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ACORD,M CERTIFICATE OF LIABILITY INSURANCE OAT/ /YYYY) <br /> to/2a/o98/09 <br /> PRODUCER LIC #0726293 1-415-391-1500 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Gallagher Construction Services/ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 1 market St., Spear Tower #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> San Francisco, CA 94105 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA:OLD REPUBLIC GENERAL INS CORP 24139 <br /> Valentine Corporation <br /> INSURERB:RSUI IND CO <br /> PO Box 9337 INSURER C: <br /> San Rafael, CA 94901 INSURER D: <br /> 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 <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 /> INSR DD' POLICYEFFDEDCTIVE POLICY EXPIRATION LIMITS <br /> LTR POLICY NUMBER DATE <br /> A X I GENERAL LIABILITY AlCG49570902 09/30/09 09/30/10 EACH OCCURRENCE $2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGETOR N D <br /> PREMISESEaoccurence $100,000 <br /> CLAIMS MADE OCCUR MED EXP(Any one person) $5,000 <br /> Contractual LiabilityPERSONAL B ADV INJURY $1,000,000 <br /> X XCU included _ GENERAL AGGREGATE $4,000,000 <br /> GE_N'LAGGREG_AT_ELIMITAPPLIESPER: ' PRODUCTS-COMP/OPAGG $2,000,000 <br /> JECT <br /> POLICY I X PRO- LOC <br /> A X AUTOMOBILE LIABILITY AlCA49570902 09/30/09 09/30/10 <br /> COMBINED SINGLE LIMIT $1,000,000 <br /> X ANYAUTO (Ea accident) _ <br /> ALLOWNEDAUTOS <br /> .BODINJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X '. HIREDAUTOS BODILY INJURY <br /> X NON-OWNED AUTOS <br /> (Per accident) $ <br /> - - — PROPERTY DAMAGE $ <br /> (Peraccident) <br /> GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ <br /> ANYAUTO EAACC $ <br /> I OTHER THAN <br /> j AUTO ONLY: AGG $ <br /> B EXCESS/UMBRELLA LIABILITY NHA224674 09/30/09 09/30/10 EACH OCCURRENCE $10,000,000 <br /> X OCCUR CLAIMS MADE AGGREGATE $10,000,000 <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> A WORKERS COMPENSATION AND �AlCW49570902 10/01/09 10/01/10 X <br /> WC E <br /> T RYLIMIT IMIT ERR <br /> EMPLOYERS'LIABILITY <br /> I ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> NER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE$1,000,000 <br /> If yes,describe under — - <br /> SPECIAL PROVISIONS belowE.L.DISEASE-POLICY LIMIT 1 $1,000,000 <br /> OTHER <br /> A USL&H A1CW49570902(USL&H) 10/01/09 10/01/10 :USL&H States: CA Statutory <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Job #6680 <br /> RE: Caltrans, Construction on State Hwy 205 near Tracy at Hansen Road Overcrossing <br /> ADDITIONAL INSURED: County of San Joaquin <br /> CERTIFICATE HOLDER CANCELLATION 10 Day Notice for Non-Payment of Premium <br /> Job 6680 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> County of San Joaquin DATE THEREOF,THE ISSUING INSURER WILL 0444WAE6 MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,t�llLlyf� _ X <br /> 1810 E. Hazelton Avenue XARffiildC7Gffi7Gtl�JfIiGCGkX8p41aK1�7�7{iEXAk34dciA10ffi7iD636NXd17CNdW[IG7C]��CGt87RYiC1[lC9tffi0[X <br /> XXXMMU➢4C]U=XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX <br /> Stockton, CA 95201 AUTHORIZED REPRESENTATIVE <br /> USA 1( <br /> ACORD 25(2001/08)ranshargcs ©ACORD CORPORATION 1988 <br /> 13472262 <br />