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08/28/2001 12:07 7075686096 CLEAR HEART DRI ING PAGE 04/06 <br /> ACORD. CERTIFICAW OF LIABILITY INSU NCE DATE(MM/DD/YY) <br /> 12/28/2000 <br /> PRODUCER <br /> (559)584-33Z3 FAX (559)S84-1131 THIS CERTIFICATE 1S ISSUED ASA MATTER OF INFORMATION <br /> Bacome Ins Agency A CA Employers of Excellence ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> AgPro Ins Sery * Lic#0554959 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED DY THE POLICIES BELOW. <br /> James G Parker Ins Group <br /> 1129 * Hanford, CA 93232 INSURERS AFFORDING COVERAGE <br /> Clear Heart Dri ling Inc. INSURER A! Fire & Casualty Insurance Co <br /> 483 W COl l ege Ave INSURER a; <br /> Santa Rosa, CA 95401 INSURER c: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 /> 1 PO FECTNE P PIRATION <br /> TR TYPE OF INSURANCE POLICY NUMBER D MM/OD E MlDD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ <br /> CLAIMS MADE E]OCCUR MED EXP(Anyone person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY pR0' LOC <br /> JEC7 <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea ecc1derd) $ <br /> ALL OWNED AUTOS <br /> BODILY $ <br /> SCHEDULED AUTOS (Par person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Par accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC S <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AUGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ <br /> WORKERS COMPENSATION AND CEE10038001 01/01/2001 01/01/2002 X ITORY LIMITS T <br /> EMPLOYERS'LIABILITY <br /> A E.L.EACH ACCIDENT S 1,000,000 <br /> E-L.DISEASE-EA EMPLOYEEFS 1 oOO,OOO <br /> OTHER E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 <br /> 7ESCRIPTION OF OPERATIONS/LOCATION$1VEUICLES/EXCL SIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> 'aiver of subrogation in effect 1/1/01-02 <br /> ob: All California Operations <br /> ;ERTIFICATE HOLDER AI]bIT10NAL INSURED;INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE AMOVE DESCRIBED POLICIES me CANCELLED BEFORE THE <br /> County of San SerivJoaquin EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> Public Health Ser9vtes <br /> Environmental Health Division 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 304 East Weber Avenue BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 3rd Floor OF ANY KIND UPON THE ANY,ITS AGENTS OR REPRESENTATIVES, <br /> Stockton, CA 95202 AUTHORIZED REPRESENT <br /> Lisa Babb <br /> (CORD 25-5(7197) @ACORD CORPORATION 1988 <br />