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DATE(MMIDDM(YY) <br /> A CERTIFICATiiEii OF LIABILITY INSURANCE Page 1 of 3 07/29/2010 <br /> 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Fg7 <br /> — - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> ODUCHOLDER. THIS CERTIFICATE DOES NOT AMEND,-EXTEND OR <br /> rance Services of California, laic. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.Blvd. - NAIC# <br /> os19I INSURERS AFFORDING COVERAGE <br /> 05 -3'!230-5191 Drilling Testing, Inc. INSURERA: Illinois Anion insurance Company27960-001 <br /> Walnut Ave INSURERS: ACE <br /> Fire underwriters -Insurance Company 20702-002 <br /> Signal Hill, CA 90755 -. 15563-100 <br /> INSURERC: SeaBright Insurance Company <br /> I ' <br /> INSURER D:- <br /> INSURERE - <br /> COVERAGES - - DVE FOR THE POLICY INDICATED <br /> 11 THE POLICIES ANY REQUIREMENT OF INSURANCE <br /> RM LISTED <br /> CONDITION ON OF ANY CONTRACT TO THE INSURED NAD OTHER DOCUMENT WITH RESPECT TO WHICH T HIISOCERTTIFICATE MAY BEFISSUEDIOR <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 /> ICV EFFECTIVE POLICYEXPIRATION LIMITS <br /> INSR DO' TYPE OF INSURANCE - -POLICY NUMBER DATE MMIDDIYYYY DATE MMIODIYYYY -. <br /> 11 LTR NSR . EACH OCCURRENCE $ 1 000 000 <br /> A X GENERAL LIABILITY ECPGZ4913697002 8/1/2010 8/1/2011 DAMAGETORENTEO <br /> PREMISES Eaooceence $ 3OO OOO <br /> X COMMERCIAL GENERAL LIABILITY MED EXP(Any one person) $ _ 25 000 <br /> j CLAIMSMADE X❑OCCUR PERSONAL A ADV INJURY $ 1 000 000 <br /> 1 X pollution Liability— GENERALAGGREGATE $ 2 000 000 <br /> I X prof. Liability - <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2 000 000- <br /> POLICY. X JEC LOC <br /> :PM[TH0852344T0O2 8/1/2010 8/1/2011 COMBINED SINGLE LIMIT <br /> B AUTOMOBILE LIABILITY <br /> '. (Ea accitlenl) $ -11000,000 <br /> t X ANY AUTO <br /> j ALLOWNEDAUTOS - BODILYINJURY $ <br /> i (Per person) <br /> 1 SCHEDUL-EDAUTOS <br /> - HIREDAUTOS - - - BODILY:I INJURY. $ <br /> (Per'accdai <br /> NON-OWNEDAUTOS <br /> PROPERTY DAMAGE - $ <br /> (Peraccidenl) <br /> AUTO ONLY-EA ACCIDENT $ <br /> GARAGE LIABILITY - <br /> ANYAUTOOTHERTHAN EAACC $ <br /> " AUTOONLYI AGO $ <br /> A EXCESS I UMBRELLA LIABILITY XOOG24913703002 8/1/2010 8/1/2011 EACHOCCURRENCE $ 4,000,000 <br /> X OCCUR El CLAIMSMADE AGGREGATE $ 4,000,000 <br /> I $ <br /> 1 DEDUCTIBLE $ <br /> X RETENTION $ 10.00 5 <br /> } Q WORKERS COMPENSATION - WC STATU- OTH- <br /> 881100261 8/1/2010 8/1/2011 E TORY LIMITS ER <br /> ANDEMPLOYERS'LIABILITY E . <br /> NIH. LEACH ACCIDENT $ 1 OOO OOO <br /> I 1i ANYPROPRIMU- ARTNER/E%ECUTIVE❑OFFICERIMEMBER E%CLUDED? ELDISEASE-EA EMPLOYEE $ 11000,000 <br /> (ManEatory m and <br /> Ilyes,oesaioe antler ELDISEASE-POLICY LIMIT $ 1 000 000. <br /> SPECIAL PROVISIONS Uelow <br /> iI OTHER <br /> i1I{ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> • RE: All County Operations <br /> Professional Liability is claims made. Per Project General Aggregate excludes (Professional <br /> - Liability. <br /> II -Umbrella is excess over General Liability, Pollution and Professional Liability, Automobile and <br /> Employer's Liabilitcoverages. <br /> CERTIFICATE HOLDER CANCELLATION - - <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION <br /> l DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> San Joaquin County - <br /> Attn.: Purchasing fi Support ServicesiREPRESENTATIVES. , <br /> 222 E. Weber Ave. A HORIZ OREPRESENT TIVE <br /> Stockton, CA' 95202 <br /> 43 <br /> ACORD25(2009/01) C011:3084284 Tpl:1125942 Cert:14498318 ©1 88-2009 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />