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ACRD <br />DATE (MM/DDY)LIABILITYS <br />R3 <br />10/22/99 <br />PRODUCER <br />Wasserman & Associates <br />Insurance Brokers, Inc. <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 />1029 56th Street <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Sacramento CA 95819-3915 <br />LIMITS <br />Phone:916-739-0254 Fax:916-733-0622 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER A: Legion Insurance Company <br />INSURER B: <br />Fuller Excavating & <br />Demolition, Inc. <br />3283 Luyunq Drive <br />Rancho Cordova CA 95742 <br />INSURER C: <br />INsuRERD: <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 />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/DD/YY <br />DATE MMXP /DD/YY N <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />17 CLAIMS MADE 7 OCCUR <br />FIRE DAMAGE (Any one fire) $ <br />MED EXP (Any one person) $ <br />PERSONAL S ADV INJURY S <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY 7 PROJECT LOC <br />PRODUCTS - COMP/OP AGG $ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT S <br />j <br />ANY AUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EXCESS LIABILITY <br />InOCCUR � CLAIMS MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />S <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION ANDX <br />EMPLOYERS* LIABILITY <br />WC31189892 <br />10/01/99 <br />10/01/00 <br />-1 VVC STA <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE -EA EMPLOYES$ 1 , 000, 000 <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />*30 Days notice to certificate holder applies except for non-payment of <br />premium, which is 10 days. For Insurance Purposes Only. <br />t\ IIVnN6\JVRCY� IRJURCR LC I I CR: 6sr11V4GL.L.FI I IVIY <br />PROOF04 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Proof Of Insurance 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF <br />ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />CORPORATION 19HR <br />