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02/02/07 14:55 FAX 916 434 4206 PC EXPLORATION Z003 <br /> Client#: 5443011111111111k RDRIL <br /> DATE-ACQRDn CERTIFICAT OF LIABILITY INSU CE 0404106 DnryY) <br /> PRDDucea :JC <br /> RTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Construction Unit(F) 650-839-6964 ND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> R.7HIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ABD Insurance&Financial Services THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 3 Talnut Street NAIC# <br /> ReVivood City, CA 94063 S AFFORDING COVERAGE!NSUREO : Admiral Insurance Compan21121 <br /> PC Exploration,Inc. : Westchester Firelnsurance Company <br /> 3883 Cincinnati Avenue : Commerce&Industry Insurance Co 19704 <br /> Rocklin, CA 95765 : American States <br /> INSURER E: <br /> COVERAGES URED NAMED ABOVE FOR <br /> THE POLICIES OF INSURANCE ERM OR CONDITION OF ANY CONTRACTOR OTCH <br /> HER(DOCUMENT WITH RESPECT TOHWHICH THIS CERTIFICATETMAY BE ISSUED OR DING <br /> ANY REQUIREMENT, <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF S <br /> POLICIES.AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS <br /> POLICY EFFECTIVE P DOLICY EXPIRATION <br /> TYPE OF INSURANCE POLICY NUMBER 0 EACH OCCURRENCE f1 OOO O00 <br /> LTR NSR 04/01/06 04101107 <br /> I(AGENERAL CAOOOOO680202 DAMAGE TO RENTED s50 000 <br /> X COMMERCIAL GENERAL LIABILITY MED EXP(my one penon) $ <br /> CLAIMS MADE ❑X OCCUR <br /> PERSONALE ADV INJURY t1 OOO 000 <br /> GENERALAGGREGATE 32000 000 <br /> . PRODUCTS.COMPIOP AGG f2 OOO 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER <br /> } POLICY X PRO- LOC <br /> 01CH10145010 04/01/06 04/01107 EOSINGLE LIMIT $1000,000 <br /> D AUTOMOBILE LIABILITY (Es(Ee a=iaccidenQ <br /> X ANY AUTO BODILY INJURY <br /> ALL OWNED AUTOS (per perms) f <br /> 1 <br /> SCHEDULED AUTOS <br /> BODILY <br /> L <br /> X HIREDAUTOS (P.r.cofH.nt) E <br /> X NON-OWNED AUTOS <br /> i PROPERTY DAMAGE E <br /> (Per acdEenl) <br /> AUTO ONLY-EA ACCIDENT E <br /> GARAGE LIABILITY OTHER THAN EA ACC S <br /> t <br /> ANY AUTO AUTO ONLY: AGG i <br /> i; <br /> i' 04101/06 0410110] <br /> EACH OCCURRENCE $10 000 000 <br /> B EXCESSNMBRELLA LIABILITY 622012691001 AGGREGATE S10 000 000 <br /> 4:. X OCCUR CLAIMS MADE E <br /> 1' f <br /> III DEDUCTIBLE E <br /> RETENTION fWCSTATU- OTH- <br /> C WORKERS COMPENSATION AND 3421923 04101/06 04/01/07 X <br /> EMPLOYERS'LIABILITY E.1-EACH ACCIDENT 11,000,000 <br /> }' ANY PROPRIETCR ARTNEP/EXECUTIVE E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> OFFICEIUMEMBER EXCLUDED? <br /> H yes,tl-ctlbo'n'er E.L.DISEASE-POLICY LIMB $1,000,000 <br /> SPECIAL PROVISIONS below <br /> p OTHER <br /> L' <br /> i! <br /> (' <br /> CESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLVSIDNS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> .Re: All Projects. San Joaquin County is named as additional insured as <br /> F respects general liability per endorsement attached. <br /> i' <br /> } <br /> c <br /> CERTIFICATE HOLDER CANCELLATION <br /> n-Payment of Premium <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> ( DATE THEREOF,THE ISSUING INSURER WILL ENWNJN0R4*(WL 10_ DAYS WRITTEN <br /> San Joaquin County Attn: <br /> Environmental Health Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,SLIMXMB10(MX0.R=XLVAXXX <br /> 304 East Weber Avenue,Third BBRRIVIUM <br /> Floor nxXx <br /> AUTHOR=REPRESEyrAln E <br /> Stockton,CA 95202-2708 {. _ { Z <br /> �J Gliyv-A^"e1t © ACORD CORPORATION 1988 <br /> �ApORD 25(200110a) 1 of 2 #M811507 MAJORDRIL LKL <br /> ( <br />