SU0012536 - Laserfiche WebLink

Home Browse Search

�CORr�- CERTIFICATE OF LIABILITY INSURANCE DATEPEM/DDYYYYI I 4/24i2015 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 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 ondorsoment s . PRODUCER NAMEACT Bethany Kaiser AIIIant Insurance Services Inc PHONE 559.437 3380 FAX 559.437.3385 7525N Cedar Avenue WC.No.EAII: — _ 11AtC.JW)1_— Suite 101 E-MAIL ADDRES5: @ Cont bkaiser alliant Co _ Fresno CA 93720 INSURL?Rt5)AFFOROING COVERAGE NAIL= INSURER A:National Specialty Insurance Compan 122608 INSURED Woodward Drilling Company Inc INSURERC: P O Box 336 - Rlo Vista CA 94571 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 126740803 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 NOTLMTHSTANDING 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 INSR -ADDL SUB11 . POLICY EFF POLICY EXP - TYPEOFINSURANCE R:SO YNO POLICYNUMBERMMIDD1YYYY MM!DD!YYYY LIMITS !20I A X COMMERCIAL GENERAL UABILITY MDF0165361 B2014 x/2012015 EACH OCCURRENCE 52.0110.000 CLAIMS-MADE u OCCUR I A PR Mi Eaoemo nc $100.000 MED EXP(Any one parson) $5.000 PERSONAL a ADV INJURY 52.000.000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 54.000.000 X POLICY❑JJECT -�]LOC PRODUCTS-COMPIOPAGG $4.000,000 OTHER S 'I AUTOMOBILE LIABILITY MEA0165365 !202014 !20'2015 tM M INEU 62,000.0G0 X ANY AUTO BODILY IWURY(Per person) S ALL w,,ED SCHEDULED j ! AUT S ^U`�T BODILY INJURY(Per amdenf) S HIRE AUTOS AUTOS'MtED P*r��PROPERTY – S -- S UMBRELLA UABHOLAIURS-MADE CCNFF0165365 2012014 1'20/20115 EACH OCCURRENCE 55.000.000 EXCESSLIAB _ AGGREGATE S5.000.000 DEr X I R-TENTIONS10,000 is WORKERS COMPENSATION PER I H AND EMPLOYERS'LIABILITY YIN E TAT T R _ . r PROPRIETOR PARTNE?; E :E E L EACH ACCIDENT S F-CER;MEMBER EXCLU'i`: NIA. - (Mandatory In NH) E L DISEASE-EA EMPLOYES If yes oeswbe unser I Dc SCRIPTION CF OPERATIONS ti�.�n E DISEASE-POLICY LIMIT 15 DESCRIPTION OF OPERATIONS'LOCATIONS'VEHICLES (ACORD 101.Addlhonal R—rhs Schedule —y be attached If Mom Spanrnw—0) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Brown Sand Inc ACCORDANCE WITH THE POLICY PROVISIONS P O Box 1429 Lathrop CA 95330 AUTHORIZED REPRESENTATIVE 42� 1988-2014 ACORD CORPORATION All rights reserved ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD