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''lipp ALOAO`� CERTIFICATE OF LIABILITY INSURANCE DATEIMMfoo1YYYY) 12ro n201 a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dan Peterson PHONE 888 900 9989 ---- - -- iu"N 916 361 9821 Skyles Insurance Agency 3P41. , dpeterson@Skylesinsuranee.com 9840 Business Park Drive INSURER(S)AFFORDING COVERAGE NAIC0 Sacramento,CA 95827 _ INSURER A: Mesa Underwriters Specialty Ins Co. 36838 INSURED INSURER 8: National Union Fire Ins Co of Pittsburgh PA 19445 GEO-EX Drilling INSURER c: State Compensation Insurance Fund 35076 Tom Scott INSURER D: Crum 8 Foster Specialty Ins Company 44520 1510 Madera Dr. INSURER E: Evanston Insurance Company 35378 Dixon CA 95620 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R SUBR LTTYPE OF INSURANCE ADDL POLICYNUMBER POLICYFr MwDo EXP NYYYI Lunn X I C7RCIAL GENERAL LIAOLrrY EACH OCCURRENCE f 1,000.000 CLAIMSMADE O TED OCCUR PR Ml E�g�yp� IS 1 .000 MED EXP(An vrls psrsoR S 5.000 A MP0004OG8012701 06/08/2018 06/08/2019 PERSONAL IADV INJURY f 1.000,000 GENL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE f 2.000.000 X POLICY❑JECT FILOC PRODUCTS-COMPKIP AGO IS 2.000.000 X OTHER f AUTOMO&LE LIABILITY COM INED SINGLE LIMITf e bran! ANY AUTO BODILY INJURY(Per psrsan) S OWNED SCHEDULED BODILY INJURY Prr AUTOS ONLY AUTOS l rccdenl) f HIRED NON-OWNED OPERTY DAMAGE AUTOS ONLY AUT09 ONLY fpw I S f UMBRELLALULa X OCCUR EACH OCCURRENCE S 2,000,000 B X EXCESSLIAa CLAIMS MADE ESU028019820 06/081201$ 06/08/2019 AGGREIiATE S 2.000,000 DELI RETENTIONS PROD/COMP OPS S 2.000,000 WORKERS COMPENSATION x PEA p AND EMPLOYERS'UABiLn'Y /� _ C YIN ANYPROPRIE-rOR/PARTNEWEXECUTIVE E.L.EACH ACCIDENT S 1.000.000 OFFICER(MEMBER EXCLUDED? a NIA 9053901-2018 11/29/2018 11/29!2019 (Msrrdalury In NH) E.L.DISEASE-EA ENPIOYE f 1.000,000 ff DESCRIPTION OF OPERATIONS blow E.L.DISEASE-POLICY LIW S 1.000-000 AGGREGATE 1,000,000 POLLUTION LIABILITY D CPL109710 12/12/2018 12/12/2019 OCCURRENCE 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES(ACORD 101,Addiboaal RemarFs Schedule,may ba aUachsd if nun space u rsqufrsd) E INLAND MARINE 41M1020478 10/27/2018 10/27/2019 SCHED EQUIPMENT $125,000 OWNLR IS EXCLUDED FROM WORKERS COMPENSATION COVERAGE PROOF OF INSURANCE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELfVERED IN GEO-EX DRILLING ACCORDANCE WITH THE POLICY PROVISIONS. FOR INSURANCE PURPOSES REP sE r0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD