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DATE(MM/DD/YM) <br /> ,ACQRD CERTIFICATE OF LIABILITY INSURANCE OP ID C <br /> PRODUCER OURLA-2 08/30/06 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Intercal Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P.O. Box 129 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> Gustine CA 95322 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phone: 209-854-2000 Fax:209-854-2520 INSURERS AFFORDING COVERAGE <br /> INSURED NAIL# <br /> INSURER A: Travelers Insurance <br /> INSURER B: <br /> Our Lady Of Fatima Society INSURER C: <br /> P.O. Box 611 <br /> Thornton CA 95686 INSURER D: <br /> COVERAGES INSURER E: <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 /> TISISRIUM <br /> LTR ONSR TYPE OF INSURANCE POLICY NUMBER EFFE P RAT] <br /> DATE(MM/DD/YY) DATE MM/D LIMITS <br /> GENERAL LIABILITY <br /> A X X COMMERCIAL GENERAL LIABILITY X-660-5085C863-TIL06 05/01/06 05/01/07 PRFCMISEs EaocwCence) $ 100,000 <br /> 00 <br /> CLAIMS MADE I X i OCCUR <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,00o <br /> X POLICY JEC LOC PRODUCTS-COMP/OP AGG $3,000,000 <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO COMBINED SINGLE LIMIT <br /> ALL OWNED AUTOS (Ea accident) $ <br /> SCHEDULED AUTOS BODILY INJURY <br /> HIRED AUTOS (Per person) $ <br /> NON-OWNED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY <br /> ANY AUTO <br /> AUTO ONLY-EA ACCIDENT $ <br /> OTHER THAN EA ACC $ <br /> EXCESSIUMBRELLA LIABILITY AUTO ONLY: AGG $ <br /> OCCUR CLAIMS MADE EACH OCCURRENCE $ <br /> AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND $ <br /> EMPLOYERS'LIABILITY TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> K describe under E.L.DISEASE-EA EMPLOYEE E <br /> SPECIAL PROVISIONS below _ <br /> OTHER E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Certificate holder is named additional insured with respect to General <br /> Liability in regard to the event to be held on 10/14/06 6 10/15/06. <br /> CERTIFICATE HOLDER CANCELLATION <br /> County of San Joaquin & its <br /> CERTIFI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> Board Of Supervisors, Officcers NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Employees and Agents <br /> P.O. BOX 1810 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Stockton, CA 95201 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> WORD 25(2001/08) Rico Pfitzer Pires & Assc. <br /> 0 ACOI CORP RATION 1988 <br />