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0 MVPPEA <br />OP E: <br />ofy <br />=0912m3iD201"16 <br />CERTIFICATE OF LIABILITY INSURANCE <br />Y <br />PRODUCER <br />Irate est Insurance Services <br />Uc nse #0801094 <br />P.C. Box 9110 <br />Chid, CA 95927-8110 <br />Chip Arenchild <br />INSURED MVP Petroleum Engineering, Inc <br />PC Box 2&1 <br />11G���Om <br />._ INSURER{SI AFF®RUNG COVE 4'sE ;:. NAIC <br />_ ..__. -. _ . , _.... _.._._ _ _ <br />NSURERA: State COmp Ina Fund (CA) 45075 <br />NSURER D ; .._.. <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 <br />CONTRACT OR OTHER DOCUMENT H RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUER 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 CLADS <br />INSyI° .. ... �. } iPOLICY <br />LTR TYPE OF INSURANCE POLICY NUMBER <br />�ffy EXP <br />EFF Pol LIMITS <br />MI IYYYY MID Y YYY <br />COMMERCIAL GENERAL LIABILITY i <br />EACH OCCURRENCE <br />} <br />j CEACM9 HiADE a OCCUR g <br />MED EXP (Any oneperson) <br />t 7t7 <br />" PERSONAL R. ADV IN URY $ <br />S( <br />f�EPQIAfiGI2ECATBL�Ak€iAFPL1ES€tER i � <br />i GENE. RAL ACGREGATE $ <br />�. _ <br />[ 1 i! <br />I POL CY i.._ I r LOC PRC <br />PRODUCTS COMP/OF AGG <br />INER SINGLE LIMIT � <br />AUTOMOBILE LIABILITYCC <br />} ANY AUTO <br />BODILY INJURY (Per person) i $ <br />i <br />[ i ALL OYONED ( SCHEDULE.D '^ <br />E3.ORILY INJURY (Pee accident) i S <br />} AV?QS ( `.; EOS <br />NON -OWNED <br />PRd3FYk RTv [}fahRric�E $ <br />'. `HIRED AUTOS AUTOS _. <br />I.. p._._ 77 1 <br />t5 <br />UMBRELLA LIA8OCCk)R <br />EACH OCCURRENCE �$ <br />--- <br />EXCESS EIA® I GLAItflS-PVIAi1E <br />! ACGREGt TE -- -- <br />RETENTION S <br />DED } <br />N TON <br />�rctReceRscc>�PENSA�N <br />KERSC <br />OMP <br />AND A <br />A ,ANY PROTRIETORIPARTNERFEXECUTIVE YIUTY 1 90730752016 <br />EXCLUDED? [f 'jj 1 A <br />1,G i,00 <br />10101/201 & 10/01/2017 E L EACH ACCIDENT t $ <br />_ _..._ . _.,�. . _. _. <br />t OFFICERIMEMBER <br />E L DISEASE"- - FA EMPLOYEE a 1,000,00 <br />(Mandatory In NH)N <br />((IFq &, describe under i <br />ataafaw <br />r .. <br />' E RISE/ -POL#CY LIMIT' Y 1,000,00 <br />E. <br />ICIESCfPIPTION Off OPFRATdE7PJ$ <br />3 <br />- <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORO 101, Additional ROMWks seta >m, daay be attached If Mare space Is Me N <br />Confirmation of Coverage. <br />3 <br />NOV 0 4 2016 <br />ENVIRONMENTAL HEALTH <br />MVP0281 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P Petroleum Engineering, Inc <br />PO Box 281 AUTHORIZED REPRESENTATIVE <br />Folsom, CA 96763 <br />®19$9-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACCRD <br />