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A CORD ?^ SC <br /> � � ---DATE(MM/DD/YY) �`• <br /> _,_ *� 12/30/1999 <br /> PRODUCER 831)637-9241 FAX 831-630-0286 <br /> inn & Co. Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P.O. Box 220 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Hollister, CA 95024 COMPANIES AFFORDING COVERAGE <br /> COMPANY Unionamerica Ins.Co. ,Ltd./Gray-Stone <br /> Attn: Amelia M. Williams, CISR, CPSR Ext: 229 A <br /> INSURED COMPANY Golden Eagle Ins. Corp./San Diego <br /> Exploration Geoservices, Inc. B <br /> 1535 Industrial Road <br /> San Jose, CA 95112 COMPANY Majestic Insurance Co./SF <br /> C <br /> COMPANY <br /> D <br /> COVERAGES K may + <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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 /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> GENERAL LIABILITY GENERAL AGGREGATE f 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG f 2 000,000 <br /> A CLAIMS MADE X OCCUR NSU111021-1 01/01/2000 01/01/2001 PERSONAL&ADV INJURY $ 1:000,000 <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> X $2,S00 Deductible FIRE DAMAGE(Any one fire) S 50,000 <br /> MED EXP(Any one person) $ 5,000 <br /> AUTOMOBILE LIABILITY <br /> X ANY AUTO COMBINED SINGLE LIMIT $ <br /> 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) S <br /> 6 X HIRED AUTOS CCP640S30-00 01/01/2000 01/01/2001 <br /> BODILY INJURY $ <br /> X (Per amdent) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE S <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY moi, <br /> EACH ACCIDENT f <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> EMPLOYERS'LIABILITY <br /> C 0200002430-01 01/01/2000 01/01/2001 EL EACH ACCIDENT $ 1,000,000 <br /> THE PROPRIETOR/ <br /> PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ 1,000,000 <br /> - <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE -S 1,000,000 <br /> OTHER <br /> SCHEDULED EQUIPMENT - $6,500 <br /> B CONTRACTORS EQUIPMENT CCP640530-00 01/01/2000 01/01/2001 MISCELLANEOUS TOOLS - $10,000 <br /> ALL RISK <br /> DEDUCTIBLE - $500 <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br /> E: ALL CALIFORNIA OPERATIONS <br /> ALL RISK SUBJECT TO POLICY EXCLUSIONS, LIMITATIONS & ENDORSEMENTS. *10 DAYS FOR NON-PAYMENT OF PREMIUM <br /> F ATE '14" <br /> 'sc:. ..or. <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> _3,0_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 304 EAST WEBER AVENUE OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. <br /> STOCKTON, CA 95202 AUTHORIZED REPRESENTATIVE <br /> ACORD 25-5 119 ..° 3 e:tet _ , -- -, ,%u �- .:;. <br /> ( 5), Rt ' ., w CIACORD CORPORATION 1988 <br />