE DOES NOT AMEND, EXTEND OR <br />....... OVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />Suite 115 South <br />96 26 <br />Sacramento, CA 95833 'JUL <br />A AMERICAN SAFETY RRG INC <br />INSURED COMPANY <br />FISCH ENVIRONMENTAL CONSTRUCTION SV B U.S. CAPITOL INSURANCE CO. <br />1040 W. KETTLEPIAN LANE COMPANY <br />SUITE IB-156 C GOLDEN EAGLE INSURANCE CO <br />LODI, CA .95240 COMPANY <br />FISCOO I D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 195UED 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 />CIDRATION <br />I <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />MUCYIEFFECTIVE <br />DATE <br />POUCTEM <br />DATE(MM/DD/YY) <br />LIMITS <br />LTR <br />L <br />(MMMON" <br />A <br />GENERALUABILITY <br />AST185084-0 <br />0211411996 <br />0211411997 <br />GENERAL AGGREGATE S 1000000 <br />PRODUCTS - COMPIOP AGG S 1000000, <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PERSONAL& ACV INJURY. $ 1000090] <br />7 CLAIMS MADE FX OCCUR <br />EACH OCCURRENCE S 2000000' <br />OWNERS & CONTRACTORS PROT <br />FIRE DAMAGE (AM cm flm) S 50000 <br />MED EXP (" one PlISOI) S 5000 <br />AUTOMOBILE <br />LIABILITY <br />HPC 021782 <br />0210711996 <br />02/07/1997 <br />COMBINED SINGLE UMIT I <br />ANY AUTO <br />1000000 <br />BODILY INJURY <br />ALL OWNED AUTOS <br />(Per pimmaI) <br />X <br />SCHEDULED AUTOS <br />BODILY INJURY S <br />HIRED AUTOS <br />(Per accklent) <br />NON-OWNED AUTOS <br />PROPERTY DAMAGE <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THAN AUTO ONLY: <br />ANY AUTO <br />EACH ACCIDENT S <br />AGGREGATE S <br />EXCESS LIABILITY <br />EACH OCCURRENCE S <br />AGGREGATE <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />C <br />WORKERS COMPENSATION AND <br />NWC-341528-01 <br />0110111996 <br />0210111997 <br />1 TWTuAmTa"s I PETgF'- <br />EL EACH ACCIDENT - $ 100(:100 <br />EMPLOYERS' LIABILITY <br />THE PROPM P INCL <br />EL DISEASE - POLICY UMIT� 9 10000001 <br />EL DISEASE - EA EMPLOYEE S 1000000 <br />PARTNE=TTVE <br />OFFICEI <br />OTHER <br />i <br />DESCRIPTION OF OPERAnONSILOCAPONSNEMICUS/SPECIAL ITEMS <br />... ....... <br />ELL AM .... <br />.Nb <br />ENVIRONMENTAL HEALTH DIV, <br />SHOULD MY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BFFORro YHE <br />COUNTY OF SAN JOAQUIN <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR W MAIL <br />304 E. WEBER 3 PD. FLOOR <br />30 DAYS WRITTEN NOTICE TO ME CERTIFICATE HOLDER NAMED TO WE. LEFy, <br />STOCKTON, CA 95201-0388 <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY, In AGENTS OR REPRESENTATIVM <br />AUTHORIZED REPRESENTATIVE <br />CJA <br />