|
ACORO" WALTO-2 OP ID: SH
<br />�- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br />PRODUCER 925-395-2600 10/07/11
<br />TLB Insurance Services =ALTER
<br />ICATE IS ISSUED AS A MATTER OF INFORMATION
<br />3000 Oak Rd., Suite 210 CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Walnut Creek, CA 94597 IS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />Dennis Cote' COVERAGE AFFORDED BY THE POLICIES BELOW_
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED Walton Engineering, Inc.
<br />P.O. 60X'025 INSURER A Endurance American Spec Ins Co
<br />West Sacramento, CA 95691 INSURER B Wesco Insurance Company
<br />INSURER C: Praetorian Insurance
<br />l :RER D: Harford Casualty Insurance Co _
<br />I INSURER F
<br />A
<br />B
<br />A
<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 />R ADD' __
<br />RJ TYP OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY ECC10100600102
<br />CLAIMS MADE [�] OCCUR
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY n PRO-
<br />IF(`T F1 LOC
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON -OWNED AUTOS
<br />GARAGE LIABILITY
<br />IANY AUTO
<br />1020425
<br />03/06/11
<br />03/06/12
<br />03/06/12
<br />EACH OCCURRENCE $
<br />PREMISES Ea occurence $
<br />MED EXP (Any one person) $
<br />PERSONAL 8 ADV INJURY $
<br />GENERAL AGGREGATE $
<br />PRODUCTS - COMP/OP AGG $
<br />Emp Ben.
<br />03/06/11
<br />CO INED
<br />(Ea a©cidentSINGLE LIMIT $
<br />BODILY INJURY
<br />(Per person)
<br />$
<br />BODILY INJURY
<br />(Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />$
<br />QWC4000674
<br />10/01/11
<br />EXCESS / UMBRELLA LIABILITY
<br />EX
<br />JI OCCUR 1:1 CLAIMSMADE �EXS10100600202 I 03/06/11 03/06/12
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
<br />'10 days notice applies if cancelled for non-payment of premium.
<br />RTIFICATE HOLDE
<br />To Whom It May Concern
<br />ACORD 25 (2009/01)
<br />,000,0
<br />5,00
<br />1,000,00
<br />2,000,00
<br />1,000,0
<br />1,000,0
<br />AUTO ONLY - EA ACCIDENT $
<br />OTHER THAN EA ACC $
<br />AUTO ONLY: AGG $
<br />EACH OCCURRENCE $ 10,000,000
<br />AGGREGATE $ 10,000,000
<br />S
<br />$
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,00
<br />Poll/E&O
<br />Inst Fltr
<br />1,000,
<br />2,000,
<br />CANCELLATION
<br />TOWHOMI SHOULDANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0' DAYS WRITTEN
<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 />© 1988.2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />DEDUCTIBLE I
<br />X1 RETENTION $
<br />I
<br />WORKERS COMPENSATION
<br />C
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑q
<br />OFFICER/MEMBER EXCLUDED?
<br />QWC4000674
<br />10/01/11
<br />10/01/12
<br />(Mandatory in NH)
<br />If yes, describe under
<br />SPECIAL PROVISIONS below
<br />OTHER
<br />D
<br />Pollutlon/E&0
<br />ECC10100600102
<br />03/06/11
<br />03/06/12
<br />D
<br />Installation Fltr 571ll
<br />050
<br />03/06/11 1
<br />03/06/12
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
<br />'10 days notice applies if cancelled for non-payment of premium.
<br />RTIFICATE HOLDE
<br />To Whom It May Concern
<br />ACORD 25 (2009/01)
<br />,000,0
<br />5,00
<br />1,000,00
<br />2,000,00
<br />1,000,0
<br />1,000,0
<br />AUTO ONLY - EA ACCIDENT $
<br />OTHER THAN EA ACC $
<br />AUTO ONLY: AGG $
<br />EACH OCCURRENCE $ 10,000,000
<br />AGGREGATE $ 10,000,000
<br />S
<br />$
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,00
<br />Poll/E&O
<br />Inst Fltr
<br />1,000,
<br />2,000,
<br />CANCELLATION
<br />TOWHOMI SHOULDANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0' DAYS WRITTEN
<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 />© 1988.2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
|