Laserfiche WebLink
Froln:Dee Dee Wasser At:InterMst Insurance S-4;oes FaxID:InterWest Insurance To:Walton Engineering,Imo^ Date:4/5/2005 09:50 AM Page:3 of 3 <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MMIDDnyey) <br /> HALTON, 04/05/05 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> InterWest Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Capitol Division HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P.O. Box 255188 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Sacramento CA 95865-5188 <br /> Phone: 916-488-3100 Fax:916-488-3492 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: State Comp IIIc Fund (CA) <br /> INSURER B. Evanston Insurance Co. <br /> Walton Engineering, Inc. INSURER Allied Prop & Casualty 00035 <br /> P.O. Box 1025 INSURER D: United National Ins. Co. <br /> West Sacramento CA 95691 <br /> INSURER E: <br /> COVERAGES <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 /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/F:FfDD/YY) DATE(MMIDD/YY) LtlARS <br /> GENERAL LIABILITY EACH OCCURRENCE $5,000,000 <br /> B X COMMERCIAL GENERAL LIABILITY 05PKGO1395 03/06/05 03/06/06 PREMISES(Eaoccurence) $50,000 <br /> CLAIMS MADE Fx I OCCUR MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $5,000,000 <br /> X Ded $5,000 GENERAL AGGREGATE $5,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $5,000,00 O <br /> POLICY 7 JEo- F7 LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $1,000,000 <br /> C X ANYAIJTO ACP7801439068 01/03/05 01/03/06 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS <br /> (Per person) $ <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> D X Excess Auto FCX0002392 03/17/05 01/03/06 PROPERTY DAMAGE <br /> 14,000,000 (Per accident) $ <br /> GARAGE LIABILITY ALITO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ Vy' $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> A EMPLOYERS'LIABILRY 713492704 10/01/04 10/01/05 E.L.EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> S yes,describe under E.L.DISEASE-POLICY LIMIT $1 000,000 <br /> SPECIAL PROVISIONS below � <br /> OTHER <br /> B Pollution Liab 05PKGO1395 03/06/05 03/06/06 Pollution $5,000,000 <br /> B Professional Liab 05PKGO1395 03/06/05 03/06/06 Prof Liab $5,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Pollution Ded $25,000; Professional Liability Ded $50,000 <br /> *10 Day notice of cancellation applies for non-payment of premium <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOOOOOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> TO WHOM IT MAY CONCERN IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHO RED REP A <br /> ACORD 25(2001/08) 0ACORD CORPORATION 1988 <br />