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a`oao® CERTIFICATE OF LIABILITY INSURANCE <br />DATE,MMN°"" <br />9/19/2023 <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 THE 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 Rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher Risk Management Services, LLC <br />595 Market Street <br />Suite 2100 <br />NAME: <br />aURN eM: 415-54F9300 Fa�"c x¢:415 -53F8499 <br />EMAn <br />ADDRESS: <br />San Francisco CA 94105 <br />INSURENSI AFFORDING COVERGGE <br />NGICB <br />INSURER A: CASABA JointPowers Ask and insurance <br />MMLODATYY <br />❑cense# OD69293 <br />INSURED FIREAGEN <br />Waterloo-Morada Rural County Fire Protection Distr <br />6925 E. Foppiano Lane <br />INSURER B: <br />X <br />INSURER <br />Y <br />INSURER D: <br />APJMP0052301 <br />Stockton, CA 95212 <br />INSURER E: <br />EACHOCCURREJCE <br />$1000,000 <br />INSURER F: <br />CANT.MME 1XI OCCUR <br />COVERAGES CERTIFICATE NUMBER: 728404920 REVISION NUMBER: <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. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED 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 CLAIMS. <br />(NSR <br />THE EXPIRATION DATE THEREOF, NO110E WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Err <br />E XP <br />TR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />MMLODATYY <br />MM UORICY <br />YYY <br />LIMITS <br />A <br />X <br />COMMERCIGLGENERALLNBIUTY <br />Y <br />APJMP0052301 <br />7/1/2023 <br />7/1/2024 <br />EACHOCCURREJCE <br />$1000,000 <br />CANT.MME 1XI OCCUR <br />PREMISES Eaoccurrence <br />$11000,000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL &ADV I NUR Y <br />$1,000,000 <br />LAGGREGATE U MIT APPLIES PER <br />GEJERALAGGREGATE <br />$3,000,000 <br />GEJ <br />X <br />POIJ CRY �jECCTT LOC <br />PRODUCTS-COMP/OPAGG <br />$31000,000 <br />$ <br />OTHER <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />APJA00052301 <br />7/1/2023 <br />7/1/2024 <br />COMBINED INGLELIMIT <br />$11000,000 <br />BODILY INJURY (Per person) <br />$ <br />X <br />ANY AUTO <br />O—ED <br />AUTO. ONLY eAUTOSCHEDVL£-0 <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON OVNJED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESSFIAT <br />CLNMGMME <br />DED I I RELENT ION$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS 'LIABILITY YIN <br />3FATVTE ER <br />OFFCEOMEM° REXCLUDED? WTIVE <br />N/A <br />EL EACH ACCIDENT <br />$ <br />(Man ¢rear In bum <br />EL DIBE SE -EA EMPLOYEE <br />$ <br />If yes describe under <br />DESCRIPTION OF OPERATION. be ow <br />ELDISEASE-POIJCYIJMIT <br />$ <br />DESCRIPTION OF OPERATIONS (LOCATIONS (VEHICLES (ACORD 101, Additional Remarks Schedule, dory be allabed Amore space is required) <br />RE' Fire K Run to be held by Watedoo SOrada Fire District on 1OR12023 <br />ADDITIONAL INSURED(S) San Joaquin County <br />CERTIFICATE HOLDER CANCELLATION <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD <br />THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NO110E WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />San Joaquin <br />County Public Services Division <br />1010 E. Hazelton Ave <br />Stockton CA 95205 <br />IJFII REPRESENTATIVE <br />�§I,hi{ry <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD <br />THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE <br />