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1. -a JAI! lc '>_� 11:.. f-E= T. lei`—;Ll Ft llF�lf�or .-.� DArE C�1/U9/889 .� --• -- ---- - - - - -------------- _-� ... ._...----------------- - - --...----------- I PRODUCER - -. - - ----- -- ---- I THIS CERTIFICATE: 15 ISSUZD AS A MA11ER OF 1HFOAMATION ONLY AND CONFERS I f HB R16HT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, I I- COLUSA COUNTY IHS. SVCS, INC 1 EXTEND OR ALTER THE COVERAGE A----- BY THE POLICIES---BELOW ---- - 11 MATH ST., FAX 916-�50 5643 1-------- • ----------_•"--------- --------- i ,o. I COMPANIES AFFORDING COVERAGE BBX 4BB •• _- COLU5A 56 I 1--------------------- -------- ------..--------- - I OLU 4F9543204BB B-BB31 I COMPANY' P, FIDELITY AND GUARANIY INSURANCE I LEITER -- ....... -I -----•--------•----- ------ 1-----•---------- -- 1 1 --------I COMPANY B ---------.- - - -u-- I_______________ ! LETTER 1 INSURED .. ---1 I )ACR E. NAPPER 6 VERNE L, TIC 6CWAN I COMPANY- C ! l DBA( UESTERN GEO-ENGINEERS I LETTER --------------- ------------I I DBA: WESTERN GEO MOHIIORS I---"'-----`-- I ! . BOX 54 I COMPANY D I F 0. BO CA 95432 1 LETTER ---------- ------------I PO. ---------- 1 ! COMPANY E I LETTER I s-__•::rsc=:==a:.a.::a::csex:erseeast_x=sass::::::a"1L:�=:e-vsexoosaszszn:au:rco:�ssC=sC.0==�„paaasl COVERAGES z THIS I5 14 CERTIFY THAT POLICIES OF INSURANCE LISTED BELOV HAVE BEEN ISSUEDRIC THE INSURED NAMED ABOVE FOR THE POLICY PERIOfl 1 CERTIFICATE MAYIIIISSUEDNORAMAYRPERIAINENTh INSURANCEM OR CAFFORDED BTION YFTHEANY ?OLIC1ESNT ACT DESCRIBED HEOTHER REIHH1SN5UBIECTilli PTOTALL 11lCCTEAM55 ! I EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. Ll ITS 5H01'N MAY HAVE BEEN REDUCED BY PAID CLAIMS ------- -------- ------------ ------- - --1 ------^---------•------------------------------------------------------------- t E E 1 1 POLICY I POLICY I ICO I I IEFFECTIVE IETPIRATIDRI ILTRI "PF OF INSURANCE I POLICY HUMBER I DATE ! DATE '------- ---------^ALL LIMITS-IH_iHgUShHDS-. ... ------k I -I-------•-------•---------- -- ----- - I------------- - - - -t- -------•1--------_- ! k GENERA). LIA61LIIV i I k GENERAL AGGREGATE ! 1400 I I A I EXT COMMERCIAL 6ENFAAL LIABILITY I RPO7B575728 061T4IBB E 461i4l84 pFR9ONAL 6 ADVERcompi RI561NGEINJURY 1 1000 1 i ! IX7 E 1 CLAIMS MADE E1J OCCURRENCE I I EACH OCCURRENCE f EX1 OYMER'S L CONTRACTORS PROTECTIVEI j I FIRE DAhME (ANY ONE FIRE) i 54 I I EX1 INCLDS. COHTRA.CTUAL I f I I MEDICAL EXPEHSE(ANY ORE PERSDHII 5 1 ----- -------I----------i... ..._-•-I_.__.^_---------------------- ------------ -----E 1 t 177-1 AUTOMOBILE LIABILITY ! 1 I CSL I I I r ! I----------------l-----------•--! l I I I I ANY AMID I I ! I BODILY IN]URY I I _ I ! E 1 ALL DHNED AUTOS 1 1 E L ] SCHEOULE4 AUWS I ! ( I ------------__I.1 --•-••- --•I II- -------- - --1--------------I I I I E i HIRED AUSOS I I I BODILY INJURY ! I 1 113 MN-81`118 AUTOS I 1 (PER ACCIDENT) I f I 1 I I [ 7 GARAGE LiABltll'! I I i -- I--------------I ! !-PROPERTY^ I 1 I I i I DAMAEE I y ----I l 1 I -.' - ---- ---I----------i----------!--------------------------------------- 1---I-------------------------- ---� I I I I EACH OCCURRENCE I AGGREGATE I ! I EXCESS LIABILITY I I I I 1- -"-" --�--�-' ^-------I I I ( I UMBRELLA FORM I I ! I E I OTHER THAN UMBRELLA . , !-- ---------- ---- ---- ----^ -----1---- ------ I----------l---------- I k---I----------- ------- ------ I I ! I STATUTORY 1I I i ----- -------------- ----------------------- I WORKERS' COMPENSATION ! (EACH ACCIDENT) 1 AND i i ` S ID15ER5E-POLICY LIMIT) I ! I EMPLOYERS` LIABILITY I (DISEASE-EACII EMPLOYEE)) 1 I ! ----------I-------------------------------- -----I 1---i-- --1--•------------------1----------lI I ----------•----------- I I OTHER -'---- ! 1 I t I I I I -------------------------------------------------------------- ---• ---- ------------------------------------------ I DESCP.IPTION OF OPERATIBHS/LOCATION51VER1CLES/SPECIAL ITEM5 I AIDIT1UNAL INSURED - CITY OF ST00004L. ITS AGENTS OFFICERS, AND i I l EMPLOYEES ARE NAMED AS ADDITIONAL INS�'RED UNDER 1�IIS POLICY AND THIS SELF I I INSURANCE COVERAGE SHALL BE PRIM RAY OVER ANY DlIIER INSURANCE OP. I ! INSURANCE TN FORCE. 1===== CERTIFICATE HOLAER o--=--°--="��:::'"P-°�- --�" { SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE X- _ CITY OF 5TOCKIOH ! SHOULD DATE THEREOF, ANE ISSUINS COMPANY WILL xxxkxxxxxxx NAIL I E RISK OF STOCKTO OIV1616N 1' 34 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 10 THE 1 CITY KALI. ! LEFT. YMxK%xKYrixxxXXYkY%%%KX%x%xxllxk%KYx%K%%xKxKKYYx%%%%%Y%K%%x%XKrk I 9TOCKTON, CA 45202 I %KK[kxYkKX%x%K%x%YxYx[xzxx%kx%K%xkkkxxxYK%K%XX%%xxkkxkz[xxYx%kxXxY%xxX--I --------------------------------------------------- I --- - - I I AUTHORIZED REPRESEHIA19E ) I I ! I -------------------- i ----------------------------------------•---------- _- __