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c1corci.&I" <br /> • DD/V <br /> ISSUE DATE IMM/ Yl <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, <br /> Good Insurance Agency EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P . o. Box 7575 COMPANIES AFFORDING COVERAGE <br /> Stockton , CA 95207 <br /> COMPANY <br /> LETTER A AMERICAN STA'"GS <br /> INSURED LETTER <br /> COMPANY B SUPERIOR NATIONAL <br /> Stockton Contracting Grn . , Inc . COMPANY <br /> LETTER C <br /> 1000 N. Union Street , Su . 11;2 <br /> Stockton , CA 95205 COMPANY C <br /> LETTER <br /> COMPANY E <br /> LETTER <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS,AND CONDI- <br /> TIONS OF SUCH POLICIES. <br /> COPOLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DW DATE(MNVDW EACH <br /> OCCURRENCE AGGREGATE <br /> GENERAL LIABILITY BODILY <br /> COMPREHENSIVE FORM INJURY $ $ <br /> PREMISES/OPERATIONs 01 -cc-230387 12-2A-A7 12-28-88 PROPERTY <br /> UNDERGROUND DAMAGE $ $ <br /> EXPLOSION 8 COLLAPSE HAZARD <br /> PRODUCTS/COMPLETED OPERATIONS <br /> CONTRACTUAL BIa PO 0 O <br /> COMBINED <br /> INDEPENDENT CONTRACTORS <br /> BROAD FORM PROPERTY DAMAGE <br /> PERSONAL INJURY PERSONAL INJURY $ <br /> AUTOMOBILE LIABILITY BCDLY <br /> NUURY $ <br /> ANY AUTO IPER PERSON) <br /> ALL OWNED AUTOS(PRIV. PASS.) BODILY <br /> ALL OWNED AUTOS(OTHER THAN 01 —CC-230387 12-28-87 2-28-88 !�URF <br /> PRIV .PASS. cc:Desn $ <br /> HIRED AUTOS PROPERTY <br /> NON-OWNED AUTOS DAMAGE $ <br /> GARAGE LIABILITY BI a PD <br /> Rah Pei n1 PA Avvtn COMBINED ID00 <br /> EXCESS LIABILITY <br /> UMBRELLA FORM BI a PD <br /> COMBINED $ $ <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY X <br /> WORKERS' COMPENSATION <br /> (EACH ACCIOENT) <br /> AND 02—WCP-21713A 2-28-87 2-28-88 <br /> $ (DISEASE-POLICY LIMIT' <br /> EMPLOYERS' LIABILITY <br /> IDISEASE-EACH EMPLOYEEI <br /> OTHER <br /> C : AMERICAN STAT S , SUPERIOR NATIONA AND FILEI <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS � �/�\F�-�(� n <br /> • . <br /> Sari Joaquin Local Health DistrictL <br /> OFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORETHEEX- <br /> E THEREOF, THE ISSU NC,`-COMPANY WILL ENDE,�(OR TO <br /> 1601 E. Hazelton Ave . DA WRITTEN NOTICE TO IFICATE HOLDER INA THE <br /> P. O. Box 2 O O 9 L MAI �k4N E_SHALL -QSE NO OBLIGATION OR L1f\BILITYStockton, CA 95201 ON HS ENTS.OR REPRESENTATIVES. \lES AT4VE— <br /> �.. <br />