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DEC'-04-98 10 55 FROM-BOLTON & COMPANY 777P
<br /> 626-T99- r.wwj r—aio
<br /> v I.ti- ril'ItIV i 1 dq,r !,I w9�IrgIN+ 1 ,S 1 ' i - ATE(MM)DO" SSI(/'►//''��p �l gyp kli9¢ I i � (� h !I �{! i! + ,.( D12/04!98 +�i�,/l �,,, �� lr, � 1 �.tFl� �, vlrpu..4i W 19 �I,7 ,•� d, !Id.,-. �t-.«f »'' �I �I l{ THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORtr1AT10NPRODUCER ONLY ANQ CONFERS NO RIGHTS UPONTHE CERTIFICATEBOL'T'ON & CO INSURANCE BROKERSHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> 1100 EL CENTRO STREET ALTER THE COVERAGE AFFOgDED BY THE POLICIES BELOW.
<br /> P.O.BOX 820 COMPANIES AFFORDING COVERAGE
<br /> SOUTH PASADENA, CA 91031-0820 COMPANY
<br /> A UNITED CAPITOL INSURANCE CO.
<br /> INSURED COMPANY
<br /> A&R Drilling Inc. a GOLDEN EAGLE INSUR4NCE CO
<br /> 2475 Cerritos Avenue COMPANY
<br /> Signal Hill,CA 90806 C UNDERWRITERS AT LLOYDS,LONDON
<br /> COMPANY
<br /> Iy}µAC 'A y D
<br /> 1 - ..- ,b,1'.'- -IS " 1�4�f fbMi,f IIS !r 3r " I ^Iq,IIS.}� '•y4 ,.I Y IQ{ r t 1H I�� r lCigS 1kPLtV �Lk.SJ �t���lbr I: �it �1).l! 6C�a�'�7. -X���i6' FI V I"yr j�iili�'1�{ ,a 1 1 I �� �1��iIO��'n.1.1"Y i,r Oji
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> CO POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br /> LTR TYPE OF INSURANCE DATE(MMIDD/W) DATE(MNVDD/YY)
<br /> A GtrNEpAL LIABILITY GENERAL AGGREGATE S 2,000,000
<br /> GLA14400S6 07/01/98 07/01/99 PRODUCTS•COMP/OP ACG s 1000 000
<br /> X COMMERCIAL GENERAL LIABILITY
<br /> CLAIMS MADE OCCUR PERSONAL Q ADV
<br /> If $ 1 000 000
<br /> 1 OWNER'S S CONTRACTOR'S GROT EACH OCCURRENCE $ 1 000 000
<br /> FIR
<br /> rl
<br /> Pollution Liab. E=DAMAGE tAny one ilre)
<br /> MED EXP IAny one Der5Cn) S 5.000
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5
<br /> ANY AUTO
<br /> ALL OWNED AUTOS BODILY INJURY S
<br /> (Par parlors)
<br /> .S CrIEDULE-D AUTOS
<br /> HIREDAUTOS BODILY INJURY S
<br /> (Per acc,dent)
<br /> NON-OWNED AUTO$
<br /> PROPERTY DAMAGE $
<br /> GARAGE LIABILITY AUTO ONLY-FA ACCIDENT 3
<br /> ANY AUTO OTHER THAN AUTO ONLY; .I"
<br /> �I
<br /> EACH ACCIDENT S
<br /> AGGREGATE $
<br /> EXCESS LIABILITY EACH OCCURRENCE S
<br /> UMBRELLAFOPM AGGREGATE S
<br /> OTHER THAN UMBRELLA FORM $
<br /> 7
<br /> B WORKERS COMPENSATION ANDRy'_"
<br /> _,n1T E . .-,- •�
<br /> EMPLOYERS'LIABILITY ��7 C47701du5 07/01!98 07/01!99 EL EACH ACCIDENT S 1000 000
<br /> THE PROPRIETOR) INCL I EL DISEA5E-POLICY LIMIT m 1,000,000
<br /> PARTNERS/EXECUTIVE
<br /> OFFICERS ARE' EXCL EL DISEASE-EA EMPLOYEE S 1,()()()000
<br /> C OTHER
<br /> Leased or Rented PC99022 07/01/98 07/01/99 $15,000.Special Form
<br /> Equipment $1,000,deductible
<br /> )
<br /> DESCRIPTION Of OPFFCATIONS)LOCATIONS'YEHIGLESISPECt&L ITEMS
<br /> Certificate Holder is added as Additional Insured per endorsemenE
<br /> CG2010(10/93)attached.
<br /> +;;
<br /> �u���.�4��� ���>_t���as�l"a' �:�:��'.`��,I�Y�.i,�la?�i��;�, r�:,�,����I�rlt���'k¢,�„�,r..r .�r �r,�.���,1 c,�M�,� �;�►TI„ r��1��11��>t��� �I�a � � ��r����a �1�:�.�� ��,�,k
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> Public Health SerViCCS EXPIRATION DATE THEREOF, THP ISSUING COMPANY WILL ENDEAVOR TO MAIL
<br /> San Joaquin County -20--DAYS WRITTEN NOTICE TO THE CER'n PICATE MOLDER NAMED TO THE LEFT.
<br /> Environmental Health Division BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
<br /> P.O.Boa 388 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRP-SPNTATIVES.
<br /> Stockton,CA 95201-0388 AUTHORIZED REP�SENTATIIIEA 1Pl".,..•,+,.,. „.l • Yl 'h ' Iy�. p , lg,t..,,nplaln ri, 1. . , rrw ., ,r z -`d1 i , I.y -r. .,F,.- ;,
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