Laserfiche WebLink
11/16/2004 17: 16 8185937 BARLOCKER INS c"„1 PAGE 01/01 <br /> AqC- D CERTIFICAIYOF LIABILITY INSURAN OP IDP M OATEIMM/ODITYY, <br /> PRODUCER MITCHL 11 16 04 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Harlocker Ins.-Woodland Hills ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 21051 Warner Center Lane #120 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> Woodland Hills CA 91367 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Phone: 818-593-7001 Fax:818-593-7007 <br /> INSURED — INSURERS AFFORDING COVERAGE I MAIC aY <br /> INSURERA: Vir lnia 9uret Co23 an <br /> NA <br /> Mitchell Drilling INSURER B; --�� <br /> 7900riO+tyYrrtleaAve INSURER c: --� <br /> Eureka CA 95503 INSURER D:COVERAGES MquRER E; — <br /> THE POLICIES OF INSURANCE LISTED BELOW NAVE B@EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICTED.NOTWITHETANDINU <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HF,REIN Iq SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS DP GUCI; <br /> POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY RAID CLAIMS. <br /> TRSR' <br /> LTR NSR TYPE OF INSURANCE ------- <br /> GENERAL <br /> OLICYGENERAL LABILITY DATE MMIDDIW DATE MMmUIYY LIMITS - <br /> COMMERCIAL GENERAL LABILITY EACH OCCURRENCE E --- <br /> CLAIMS MADE ED OCCUR PREMISES E `I <br /> MED EXF Any ono per.,an4 S J <br /> PERSONAL S AOV INJURY S <br /> GEML AOGREOATE LIMIT APPLIES PER; GENERAL AGGREGATE ` E —I <br /> POLICY P o- LOC FPOOUCTS-COM1CPiCp AGO S <br /> AUTOMOBILE LIABILITY — <br /> ANYAUTO <br /> COMBINED SINULE LIMIT I <br /> ALL OWNED AUTOS fEa exldenq S <br /> SCHEDULEDAUT08BODILY INJURY <br /> -I <br /> HIRED AUTOS (PPerse,) <br /> PJ' S <br /> _ I <br /> NONAWNED AUTOS <br /> BODILY INJURY <br /> (PeraNdeny S <br /> Y ROPE <br /> P <br /> GARAGE LIABILITY RToANAOE <br /> PROPERTY <br /> E <br /> ANYAUTO AUTO ONLY-EA ACCIDENT E <br /> OTHER THAN EA Acc E—,-- <br /> EXCESSRIMERELLALIABILITY AUTO ONLY: AGO 3 <br /> OCCUR CLAIMS MADE EACH OCCURRENCE E <br /> AOGREOATE g <br /> Denucn3LE — <br /> RETENTION S E — <br /> WORKERS COMPENSATION AND R <br /> L EMPLOYERS'LIABILITY TORY LIMIT$TORY LIMIT$ ER� <br /> ANYCER/MEETOR/PARTNDED? CUTIVE DOS-00018586 Ol/01/OA 01/01/05 E.L.EACHACCIOENT EIQOQOOO <br /> OFFICEOPRIET ER EXCLUDRfE <br /> 8yps dB9�ihC BPBN E.L.DISEASE-EA F,MPLOVEc $IODDQQD <br /> SPECIAL PROVISIONS bftw _ <br /> OTHER E.L1DISEASE-POLICY LIMIT 5I000000 <br /> I <br /> SCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES fEXCLUSION9 ADDED eY ENDORSEMENT!SPECIAL PRow3l0Ns <br /> ibject to the policy terms, Conditions, limitations, exclusions and <br /> aductibles. *lD day notice of cancel in the evetn of non-payment of <br /> remium. <br /> :RTIFICATE HOLDER CANCELLATION <br /> / SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION <br /> $I�u ' V LC-FI C. SjC'PBSp*.PaTN�`� DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN <br /> SAT; Joaquin County Public NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Health Services FnvirOnmental IMPOSE NO OBLIGATION OR UABIL17Y OF ANY RIND UPON THE INSURER,ITS AGENTS OR <br /> Sealth Division (PSS-ERD) REPPESENTAnvE3 <br /> 304 E. Weber, Third Floor A EOR R <br /> tockton CA 915202 r� <br /> T,)ACORD CORPORATION 1988 <br /> ;ORD 25(2 1M3) <br />