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MAI LU U7 71pL/ I 1 ut iulUAL11l111VU, <br /> CO <br /> RD, CERTIFICATE OF LIABILITY INSUk�NCE APEPID DATE(MMRTOlYYYY <br /> PRODUCER <br /> 1 05 26 04 <br /> 6 Company-San Mateo THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 208925 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 20th Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> CA 94403 <br /> 0-573-1111 F'ax:650-378-4395 INSURERS AFFORDING COVERAGEMAIC 9 <br /> INSURER A: Evanston Insurance Co <br /> INSURFA B: Sne Rarcrold Com arelal Tne Coppex Envirotech IInc. nvsugeRc: <br /> old4A.ipvertCA 95b,70 <br /> INSURER D: <br /> COVERAGE5 INSURER E; <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUA90 NAMED ABOVE FOR THE POLICY PERIOD INOICATEO.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 /> INS Db <br /> .• LTA NSR TYPE OF INSURANCE POUCY NUMBER <br /> GENERAL LIABILITY DATE MM/D DA E MM/D NY LIMITS <br /> A X X cOMMERc AL GENERAL UgSILITY EACH OCCURRENCE 2 1000000 <br /> 03PKGO1131 10/04/03 10/04/04 PREMISES Eaor�,c2ennce .150000 <br /> CLAIMS MACE a OCCUR <br /> X Professional MED EXP(Any cne peraon) 25000 <br /> 03PKG01131 10/04/03 10/04/04 PERSONAL dADV INJURY j <br /> X Pollution 03PKGO1131 1000000 <br /> 10/04/03 10/04/04 GENERAL AGGREGATE ,22000000 <br /> GEML AGGREGATE LIMIT APPLIES PER; <br /> POLICY JECTPRO- LOC PRODUCTS•COMP/OP AGG 21000QOO <br /> AUTOMOBILE UA8ILITY <br /> 8 X ANY AUTO 51{JE IrIG,78Z4 COMBINED SINGLE LIMIT j IQQQQQO <br /> 09/01/03 09/01/04 (Eaacidenl) <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS BODILY INJURY <br /> HIRED AUTOS (Par canon) S <br /> NON-OWNED AUTOS BODILY INJURY <br /> (Per accident) _ <br /> X Corn Ded 250 <br /> X Coll Ded 500 PROPERTY DAMAGE <br /> GARAGE LIABILITY <br /> (Par aoddenll 2 <br /> ANYAUTO AUTO ONLY-EA ACCIDENT 2 <br /> OTHER THAN EA ACC 3 <br /> ExCESStUMgKELLA L1401U1Y AUTO ONLY: AGG i <br /> OCCUR ❑ CLAIMS MADE EACH OCCURRENCE j <br /> AGGREGATE 4 <br /> DEDUCTIBLE _ <br /> RETENTION .1 f <br /> WORKERS COMPENSATION AND 3 <br /> EMPLOYERS'LIABILITY _ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE - TORY LIMITS ER <br /> OFFICERIMEMBER EXCLUCE07 E.L.EACH ACCIDENT ; <br /> MY e�,des Fbll under <br /> SG,L DISEASE- <br /> VECIAL PROVISIONS Delow EA EMPLOYE 2 <br /> OTHER - EL.DISEASE-POLICY LIMIT 2 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED By ENDORSEMENT SPECIAL PROVISIONS <br /> Cert holder is named add insured. <br /> 30 days cancellation except with respect to non-pay, which is 10 days. <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> SANJST2 SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THe EXPIRATION <br /> DATE THEREOF,THE I53UING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> San Joaquin County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAIL URE TO DO SO SHALL <br /> Public Works IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 1810 E. Hazelton Ave, <br /> Stockton CA 952FPRE 05 REPRESENTATIVES. <br /> d UTHORIZ ,EPRESEN TA G <br /> ACORD 26(2001/08} <br /> ACORO CORPORATION 1988 <br />