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MMfODrrfYY <br /> A� CERTIFICATE OF LIABILITY INSURANCE DATI/6/ZO20 ) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provislons or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsements. <br /> PRODUCER CONTACT <br /> NAME: <br /> EMPLOYERS CHOICE INS SVCS INC PHONE (760)431-0947 aIc No): 760 687-4007 <br /> 2111 S EI Camino Real#201 A DRIESS Vrnula wkcom p.net <br /> Oceanside, CA 92054 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A: State Compensation Insurance Fund <br /> INSURED INSURER B: <br /> Gregory Drilling Inc <br /> INSURER C: <br /> 14112 452nd Ave SE INSURER D: <br /> INSURER E: <br /> North Bend WA 98045 1 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY 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 /> INSR ADDLSUBR POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE <br /> LTR POLICY NUMBER fMMIDDfYYYYl IMMIDDfYYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY ' I EACH OCCURRENCE S <br /> DAMAGE ED <br /> RENT <br /> CLAIMS-MADE E]OCCUR PREMISES Eaoccurtence $ <br /> MED EXP Any one person) $ <br /> PERSONAL&ADV INJURY S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S <br /> POLICY❑ PRO- <br /> JECT LOC PRODUCTS-COMP/OPAGG 5 <br /> OTHER:R S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) S <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE S <br /> AUTOS ONLY AUTOS ONLY Peraccldenl <br /> $ <br /> UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEO I RETENTIONS �/ _ $ <br /> WORKERS COMPENSATION /� PTATUTE EORH <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER[EXECUTIVE YIN NIA 111212020 1112/2021 E.L.EACH ACCIDENT S 1,000,000 <br /> A OFFICER/MEMBER EXCLUDED? [Y 9244138-2020 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd $ 1 OOO OOO <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT S 1.000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space la required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Certificate Is provided as proof of Insurance. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />