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REGEIVEL <br /> A�R- %AR 0 4 2016 <br /> CERTIFICATE QF LIABILITY 1111SUf�A'NC� vPPi -, �aP�1�: �s <br /> THISCERTIFICATE i8 ISSUED AS A INA;1 CER QF INE pRMATION ONLY AMC) CbNFERS NO RIGHTS UPb �� ,o! Y1 <br /> CELOW. ATE CER NOT TE OF IN <br /> OR NEGATIVELY qMt=Ni3, EXT ''I NF ALTER Tylr COVERAGE <br /> is <br /> T3ELOW. THES CERTIFICATE qF INSURAflCE DOES NOT CONSTITUTE A CONTRACT <br /> IFICATE HOLD1 K THIS <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. AFFORDED BY THE F OLlCIES <br /> IMPORTANT: if the certitTl atE holder is an ADDITIONAL INSLiFtEpr the poElc Les 4CT OrTWEEN THE ISSUING INSURITR S <br /> ( ), Aurf bRIED <br /> the terms and condtt€ons of the Policy,certain policies may regt,l�an endorsernonE A statement on this cc�r#If€care dpgs S <br /> Y( )must Ise endorsed. !f SUHROGATtON f5 WAIVED3 s. hto <br /> eartiflGate holder In Ileu of such ondorse ent s). <br /> PRDflUCER - - not 00"rer r1gl,tS to the <br /> InterWast Insurance Services co a r <br /> License#Ot3p1084 {IAMec Oe��r6 1'f 7�eh�_ <br /> P.O.Box 911f1 PHONE — <br /> o <br /> Chico,CA 95927-8110tt _nr30-895 9090 rTk __ <br /> FNAIL - /ucRrloi 530-885 1313 <br /> $elect BtlsineSs Unit AnDl�ss dha�erT�m�Wins .tC()m <br /> ,,1NSU.tR 5 A FORDING C(yyERpSg ._ . <br /> INSURED _ _.[N&URERp As�rttlr5l InsurOnce Cam sly NA[Cu <br /> MVP Petroleum Engineering;fnc _ _._... <br /> __ _A,. Y. <br /> PO Box 281 —__ _ w...:_ _ ._ 2}.156 <br /> INSURER B <br /> Folsom,CA 95763-0287 <br /> TVI _..._ <br /> COVERAGES CERTIFICATE NUMBER: INSURER F <br /> T DI 19 ED CERTIFY THAT THE POLICIES pF ftJSClRANCE LISTED BELOW HAVE BEEN 11 S 7: THE INSURED NAMED AI3()e/E FGR <br /> IN <br /> CTgTW1THSTANL7ING ANY FIC REVISION NUMBER: <br /> eEF2TIFlCA'Cf MAY 6E ISSUPp DH RENT. THE <br /> TERM OR CaNO1TION OF ANY t taNTRACT Oft OTHi IZ DOCUMENT WITH RE$pEi l TO WHI H -'HI, <br /> EXCLUSIONS AND GQ1}pITI0N5 OF SUCH P0ft CIES L IJIIT3 SHOVVIV F AFrpROEp pY THE P THE POLICY SPI H1.,5 <br /> 1NSFi1 _... '�---. - OLICEF,S LIESGRf9Ea HEREIN IS SUBJECT TO ALL THE T"F�RMB. <br /> -- ..' .� AG7 `Illi r'.__..... - _.,_M4Y HAVE 8EEN RJ DUCED BY PA€R CLAINfS. <br /> LTRI TYPE OF€NSURANCi= - - <br /> A X COMMERCIAL 1 DI'.. POLICYNUMBER PTCY-El:.v.p(j�I"� �xP^�...�__,...^.�......_,... <br /> ..._._Y'MMIfSb1YYY M <br /> MlAA)Y uMlrb <br /> CLAIMS•M.4DE X ocCuR IFElECC7732302 I TrAc, lf OCCURRENCE <br /> a914112075 Q9/011241iJ xF rlSiFfNTr p - <br /> s _ 1,000,00 <br /> XPR4MISEStCatuwrranurl s —... 50,000 <br /> - r r gIF4 LXP(Anyvng parsons, T <br /> CCNLAGGgEI',liTELIMITnPPLfE-5PE12 i $100 <br /> PertsoNAL;nov INsunY j 0P0 pop <br /> POLICY L JE(OT I - �._ -._.- <br /> kUC 3 GEN!~kA4 nbGREGn7E <br /> OTHER. ,QF)D.QO <br /> RUTOMDR1kE L[AR1LfiY L?RODUC fS LOAlPlOP Ai`[, g 7000 Q0U <br /> ANY AUTO - I CUMBI ED 1 G W LIMn" <br /> ALLOVMF'D 5(:HF.bULEO l accLyen} .._ — <br /> t_ ;AUTOS AUl'05 i BODILY IN1UR1(Per pv+eon) g <br /> r _.HIRED AUTOS NON-OWNED l - <br /> r _ __.. AUTOS j I e0D11.YINJURY1Py,NCWritojj g <br /> I j tilt AW`fAG --- • <br /> LA UAB <br /> OC(-,i1f1 h <br /> i EXGlss use I s <br /> j <br /> I J.EAClOQOE1HRNCE <br /> -QED RETENTION.. <br /> WOHKFRSCOMPENSATiON ....-,- <br /> I AND EMPLOYERS'LtASM)TY t$ .`-... - <br /> IANYpROPRIETOWPARTNtRfEXEfU,IVE YTN <br /> OFr•I0EruM"h1bE8 EXCLUDED? <br /> (Mande[ ^ <br /> ary In NHI ��.......; <br /> Il yyes deSCftbRurWer '• !E,L.EACiIACG!_UENT <br /> OESCrYiP!'ION OF OPERATION be, 1 <br /> If E.L CIISFASE-EA.._EMP...�.-• <br /> .... LOYFF.S <br /> E,i„UI5EA5C-Pl3LICYC€MIT <br /> I)ESCRIPTION or OPE"77CN3 l LOCATIONS!VEHIl - <br /> CoFTfirmationofC IAcoH !©1,Additlonul Remurk38chedulu,map by rr,Qrl e <br /> overage. <br /> Pace rs roqulrvAy ._ <br /> CERTIFICATE HOLDER <br /> Cr[INCi;Lt.AT1OlV <br /> MVP0281 <br /> SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Of.:OlE <br /> MVP Petroleum Engineering,lr1C TCI EXPIRATION WITH <br /> DATE <br /> THEREOF NOTICE WILL BE DELIVERL 3 IN <br /> PO 13OX 281 ACCORDANCE WI7F1 TFlE POLICY PROVlSfota <br /> Folsom,GA.95763 AU'rHORIZCDllESENfA_T7VE <br /> ACoaU 25(2014101) The ACORI3 name and logo are registered m988t of gCpRp f3 0ORPCDRATION. All rights 9 reser.ad, <br />