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Apr 09 20,05:27p Pringle 5596451222 p.1
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<br /> �--� CERTIFICATE OF LIABILITY INSURANCE DATE"UNUM-M
<br /> iliLS CERTIFICATE IS ISSUED AS A NA2019
<br /> TTER OF"FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT]FICATE HOlDE1R_THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AIMEND.EXTUyD OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CBtT1pG►TE OF 1NSURANCE DOES NOT CONSTITUTE A CONTRACI BETWEEN THE ISMING INSURER(S).AUTHOR12E0
<br /> REPRESENTATIVE OH PRODUCER,
<br /> AND THE CERTIFICATE HOLDER.
<br /> MPORTANT- N the carBficate 11nMer is an ADDITIONAL INSURED,the
<br /> H 5UBROGATKA IS WAIVED,asb IwP-ri y. erfa!have ADDITIONAL INSURED prorialol>s Nr be endorsed
<br /> this eatJHeaoe dors me c -Ier - J�m the temp and ld edn Ii—01 the Poriry,certain DDIIrJes may mcmire an en
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<br /> rAoouLER a.
<br /> gs,rticeutor k9nWance Agent 559.233-0123 r Loni Towner
<br /> 22003300 W,Shaw Lal Selte 102 �!�IF.a 559,Z33.D123�p18
<br /> Fmno,CA 93111 _
<br /> George WDeener a on con eennsurante_cerri -
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<br /> THIS IS TO CERTE`/THDT THE POLICIES OF INSURANCE LISTED BEICIW HAVE BEEN ISSUED TO THE 1^15URED NAMt31 ABOVE FOR THE POLICY PERpO
<br /> INOICAT@. HOAY BE STAp371AK'ANY REOU62B+ENi,TERM OR CoNOMen OF ANLL CONTRACT OR OTHER IXJCUMEFrr 1411"RESPECT 70 WHICH TI-11S
<br /> CKCILLI IONS ANDY BE I=IEJ OR ALAY PERTAIN,1HE NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 171E TERMS,
<br /> OCCLUSIONS AND CONDITIONS OF SUCH POUCIES.LDIRS SHOWN MAY HAVE BEEN RMUCED BY PAID CLAWS.
<br /> T7PEOFeBURARCE L eNYI
<br /> A X CDWFRCIALCEMERALLNBILn7 POL1CY MrOfJEp mg EFF i•OIICY EMP Lis'---_
<br /> CMC-M-01- a rNXANl EACR -a,aRrNct _.
<br /> o8mugs$4 06!302019 06130!2020 O1P4'i%ero RENli 180,00
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<br /> oNALaAN INKIRY 1,000,006
<br /> GErr w �° APPUES vElc 1,000,0062 00
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<br /> g wTa��1 Emp Ben. 1,000,00
<br /> COMBINED SV.1CtE LINT
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<br /> EZCEaauaa dJW;.AkpE 14=9778 '816N T 2,000,000
<br /> 06130!2019 OtV3O12020 HOC=W
<br /> OEO X rt[iEBnONS 10000
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<br /> AM ErMn.07ERg[L1BiJ1Y X PEROUF
<br /> ^WPPoD•tUETrYL'nlCuIOIYGrEcvnrE IY-1-M-� BRYfIC1Z1i131 01/012020 OV0112A21_ 1,O�O,U
<br /> 1M'tl'm+Y4r/MkV3�F�Q11DE0: — /A E-L EM ACCU)ON
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<br /> R11CIf OF(>PER4�DYs t,L Of$IAy=-EA CMR S— 1,000,00
<br /> B Age.PhySi_j $ �$ t-.[� - , LMT 1,060,00
<br /> Osmage
<br /> 06/30/2020 Camprelven Various
<br /> Colliston Various
<br /> DEZCRIPnON DE ovERwTAIq r IDCATgrra•"emc F3 4&Oe,D mu.—mj.W Ibma4 3 Jad.L,
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<br /> SANJOA2
<br /> SHOULD ANT OF THE ABOVE DESCRIBED POLICIES BE CANCELLED m BEFORE
<br /> San Joaquin County TEE OWWRA71014 DATE TIEREOF, NOTICE 11rLL BE DELIVERED IN
<br /> Envirnnmental Health Deptt, ACCORDANCE TRfN THE POLICY PROVM0)1S_
<br /> 18689 East Hazelton Ave,
<br /> Stockton,CA 95205 Aungraao AEwF,SEMTwiTr_
<br /> George Woesner
<br /> ACDRD 25(2016103) 1900.,2915 ACDRD CORPORATION.Al rights reserved
<br /> The ACDRD name and logo are wgislered maks of ACORD
<br />
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