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'A(=C a' za, NORCA-4 OP Ip- <br />CERTIFICATE TE OF LIA ILM," INSURANCE DATE(MMIDD/YYYY) <br />01112019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER YHE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE. ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the Policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer ri hts to the certificate holder In lieu of such endorsement a . <br />RODUCER <br />!ISU/Francis-Pinney Ins. <br />2266 Lava Ridge Court Ste 200 <br />P.O. Box 619050 <br />Roseville, CA 95661.9050 <br />Lory Williams <br />INSURED Nor -Cal Pump & Well Drilling <br />1325 Barry Road <br />Yuba City, CA 95993 <br />960-8718 �— FAx916- <br />ms Q isuors.com - IAIC No) <br />dwood Fire and <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE OR. THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIn r.1 aluc THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />R <br />TYPE OF INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 0 OCCUR <br />L AGGREGATE LIMIT APPLIES PER <br />POLICY 11 JE T ❑ LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />SCHEDULED <br />AUTOS ONLY <br />AUTOS <br />HIRED <br />AUTOS ONLY <br />NON_OWNEp <br />AUTOS ONLY <br />UMBRELLA LIABOCCUR <br />EXCESS LIAR CLAIMS -MADE <br />under <br />POLICY NUMBER <br />01/01/2019101/01/2020 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Addllional Remarks Schedule, may be attached 11 more space is repulred) <br />2E: Evidence of Workers' Compensation - Blanket Waiver of Subrogation Form <br />NC 99 04 108_(Ed. 9-14) is Included along with 30 -Da Notice Form WC 99 06 <br />)7 D (Ed, 10-1 when required by Written and Executed Contract. <br />BID2018 <br />WORKERS COMPENSATION <br />BID PURPOSES 2019.2020 <br />LIMITS <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 />AUTHORIZED <br />p -REPRESENTATIVE <br />ACORD 25 (2016/03) ©1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />