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FEB 06 '95_ 01:35PM R L <br />PRODUCER <br />R. L. Milder, <br />1.676 N. CHMzfornia Blvd. #1375 <br />P.O. Box &. 97 <br />Walnut Crack CA 94596 <br />R.L. Ki x SUOW <br />51.0-932-04,24 <br />INSURANCE <br />•• � . . G$R Y+1K,' P.0/3a7E (MM/DD/YY) <br />wALTQ-1 02/06/95 <br />Tib CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CCNF:ERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOMMIMOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POUC4ES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />A Unicare Insurance C any <br />Walton Fmgineering =m`»' D <br />Larry Schlieger ' <br />P.O. Sox 1.025 <br />West Sacramento CA 95691 ,Cor"Y E <br />�nyiii i <br />THIS IS TO CERTIFY THAT POLICIES <br />:.:. L.....'...::::,HEP I <br />f,• THE POLICIES OF INSURANCE LISTED BELOW' BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD <br />INDICATED; NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITUM, OF ANY CONTRACT OR OTHER DOCUM04T WITH RESPECT TO WHICH THIS <br />CERTIFICATIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORUW BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY I'VE BEEN REDUCED BY PAID CLAIMS. <br />.................................... _...... , <br />CO: TYPE�DF INSURANCE POLICY NUMBER POLICY EFFECTIVE ,POLICY EXPIRATION LIMITS <br />LTR: MATStMM/DO/YY) DATE (MM/DD/YY) <br />GENERALLAGGREGATE <br />COMMEF5C1AL GENERAL LIABILITY <br />... S MADE: OCCUR.. <br />OWNER'S $ CONTRACTOR'S FROT. <br />... . .............................. ................ <br />: ..5 .............. . <br />; <br />i FW=UCTS-COMPj0P AGO. ! S <br />PEiLSONAL & ADV. INJURY 9 ....................j1 " <br />r .......................... ........... <br />i EACH OCCURRENCE ; 6 <br />FIS DAMAGE (Any one fire) <br />i..................... I .................. ........ .... .,,,,,..,.,.......... ...... <br />SIM EXPENSE (Any ens pewnl <br />AUTOMO(fILELLiimury <br />CXROINED SINGLE <br />A <br />ANY AWO <br />`WIT <br />.................... <br />ALLOWIW AUTOS <br />F > BODILY INJURY <br />S <br />a�aon) <br />SCHCMMM AUTOS <br />..... ...... ......... I..... ,...... ..... <br />...........,..........,,.•, <br />i HIRED ALFIDS <br />: EMILY INJURY <br />i I occldend <br />NDN- AUTOS <br />_PEATY <br />GARAGO-CA" 1.IT1' <br />PAG DAMAGE <br />b <br />' EXCESS UAWATT <br />; EACH OCCURRENCE <br />............................... <br />4 <br />UMBRELLA FORM <br />A" -MATE <br />9 <br />OTMEIr'FilAtd UMBRELLA FORM <br />:>r: :», ;:>•'•i:' <br />, <br />A WORKENS COMPENSATION UD02129406069 <br />STATUTORY LIMITS: <br />12/31/94 12/31/95 <br />i:. ar:u:'g;f;::::.; • <br />EACH ACCIDENT <br />i <br />S.1,000,000 <br />AND <br />... _............. ..... <br />MSEASE—. POLICY LIMIT <br />i= 1, 000, Q00 <br />EMPLOWMI LIABILITY <br />_.................... ...................... <br />tESSASE-- E4CH EMPLOYEE <br />..... <br />$3.,0001000 <br />OTHER <br />6� <br />DESCRIPTION OF W'r;RATI01NSILOCATIONSNEHICLESISPECIAL ITEMS <br />aa, <br />SAM a7oaquin County <br />Public Healtyr Services <br />Mww. health Div. <br />P. O_ Box 2009a Street. <br />Stockton CA 95201 <br />ELL T <br />.. �; �, ,_ • .:., :.,�.:..r<:.. ,^m:.y:;r;:;•i`.`i:::?:d::,..:.::....v..:",jj%'i ii> •r'r'ir'<,'r .:.:.........: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />O <br />RATION DATE THEREOF. THE ISSUING COMPANY WILL4 <br />0 DAYS WRITTEN NOTICE TOI71HE CERTIFICATE HOLDER NAMED TO THE <br />LLPT, <br />