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n <br />r <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE OP ID S <br />Dare (MMroomm)WALTO-2 1 09/29/09 <br />ODUCER <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek CA 94597 <br />Phone: 925-395-2600 Fax:925-287-0710 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />Walton Engineering, Inc. <br />P.O. Box 1025 <br />West Sacramento CA 95691 <br />INSURERA: SeaBright Insurance Co <br />ICY EXPIRATION <br />DATE MM/DDM' <br />INSURER B: <br />INSURER C: <br />GENERAL LIABILITY <br />INSURER D: <br />INSURER E: <br />EACH OCCURRENCE $ <br />rnVFRAGES <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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATEYMM/EFFDD I <br />ICY EXPIRATION <br />DATE MM/DDM' <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />PREMISES (Ea occurence) $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE f7 OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />17 <br />POLICY PRO - <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />BODILYINJURY $ <br />HIRED AUTOS <br />NON -OWNED AUTOS(Per <br />i <br />accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR 71 CLAIMS MADE <br />- <br />AGGREGATE $ <br />$ <br />i <br />$ <br />DEDUCTIBLE <br />$ _A <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />FH. <br />X ITORY LIMITS I I ER <br />EMPLOYERS' LIABILITY <br />BB1093003 <br />10/01/09 <br />10/01/10 <br />E.L. EACH ACCIDENT $1,0001000 <br />'a' <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIALPROVISIONSbelow <br />E.L. DISEASE -POLICY LIMIT 1 $1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. Evidence of <br />insurance only. <br />CERTIFICATE HOLDER c:ANQhLLAIIUN <br />TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />To Whom It May Concern IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTA <br />E l i /1 -,r- % - <br />Arf7Rn 25 !2001/081 <br />