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<br /> �� CERTIFICATE �FIAB� TYNSURANC� ; '§ I-- M D My]
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<br /> - 1116198
<br /> PRODUCER INTHIS CERTIFICATE IS ISSUED AS A MATTER OR INFORMATION
<br /> Sedgwick of Washington, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE -
<br /> 2101 Fourth Avenue, Suite 1700 HOLDER. THIS CERTIFICATE DOE NOT AMEND: EXTEND OR
<br /> Seattle, WA 98121 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.,
<br /> Phone(206)727-2032 FAX (206)448-9235 COMPANIES AFFORDING COVERAGE
<br /> i COMPANY Commerce and Industry Insurance Co.
<br /> Insurance Services Provided,California license#0519063 � q
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<br /> COMPANY
<br /> INSURED B Wausau Underwriters Insurance Co.
<br /> SECOR International, Inc. COMPANY
<br /> 11061 N.E. 2nd Street, Suite 102 C
<br /> Bellevue, WA 98004
<br /> COMPANY
<br /> D
<br /> OVERAGE=S� rte..,:�,rr a5Rr %-3
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POUICY PERIOD
<br /> INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> CO TYPE OF INSURNACE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br /> LTR DATE MIDD DATE MMlDDIYY
<br /> A GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
<br /> X COMMERCIAL LIABILITY PRODUCTS-COMPIOP AGG $ 2,000,000
<br /> CLAIMS aOCCUR GL34091 i3 1112197 1112198 PERSONAL&ADV INJURY 1,000,000
<br /> MADE
<br /> EACH OCCURRENCE $ 1,000,000
<br /> OWNER'S&CONT PROT FIRE DAMAGEAn one fire
<br /> ( r ) $ 250,000
<br /> MED EXP(Anyone person) $ 5,000
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 �gg
<br /> A X ANY AUTO BODILY INJURYf
<br /> ALL OWNED AUTOS (Per person) $
<br /> SCHEDULED AUTOS CA 5053468 1112/97 1112198 BODILY INJURY $ I
<br /> X HIRED AUTOS (Per accident) II
<br /> X NON-OWNED AUTO PROPERTY DAMAGE $ `
<br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT
<br /> ANY AUTO OTHER THAN AUTO ONLY:
<br /> EACH ACCIDENT
<br /> AGGREGATE
<br /> EXCESS LIABILITY EACH OCCURRENCE $
<br /> UMBRELLA FORM
<br /> OTHER THAN UMBRELLA AGGREGATE $
<br /> B ORKERMAN'S COMPENSATION X OTHER )° _,
<br /> fTORY _ -�,.�.�s�� 51,N
<br /> AND EMPLOYER'S LIABILITY 2318-00-059117 11/2197 1112188 EL EACH ACCIDENT 1,000,000
<br /> THE PROPRIETOR/ OINCL
<br /> PARTNERSIEXECUTIVE IP' EL DISEASE-POLICY LIMIT $ 1,000,000
<br /> OFFICERS ARE: CL EL DISEASE-EA EMPLOYEE 1,,000,000
<br /> OTHER i
<br /> DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS
<br /> Certificate Holder is named Additional Insured on General Liability and Auto Liability policies as respects their interest in the Insured's operations.
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<br /> ''CERTIFIC4IE I10LDER v ° ' �." au =:»sS kyr t �f�GAS. CANCI LtATi01� 7- �s a ��'f,r.�:ie
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<br /> City o racy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> 961RATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL,
<br /> DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
<br /> BUT FAILURE TO MAIL SUCH NOTICE SSHALL IMPOSE NO OBLIGATION OR LIABILITY
<br /> OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
<br /> X (�y?j�CX P odu 'ng Broker
<br /> 520 Tracy Blvd.
<br /> Tracy CA 95376
<br /> ACORD 25-SW 111195 . .. q �, a w .-
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