Laserfiche WebLink
AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE(M!dIDOYYYYI <br /> 11% i 4/24;2015 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. It SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such ondorsoment(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Alllantlnsurance Services IncPHONE <br /> __ Bethany Kaiser <br /> P <br /> 7525 N Cedar Ave Ste 101 "°c.NO.Eau_559.437.3380 _ 1j:�No„559.437.3385 <br /> Fresno CA 93720 E-MAIL bkaiser@alliant.com <br /> _ <br /> � _ <br /> INSURERS)AFFORDING COVERAGE __ NJUC 0 <br /> INSURERA:Commerce and Industry Insurance Com 19410 <br /> INSURED WSURER e: <br /> Woodward Drilling Company Inc INSURER C: <br /> P 0 Box 335 ---Rio Vista CA 94571 iNSURER0: <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 173390202 REVISION NUMBER: <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 NOT1.14THSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI THE TERMS <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> "&-T- ADDL-SUBR- POLICY EFF- POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM.'DD/YYYY MM/DD/YYYY I LIMITS <br /> COMMERCIAL GENERAL LIABILITY j N EACH OCCURRENCE S <br /> CLAIMS-MADE L _ OCCUR IY <br /> PR MI� 5 <br /> MED EXP(Any ons parson) S <br /> PERSONAL b ADV INJURY S _ <br /> GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S_ <br /> r <br /> i POLICY PRO- <br /> jFCT El LOC PRODUCTS-COMPIOP AGO 3 <br /> HER - -- - <br /> S <br /> AUTOMOBILE LIABILITY N CO INEID <br /> (Eaac _ S <br /> ANY AUTO BODILY INJURY(Per person) S <br /> �tj, I—ED AUT <br /> MIRED AUTOS DULED BODILY INJURY(Per scaaent) S <br /> NON-OWNEDPROPERTY - <br /> II AUTOS tPer scoda S <br /> S <br /> UMBRELLA LIAB OCCUR N EACH OCCURRENCE __ S <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S <br /> i- <br /> OLD RETENTIONS S <br /> .. 'WORKERS COMPENSATION 62716228 0!1/2014 10/1/2015 PER H- <br /> ANDEMPLOYERS'LIABILITY YIN �'L IAT T ER__ <br /> ANY PROPRIETORIPARTNEWEXECUTIVE EACH ACCIDENT __S11.000.000 <br /> OF uLstot in NMIMBER EXCLUDED? a N/A E L DISEASE-EA EMPLOYE 51,000,000 <br /> (wyensusary a NMI <br /> II IPTIOciascinibe OFurxO E l OI$EASE-POLICY LIMIT S 1,000.000 <br /> DESCP,IPTION OF OPERATIONS ce:av <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101.Addrllonal Remarks Schedule.may be altached it mom space-is re quimd) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Brown Sand Inc ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P 0 Box 1429 <br /> Lathrop CA 95330 AUTHORIZED REPRESENTATIVE <br /> C/= /� <br /> I% 1988-2014 ACORD CORPORATION All rights reserved <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />