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ACORD.,; CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDfYY YY; <br /> 01/31/2014 <br /> PRODUCER. (925) 484-5900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Charles Katz Insurance ONLY AND CONFERS NO RIGHTS UPON rHE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Pacific Interstate Ins.Brokers ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> 7011 Koll Center Pkwy Ste. 180 <br /> Pleasanton CA 94566-6577 INSURERS AFFORDING COVERAGE NAIC ft <br /> INSURED Everest National <br /> Dan's Water Well S N_• r<,R r <br /> Pump Service, inc. N ,(j,RC l <br /> 3494 Camino Tassa)ara #203 Nz,HI.R1, <br /> Danville, CA 94506- NSUE,,R1 <br /> COVERAGES <br /> 1HE POLICIES Of INSURANCE LISTED BELOW FIAVI:Bf f N ISSUED IO I I II iN1,UR1.0 NAMED An0V1 f OIt 111! 'OI.ICY PI RIUI1 INDICA 11 D NO T'AA111STANDING ANY <br /> REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OI Hf R DOULMI NT VJI Ili RE SPI-C 1 10 VVIIICH THIS Cf_RI11 ICATI MAY IIF ISSUFU OR MAY M11TAIN <br /> THE INSURANCE AFFORDI D BY THF POLICIES 01 SC.RI13FD 1+10IN IS SUIIJi C" 10 All THF TURMS 1 XCI OSIONS ANE) CONDITIONS Of SUCH POLICIFS <br /> _AGGREGATE LIMITS SHOWN MAY HAVE a <br /> BCLN RLDUCI 1)13Y PAID CI AINi <br /> FNSR ADO'L TYPE OF INSURANCE POLICY NUMBER 11'0I ICY EFFLCFIVE JPOUCY EXPIRATION <br /> TR N DATE(MMit)DFYYI I DATL(MMIDD,YY) LIMITS <br /> GENERAL LIABILITY / / ! / / -1""II <br /> th:�:114 N,:1 _ <br /> COMMS R(.IAt i,1 N1 RAI IIABILIIY I U1Vv1AGE FU lil NIi u - -- <br /> _ Pi:I n+r;Fs jl <br /> CLAIMS W,01 l _]OCCUR <br /> ` <br /> GENE.AGGRLGAI E OMIT APPI IES PER I i'ff l;lil,I•i S wt.r t <br /> POLICY PRif O <br /> 01 LOC <br /> AUTOMOBILE I IABIE.I IY I I I / I <br /> COMHMFT)SINi d F IMI1 <br /> _— ANY AL:T( I .F��)+_sa1cT•. <br /> &I OLNNI C:All Frig / / / <br /> _ / 801a Y INJUity I <br /> _ SCifEDultuA�ii%� I+o,, .�,�+ I: <br /> HIRE 0 A016s INJOR'. <br /> NON OMI I)At,T'Jb I,. ,.,.a•+ <br /> I <br /> / / I'It'.;I•I RIV UANI/%,.1 <br /> GARAGE LIABILITY A1/Tv OYI1 I%.+'• . ...i I= <br /> ANY UfE,IH IIVIN .... <br /> -- All It,UNI Y <br /> .EXCESSIUMBRE L LA,IAWLITY <br /> I" <br /> L i UCCul. l CI AIMS W,Iil I AGC-k!6A'I <br /> _ UEU0 I i,l I / <br /> RETENTION S �4 <br /> A WORKERS COMPENSA TION AND 7600001441131 03/01/2013 03/01/2014 }( IOKYiIMi�ti, illil _ _ _ _ _ <br /> EMPLOYERS'LIABILITY F I f:A1:I l ACCtl)i N' 11000,000 <br /> r,ANY PROi-RILIOR/PARTNI i+TXt CUIIVf- - _ <br /> II Of FICFRlW.MBER FXCI UUi i'' / / / / I I DISI ASI I A I MPI(`Yi 1 ; 1,000,000 <br /> II yes OCse•+oe ande- <br /> SPECIAL PROVISIONS tc-K A _ I f I /;ISI nSf I•Ii r r I tali I 1,000,000 <br /> OTHER <br /> / ! i <br /> DESCRIPTION OF OPERATIONSlLOCAnONSNEHICLESlEXCLUSIONS ADDED BY LNOORSf-ME'N1'SPIiCIAI PROVISIONS <br /> 10 Days Notice of Cancellation for Non-Payment of Premium. <br /> CERTIFICATE HOLDER _ CANCELLATION <br /> -iftOUl n ANY Of IHI ABOVE DI SCRIHED POLICIES fit CANCFU ED BEFORE THE <br /> i.XI•IRA IION DAIf R1E.R[Qf IIiF ISSUING INSURER Whl INDFAVOR TO MAIL <br /> 30 DAYS WRITTEN NOTICE LEI IHR CFRTIi ICATI HOI.UER NAMED TO THE LEFT,13U1 <br /> San Juaquin County Environmental FAILURI- 10 DO SO SHAI I IMPOSE NO OBI IGA ETON OR I IAUILITY OF ANY KIND UPON IfIF <br /> Health Department INSURER,IISAGENTS OR RFPRESENTATNI-S <br /> 1868 E. Hazelton Avenue AUIHORVEDREPRESENTATTVE C#jj � <br /> Stockton, CA 95205- <br /> ACORD 25(2001/08) ACOR0 CORPORATION 1988 <br /> ENS025 — <br />