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08/20/2004 16:13 2099480755 UALLEV PACIFIC <br /> �./ PAGE 03 <br /> Aug 10 04 08153a �bano-Daly-Dunn & Lewis 1-a7,6-985-4719 P. 1 <br /> A WA CERTIFICATE OF LIABILITY INSURANCE °A8/10/2004 <br /> Paoournl (916)988-p214 FAX (916)989-4719 THIS CERTIFICATE IS ISSUED AS A MATTFJI OF INFORMATION/ 4 <br /> Albano, Dale, Dunn & Lewis, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 9197 Greenback Lane Suite E HOLDER-THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P. 0. Box 2470 LicA0442296 ALTER TME COV RAGE AFFORDED SY THE POLICIES 6EL W. <br /> Orangevale, CA 95662 INSURERS AFFORDING COVERAGE NAIC IY <br /> NSIRigP 7ohnscn 1Setrol eun Cunsxruction, — INSLRers A. HartfordTnsuranceCo. �'—' <br /> Scott Johnson INSURER E: <br /> P.O. Box 7169 INSURERn <br /> Auburn, CA 95604 wSURErt O; <br /> INSURER e: ' <br /> COVERAGCS <br /> I Hb POLICIES OF INSURANCE LISTED RELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINI <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,ADCREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> IiBR V TypE OP INSURAgCE POVCYNMUR PDLIC4EK VF P L E%%RATION <br /> GENERAL IJARILIIY LMRT5 <br /> GMATETONRENCS y <br /> CpAnERCW.O6NFpg�L'LIIADILnY MMATE P ^— <br /> ClADA2M L J AOR MED EYP(Airy ane oenan) S <br /> PF/y$ONA4 PAOV INJURT S <br /> -` GENRPALAOOROOATP q <br /> GEN'LAacnEOnTEPPUNNMppI..I'APPLIES PER: PRODUCTS-CCMP,DP AGO S <br /> POLICY JSL'r LOC <br /> wrDNoeue LwowsY570ECGH4601 <br /> ANY AUTO 16/44/2003 10/24/20(14 <br /> (Gi"widem) <br /> eR OINOLb OMIT <br /> AAL ONNED AUTO$ (SA acdS 1000 <br /> A X SONBdARO AUTOS (PMPNn1PnY <br /> � S <br /> X HIED ALI <br /> UQPILY INJURY <br /> X NDN-OWNW AMA (Pa eeAlNenI) S <br /> PRDPEFTY DAMM1GF, R <br /> (PIN eaaidnM) <br /> GARAGE❑ABIU1'Y AUTO ONLY.RA ACCIDENT P <br /> ANY AUTO <br /> uTnmTMnN �AQQ s <br /> AUTOONLY. ADG F <br /> e1:CtlSRIMgREL41 LIaRIUh <br /> EIOCCURII NCE i <br /> OCCUR �r1AIM$MADe eRNRErATE � <br /> DEDUCTIBLE- S <br /> S <br /> RETENTION E <br /> t <br /> VR711KERS COMPENSATION AMC Vvc STA - UT14- <br /> EMPLOYLl15 LkBILRT _ <br /> ANT PROPRIFTOR)PARTNGRIEXEPJTIVE EL.CACIIACCIDENf E <br /> OFFICER/MEME5REXCLJD'_0) <br /> In ennzArk+n,Ia E1.015EAVC-PA EMPLOYE s <br /> $yEdIAi PROVISIONS ubIDw <br /> THE,L.DI$eASa-POUCV UNIT S <br /> E 57UECCH4601 10 24 2003 10 24 2004 CD <br /> A ys�cel Damage / / / / mp. Deductible E250 <br /> CORP. Deductible $250 <br /> DESLRIay nOPERnTION& LOCATIDNE YDIyCLECIE%CL4SIONSADDRDAVENOOREEMENT/BrCGALPROV ONS <br /> 10 Days notice 0 cance111ation applies for non-payment of premum- <br /> roof of Insurance <br /> LATE HOLDAN <br /> LLATI <br /> SWOULD ANI YMc AVCWE PEUVRIEeP POUclea at a.WCIEUED 0"F TIC <br /> OMIPA116N DATE THEREOF,THE ISRUINC INSURER WILL ENDEAVOR YO MAP• <br /> Valley Pacific PetrOlium *30 DAYSWInTEN NOTICE TO HC CEgTRCATE HO DER NAMED TOT ELEF. <br /> Attne Nike EVT GAILURP 1e MAI•RUG,,'I 311A IMPVQE ND DDLIOATiM OR UAER,111 <br /> 166 Frank West Circle O/ANY KIND UPON THE INSURER ITS AGENTS tlR RRPRESENTAMVM <br /> Stockton , CA 95206 AM140MZRD RBFRESENTATIVE / L - <br /> ACORD 29 2001108 FAX: 'rent Albano JODV <br /> ( (209)940-0755 <br /> ®ACORD CORPORATION 1988 <br />