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MELOMAC-01 IBLU <br /> ACORD,� CERTIFICATE aF LIABILITY INSURANCE ;oi23rr"9 <br /> PRODUCER , (209)578-0183 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> DlBuduo&DeFendis Insurance Agency,Inc.-Modesto ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES WT AMEND,EXTEND OR <br /> License#0707137 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P.O.Box 580531 <br /> Modesto,CA 95358-0071 INSURERS AFFORDING COVERAGE NAIC# <br /> INSUREQ Jim N.Melo&Brenda Melo dba:Melo Machine& v51-HER A Everest National Insurance Company <br /> Manufacturing f<A-O FR F1 .. <br /> P O Box 517 oNSURER c. _ <br /> Patterson,CA 953634000 _ <br /> SiS11RFR D <br /> INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM ED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREIMENf,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERnFtCATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDrnONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- <br /> ._ -- POLICY NUNHE3e POLICY EFFECTIVE -POLICY Expm-n0H - - -- LIMITS <br /> - <br /> LTR RE DATE MBNOXITI <br /> GENERAL LIABILITY EACH OCCUF31ENCF <br /> C@d.ERCIAL GENERAL LVOILrTY PREMI.iS E9 oocrarae s l <br /> CLAW MADE f:j omm We are required by our E&O Carrier to forw ird a copy of mhD EJP(may one oerwn) s <br /> —• --. =— -= _ h-certtflcaW of insuranc -issued to your officefor—-r -=ks c-I- l%I,t Y. <br /> ur records. Please do nol return. Ckzli PL AGGREGATE _ <br /> GENL AGGI>FG4TE LIMQT APPLIES PER PRODUCES-COMPIOP AGG $ <br /> POLICY 0PRO- <br /> 2a <br /> LOC ~. - <br /> AUTOMOBB.E LUBITTY COWITED StM'It E EMIT <br /> ANY AUTO (Ea eccidwt) _ S <br /> ALL OVO&U A)JTOS BODILY rt"Y <br /> {Per person) _ <br /> SCHEMED AUTOS <br /> HIRED ALIMS BODILY INJURY <br /> .... NON-OYMqEDALFTOS (per S <br /> PROPERTY DAMAGE ; <br /> (Por awdert) <br /> GARAGE UABILfrY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OI HER THAN EA ACC Ii <br /> AUTO ONLY: AG 8 <br /> EXCESSAAGREiLA LIABLLrTY EACH OCCURRENCE 3 __ <br /> OCCUR I -..CLAIMS MADE 'ACKARI GATE __... ._ <br /> DEDUCT113LL <br /> RETENRerE - <br /> YIFOI RS COMP9NSA,TON AND xRSTYMIST" ER <br /> A EMPLOYE RW LABILITY A20010249081 311/2008 3/112009 F L EACH ACCIDENT s 1,000,00 <br /> ANY PROMEIORIPAATTSLEYL-corVE .- <br /> OFFlCT37M3ABER DCCLUDED? F L DISLASE-EA E WI OYES_ S 1,000.00C <br /> t dasalbe rdK 1,000, <br /> SPECIAL PROy ISIONS bebw Fl. DISEASE-POLICY LIMIT S <br /> OTHER <br /> DESCRIPTION OF OPE RATIONS 1 LOCATORS I VENMES I EXC LUSIONS ALI=BY EW ORSEME NT J SPECIAL PROWPONS <br /> 10 day notice of cancellation due to non payment of premium applies. <br /> Re:Install new pump In well at 31600 Koster Rd.Tracy,CA on 01109J06 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DeSCRIBET POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Nat Bachettl DATE THBiE F,TB?ISBEANG mwFa tWS.L BSIEAVORTD NAR 30 DAYS WRITTEN <br /> 31600 Koster Rd <br /> Tracy,CA 95304- NOTICE To THE c6TTGICATE HOLDER NAMED TO THE LST,BUT FAILURE TO DD 90 SHALL <br /> YIPOSE NO OB"T IM OR LIABILITY DF ANY KM UPON THE NSL1RM ITS AGENTS OR <br /> REPRESFJJTATTVE9. <br /> AUTHORQED REPRESENTATM <br /> ACORD 26(2001108) _ ®ACORD CORPORATION 1988 <br />