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DATE IM'd t)D,^/YYY{ <br /> ACORN CERTIFICATE OF LIABILITY INSURANCE 412412015 <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 If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate docs not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT -- <br /> NAME: Bethany Kaiser <br /> Alllant Insurance Services Inc. PHONE 559.437.3380 FAX 5 5 437.3385 <br /> 7525 N Cedar Ave Ste 101 (A'O.NatFsu tAr_Nw: _ _ <br /> EMAIL bkaiser@alliant.com <br /> Fresno CA 93720 ADDRESS:.— <br /> _ INSURER(S)AFFOR01NG COVERAGE _ NMC R <br /> NsumRA:Commerce and Industry Insurance Com 19410 <br /> INSURED INSURER 8: <br /> Woodward Drilling Company Inc INSURER C: <br /> P O Box 336 -- -Rio Vista CA 94571 INSURER D! <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 173396202 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 NOTVATFISTANDING 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 ALI THE TERMS <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> ADDLS[JOR'-- --- ._-- -- 7-POLICY EFF POLICY FIV <br /> — -- <br /> LTR TYPE OF INSURANCE INSn rrv0 NIIMBBII MMJOD1YYYY M Uli <br /> COMMERCIAL GENERAL LIABILITY 'J EACH OCCURRENCE S <br /> CLAAV"ADE LJ OCCUR -- <br /> �REMI F� S <br /> MED EXP lArty am Paaat) f <br /> PERSONAL d ADV MUURY $ _ <br /> GE14L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S <br /> PR <br /> POLICY PIR -1 LOC I PRODUCTS-COMPIOP AGG S — <br /> OTHER <br /> AUTOM08"LJ482.ITY N I IS <br /> LEA&=dentt) <br /> ANYAUTOBODILY INJURY(Pw peirli S -- <br /> AUTOS O AACUTpE5DULEO BODILY INJURYlPeremOatt) S <br /> HIRED AUTOS NQ&NED <br /> AUTOS pK S <br /> s <br /> I UMBRELLA UAB N EACH OCCURRENCE __ S _ <br /> EXCESSUAB 1-1 OCCUR <br /> CLAIMS-MADE AGGREGATE S <br /> FIETENTICINS t <br /> V40RKERS COUPE NSATION 62716226 101112014 10/1112015PIA <br /> AND EMPLOYERS'UABILITY YON X T T R~ <br /> JANYROPRIETOP,'PARTNER,tXECUTrAP <br /> OFF{CEFUMEMBER EXCLUDEDI NIA EL EACH ACCIDENT _ _S 1,000.000 <br /> {Mandalay In NH) <br /> El E l DISEASE-EA EMPLOYE t 1.000.000 <br /> M !E describe under _._ <br /> DESCRIPTION OF OPERATIONS boar E L DISEASE-POLICY LIMIT I$1,000.000 <br /> - 7i <br /> DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101 Adddronai Rrmarss Schedule may bo allached if m rff Apace Is requilmd) <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 O Box 1429 <br /> Lathrop CA 95330 AUTHORIZED RE <br /> PRESENT <br /> ATIV <br /> E <br /> 1988.2014 ACORD CORPORATION All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />