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Z002 <br /> 12/19/2001 WED 11 44 FAX <br /> MOD <br /> > yw4 �.' i DATE(MMIPOr") <br /> ACORD <,F '<> aY"r>x sofa t ter; gg ?v"1 i so« siso fxYw +c ,5 ��' 10/17/ZOO <br /> PRODUCER> {707)374,6309 FAX (76 , s74-6804THIS GLI ` <br /> ONLY AND CONFERS NO RIGHTS IIPON THE CERTIFICATE <br /> ugusto Insurance Agency HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR <br /> 32 N Front St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> PWOx 816 COMPANIES AFFORDING COVERAGE <br /> ,sta, CA 94571 COMPANY United National Ins Co <br /> An East. A <br /> INSURED COMPANY F-)nand al Indemnity Ins <br /> V & W Drilling Inc g <br /> Robert Vickery & Jody Vickery <br /> COMPANY Fireman's Fund Ins Co <br /> P 0 Box 416 <br /> I!,leton, CA 95641 LOMPANY State Compensation Tns, Fund <br /> D <br /> x>�.3�.�.x< �" ..���>�:�:,��;�:; �„l <br /> THI IS TO CERTIFY THAT THE>pOLICIES OF INSURANCE LISTED BELOW HAVE 8 �I$$UED'1+6 YFi�INSURED NAMED ABOVE FOR THE POLICY PERIOD x <br /> INDICATED NOTWITHSTANDING ANY fiEQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIF FATE MAY Sr-ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DE=RIBED HEREIN IS SUBJECT TO ALL THE TERMS <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMI IS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EPFeCTIVE POLICY EXPIRATION LIMITS <br /> LIR DATE(MM/110" DATE(MWDDrfY) <br /> GENERAL LIABILITY GENERAL AGGREGATE S 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COM PIOP ACO S 1,000,000 <br /> PERSONAL 8 ADV INJURY S 1,000,000 <br /> CLAIMS MADE X OCCUR L7154445 11/02/2001 11/02/2002 $ <br /> A > OWNFR'$R CONTRACTORS PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE(Any ono firr,) S 50,000 <br /> MED EXP(Any one oersom S S.000 <br /> AUI01MOSMELIABILITY COMBINC04INOLE1-IMM $ <br /> 1,000,000 <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY 5 <br /> (Per person) <br /> B X SCHEDULEOAUTOS C7661418 10/01/2001 10/01/2002 <br /> X HIRF,D AUTO5 BODILY INJURY S <br /> (Per accident) <br /> X NON-OWNED AUTOS <br /> . PROPERTY DAMAGE 5 <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 <br /> OTHER THAN AUTO ONLY <br /> ANY AUTO <br /> LACH ACCIDENT S <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE S 1,000,000 <br /> C X UMBRELLA I-ORM XYZ-000-9666-1549 11/02/2001 11/02/2002 AGGREGATE s 1,000,000 <br /> 3 <br /> OTHER THAN UMBRELLA FORM <br /> WUNiAi <br /> WORKERS COMPENSATION AND TORYLIMIYS ER �ye�e,fu } �iK>t"ss <br /> EMPLOYERS'LIABILITY EL EACH ACCIDENT S 1,000,000 <br /> D THE PROFRIETON INCL 723-5334-01 10/01/z001 10/Ol/Z00z ELDISEASE POLICY LIMIT 5 1,000,000 <br /> PARTNERMXECUTIVE EL DISEASF EA EMPLOYES S 000 000 <br /> OFFICERS ARE EXCL <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILOCATIONSAIEKICLESISPECIAL ITEMS <br /> (—,gRT=3OAQUIN <br /> -.77-7-7, <br /> , ^n37 7<<n77757 ,74—Ef¢Ei>F <br /> -� �a Ln r i sHOuLD ANY OF THE AaOVS DESCRIBED POLICIES BE CANCELLED BEPOReTHE <br /> EXP[RATIONDATETHEREOF THEISSUINGCOMPANY WILL ENDEAVOR TO MAIL <br /> COUNTY BNVTRONMENTAI t) oAYswRWMN NOTICE TO THE CERTIFICATE HOLDER NAKED TO THE LEFT <br /> 304 L WEBER AVENUE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 3RD FLOOR OF ANY KIND UPON THE COMPANY AGENTS OR REPRESENTATIVES <br /> STOCKTON, CA 95202 AUTO nvE <br /> A. _ _ ,��!'� /''(��y��y(�yy,1 rip <br /> ("f A. >'�.av ` `fir�`Gift{^'Jr lafIl�aYB <br /> tiY:.'*�f4SYb/Sl,SF s. b e,4t >.`SS Si%sxMA>NfY,P S^ �4.t< w> ,ur <br />