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1 <br /> CICOM <br /> 's <br /> NAME AND ADDRESS OF AGENCY <br /> EARL GOLDMAN INSURANCE COMPANIES AFFORDING COVERAGES <br /> 2151 SALVIO ST. aTE. U cQMPANY � <br /> CONCORD, CALIFORNIA LETTER A AETNA CASUALTY & SUR <br /> 94520 COMPANY R(415)602-3140 LETTER LI I <br /> NAME AND ADDRESS OF INSURED <br /> KVILHAUG WELL DRILLING & ETTERNY C <br /> PUMP COMPANY, INC„ I <br /> i <br /> 1.676 RISTION ROAD COMPALETTER 5.9 <br /> D <br /> CONCORD. CALIFORNIA 9431.8 <br /> COMPANY F <br /> LETTER h <br /> This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement,term or condition <br /> of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policies described herein is subject to all the <br /> terms,exclusions and conditions of such policies. <br /> . I <br /> COMPANY POLICY Limits of Liability in Thousands( ) <br /> LETTER TYPEOFINSURANCE POLICY NUMBER EXPIRATION DATE EACH AGGREGATE <br /> GENERAL LIABILITY OCCURRENCE <br /> C L BODILY INJURY $ 5 <br /> A g(='71 COMPREHENSIVE FORM RENEWAL. OF' : 01/01/88 ' <br /> E l PREMISES—OPERATIONS 05L.r1J062 V8CCA PROPERTY DAMAGE $ $ <br /> EXPLOSION AND COLLAPSE <br /> HAZARD <br /> E' FUNDERGROUND HAZARD <br /> - <br /> PRODUCTS/COMPLETED <br /> OPERATIONS HAZARD BODILY INJURY AND <br /> CONTRACTUAL INSURANCE PROPERTY DAMAGE S $ <br /> ppU'� <br /> BROAD FORM <br /> OADFORM PROPERTY COMBINED 500 504 <br /> DAMAGE <br /> INDEPENDENT CONTRACTORS <br /> t_I PERSONAL INJURY PERSONAL INJURY S <br /> i <br /> AUTOMOBILE LIABILITY BODILY INJURY <br /> A JA154:?,5 3039 03/07/88 (EACH PERSON) $ <br /> COMPREHENSIVE FORM BODILY INJURY $ <br /> OWNED (EACH ACCIDENT) j <br /> HIRED PROPERTY DAMAGE $ - <br /> NON-OWNED BODILY INJURY AND 600 <br /> PROPERTY DAMAGE S <br /> EXCESS LIABILITY COMBINED <br /> BODILY INJURY AND i <br /> C1 UMBRELLA FORM PROPERTY DAMAGE $ $ <br /> ❑ OTHER THAN UMBRELLA <br /> FORM COMBINED <br /> WORKERS'COMPENSATION <br /> STATUTORY <br /> A and R/N CIA0031057 01./01./88 <br /> EMPLOYERS'LIABILITY $ 100 (EACH KCIIIENT) <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES <br /> . I <br /> : I <br /> Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com- <br /> pany will endeavor to mail 3() days written notice to the below named certificate holder. but failure to <br /> mail such notice shall impose no obligation or liability of any kind upon the company. <br /> I <br /> NAME AND ADDRESS OF CERTIFICATE HOLDER: <br /> I <br /> DATE ISSUED: �1�2 1./81 <br /> WOODARD CLYDE. CONSULTANTS <br /> 3467 KURTZ STREET <br /> SAN DIEGO, CALIF=ORNIA <br /> AUTHORIZED REPRESENTATIVE , <br /> 9211.0 <br /> ACORD 25(1.79) <br /> rva. •X:id�, . _ «v ."�' .. ,rr:,N�a°�a':; isr,t'Pr.i.. _ 4 � , <br /> .. ___ ria• `.y. �. .. ., <br />