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,. <br />APR 23 95 9:33 FROM TTLER-RYAN INC TO 191 2606 PAGE.002/002 <br />:4110. CERTIFICATE OF INSURANCE 04/`0 %34 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Matsen Insurance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />L.�.40 Stony Point RCad c e . l 0 0 HOLDTHIS AGEDETEPOESEN <br />ALTER O�AFORD SYY THE POLICIES aEww. <br />P.O. Box go-' ? ComPANies AFFOROING COVERAGE <br />Santa Rosa;CA 954,2 COMPANY <br />AAcmira_ Insurance Como_ any <br />1lLSUREO <br />.mettler-Ryan , Irc . ��; , �(� I ` C+ ' '� , ta4pennsvlvaria General Ins Ca <br />6747 Sierra Court, S:izcx�A.n�u�'�4: 1� +�Cf1fPANY -_ <br />iCub1--n/ CA 94755 �j cFremcn= Ccmoensat: cn '_r_s Co <br />OGeneral Security Insurance Ce. <br />COVERAGES j s,NC. <br />1 THIS IS TO CERTIFY THAT THE POLICES OF N39iW14C2 OSE7 E —ov HAVE BEEN ISSUED TC S}* lNS`L;RF-D NAME -r- ABOVE FOR THE POLICY aERIGQ <br />INDICATED. NCTV/IZ'STAND:NG ANY REQU6RIBdENT—TE61tt 40 CCOMRAC1006ONTRACT CR OTHER DCCUMe T )14 H RESPECT TO WHICH THIS <br />CERTIF;CATc .NaY SE ISSUED OR MAY PER,_AiN. *IFASNakl AFFORDED SY THE POLICES DESCRIBED HERZIN IS 3U6JECT TO ALL THE 'EPMS, <br />E (CLUSGNS AND CONCITIONS OF SUCH POLICwS.: LWITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAM. <br />CO , POLICY EFFECTIVE POLIOYEMRAT1OW, <br />.�. TY?EOPINSURANGE POLICYNUMSER -LIMITS <br />OAT'`tMNI10C1YY)I;.ATE(MM1QJtYY)! <br />(? I3ENERAL_A5IUTY A96Als , 4 039 34 j U:. j C8 `0=% 01/QC IGEYERALAGOREQATE !S3 , C00,'30L <br />XCOfdMERC'.AL GENERAL L1A8C.:7`S PRCOuCTS-COMP/CP A00133 �.,. 0 0 , 'D 0 0 <br />_ CLAIMS MACE. X I OCCUR' PERSCNAL i AOV NJUa'/ I 33 0 0 0L O C _ <br />OWNEWS3CONTRACTC.P'SPROT EACHOCCUaRENCE i33 00-3,000 <br />�POAMA3(Any rVef: S?n•J 0 r.0 <br />DiJ�C.��_? <br />_1 <br />finer oc.= rence ;tye0+)Ptanroreoer50r:, 3EXcl uded <br />? ;AUTOMOSILELIASIUTY SAOIS-3=.35^3 04/011139 C-4/01103: <br />=N51NCC=ANGLE LIMIT 131,� oco, 000 t <br />71 ANY f.U_0 <br />ALL OWNED A� 7 OS 80CI_ a INJJRY '3 <br />- SCMECUtrD.AL:TOS <br /><Peraarscnt <br />.{ HIRQO AUTOS ' 30CILYINJi.AW <br />_ Is <br />'eCN.OWNEC AUTOS accident'. I <br />PROPSgTY ^.ArAAGE .It <br />I <br />GARAGE UABIUTY AUTO C14LI -SA ACCIOENT 13 <br />ANY AUTO •OTHEg THAN AUTO OWL 1' ' <br />1 <br />i <br />EACHACCIOENT 3 <br />AGGPEGATE 13 <br />EXCESS UABIU'.Y <br />UMePELLA RCPT <br />WORKERSCCMPENSAT IONAND <br />EMPLOYERS' 'JA®IUTY <br />THE PROPRIETORI 40L <br />PARTNEASIEXECUTiVL <br />OFFICERSARE: X EXCL: <br />Sy OTHER <br />;Prof ession a_ <br />Liab . Incl . Pcll . <br />CE9000020 .04 /01/99! 04/0-1/00 .EACHCCC <br />Excess Auz:o °AGGAEGA' <br />98C853101 04/31/99'04/01/007x' <br />A93PL34&S5 <br />Claims Made <br />0 <br />DISEASE-PCLICY LIWT :111,001000 <br />OISEASE-EACH EMPLOYEE' $1 . 0 0 0 e 0 0 0 <br />104/01/98 04/01/00iAggreaate $3,0001000 <br />Each Claim $3,000',000 <br />i <br />i.IESCRIFMON DP OPERATIONSILocanONSrvEHICU:SISPECIALITEMS '-G2010. <br />'er_i�i tate holder is _^_atRed addit .onal insured per a_taczed fora <br />t :ERTIFICATE.HOLDER <br />:si is ot1 :' 4St02z4JM*3 <br />CAMCMJATIOM <br />SHOULC ANY OF THE ABOVE DESCRIBED POLICIES 8E CIWCELLE D DEFOR! THE <br />MMIRATION DATE THEREOF. THEIS uINGCOMPANYIMLLENDEAVORTOMAIL <br />CAB WRFrrEN NO'= TO THE CERTIFICATE MOLDER NAMED To THE LEFT. <br />9UTPAILURCTO MAILWOM NOTICE SMALL IMPCSE NOO®UOATtJN OR UA MUTT <br />** TOTAL PAGE.002 ** <br />