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ACORO' <br />PRODUCER <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 94597 <br />Dennis Cote' <br />0 WALTO-2 OP ID: SH <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br />709/25112 <br />Phone: 925-395-2600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURED Walton Engineering, Inc. <br />P.O. Box 1025 <br />West Sacramento, CA 95691 <br />COVFRARFA <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER QBE Insurance Corp <br />INSURER 8. <br />INSURER C <br />INSURER D <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE POLICY NUMBER — PD— LIQ CY EFFECTIVE TpOLICY EXPIRATION LIMITS <br />AI�.1!47.ht.A�I <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN <br />j GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />' <br />� <br />OCCURRENCE <br />I EACHDAMA_G5 To RENIEO <br />' <br />PREMISES Ea occurance <br />a o---�—i$ <br />J $ <br />AUTHORIZED REPRESENTATIVE Dennis Cote' <br />MED EXP (Any one person) <br />I S <br />1 <br />CLAIMS MADE —. OCCUR <br />I PERSONAL 8 ADV INJURY <br />_ <br />) $ <br />S <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE JECLIMIT APPLIES PER <br />1 PRO-( I POLICY ' I LOC <br />PRODUCTS - COMPIOP AGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />I SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />i <br />,BODILY <br />INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />----------...._-- <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />1 $ <br />$ -_ <br />ANY AUTO � <br />h--• <br />OTHER THAN EA ACC <br />S <br />AUTO ONLY: AGG <br />ji EXCESS I UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE'. <br />— <br />EACH OCCURRENCE ++ <br />— R AGGREGATE 1 <br />$ <br />S <br />$ <br />DEDUCTIBLE <br />f <br />RETENTION S <br />S <br />'I WORKERS <br />AND EMPLOYE RS' L AMPENSATION BILIITY <br />A ANY PROPRIETOR/PARTNERICXECUTIVE Y❑ QWC4000647 <br />OFFICERIMEMBER EXCLUDED' <br />(Mandatory in NH) <br />10/01/12 <br />VVC STATU. <br />X LT.ORY-LIM113' OER <br />10/01/13 El EACH ACCIDENT I S 1+000+000 <br />1_ -- - <br />E L DISEASE - EA EMPLOYEE! S 1,000,000 <br />j If yes descr to under <br />i SPECIAL PROVISIONS Delo, <br />— — __f,000,000__ <br />E L DISEASE -POLICY LIMIT 1 $ 1+000,000 <br />I OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />'10 days notice applies if cancelled for non-payment of premium. <br />EIDENCE OF INSURANCE ONLY <br />rr-DTICIr ATF Wf11 nr:D r`ANr`FI I ATIr)KI <br />TOWHOMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN <br />To Whom It May Concern <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE Dennis Cote' <br />ACORD 25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered rnarks of ACORD <br />