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p �+ /� -}- r-�/ �+ OP ID S <br />/ CORD CERTIFICA l F LIABILITY T i INSU WALTO-2 <br />DATE (MM/DD/YYYY) <br />09/25/08 <br />PRODUCER <br />TLB insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek CA 94597 <br />Phone: 925-395-2600 PaX:925-287-0710 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />Walton Engineering, Inc. <br />P.O. BOX 1025 <br />West Sacramento CA 95691 <br />INSURER A: State Compensation insurance <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />11nVFRAC-P-5 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1NbK <br />LTR <br />LAT <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POUCY EFFECTIVE <br />DATE MM/DD <br />POLICY <br />DATE MNTION <br />UDD <br />LIMITS <br />AUTHORIZED REPRESENTATI <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />PREMISES (Ea occurence) $ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) $ <br />CLAIMS MADE F__] OCCUR <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />POLICY PRO- LOC <br />JECT El <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />BODILY INJURY $ <br />(Per person) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACG , $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR El CLAIMS MADE <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE <br />_... _ _..-.. _.. $.... <br />_ . RETENTION . $. _ _.... <br />_ <br />WORKERS COMPENSATION AND <br />TH- <br />X TORY LIMITS ER <br />A000713-4927-2008 <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />10/01/08 <br />10/01/09 <br />_ _ <br />E.L. EACH ACCIDENT $ 11000,000 <br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000 <br />Ifyes, describe under <br />SPEC IAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. Evidence of <br />insurance only. <br />cFRTIFICATF Nn1 nFR CANCELLATION <br />TOWHOMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />To Whom It May Concern <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATI <br />Dennis Cote' <br />ACORD 25 (2001108) - U ACORO CUKFUKA 1 ICN 198e <br />