Laserfiche WebLink
/� �+ DATE(MM/DD/YYYY) <br /> PRODUCER (209)838-3561 <br /> 8CERTIFIICA of OF6L LIABILITY HNSUIS TIRANCEFICATE IS SSUED AS A MATTER OF 9NFORMAT 8 <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Cromwell and Ney HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 1718 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P.O Box 428 <br /> Escalon CA 95320 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A:Westchester Surplus Lines <br /> Ground Zero Analysis, Inc INSURER 8: <br /> 1714 Main Street INSURER C: <br /> INSURER D: <br /> Escalon CA 95320 INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br /> REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> TR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 <br /> LIABILITY -PREMISES Ea occurrence) $ <br /> A I CLAIMS MADE 7X OCCUR G22071506-003 4/11/2008 4/11/2010 MED EXP(Any oneperson) $ 5,000 <br /> X Professional Liab PERSONAL&ADV INJURY $ 1,000,000 <br /> X Deductible 5,000 GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AG $ 2,000,000 <br /> X POLICY F JE OT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR El CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WC <br /> WORKERS COMPENSATION COMPENSATION AND OTH- <br /> EMPLOYERS'LIABILITY <br /> L.EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E. <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE$ <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> RE: Job at 2662 N Wilson Way, Stockton, CA <br /> Certificate holder is additional insured per company form <br /> Note: Cancellation for non payment is 10 day notice <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> San Joaquin Co Dept of: Public Works EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Attn: Permits Dept. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT <br /> 1810 East Hazelton Ave. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> Stockton, CA 95205 <br /> INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2001/08) C ACORD CORPORATION 1988 <br /> INS025(0108)Dea <br />