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OI ISSUE DATE(MMlDO/YY) <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> SAME NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND. <br /> EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> CITY OF STOCKTON COMPANIES AFFORDING COVERAGE <br /> INSURANCE REQUIREMENTS COMPANY A <br /> LETTER <br /> COMPANY <br /> INSURED LETTER B <br /> COMPANY C <br /> LETTER <br /> COMPANY p <br /> (Complete for Vendor) LETTER <br /> COMPANY E <br /> LETTER <br /> • <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 /> CO POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMWNY) DATE(MM/DOIM EACH AGGREGATE <br /> OCCURRENCE <br /> GENERAL LIABIUTY <br /> BODILY <br /> X COMPR&iENsNE FORM INJURY $ 100 $ 300 <br /> X PREMISE&OPERATIONS PROPERTY <br /> UNDERGROUND DAMAGE $ 1 O . $ S O <br /> EXPLOSION d COLLAPSE HAZARD <br /> A X PRODUCTSVWPLETED OPERATIONS . (Complete) ( Complete) (Complete'. C <br /> XCONTRACAL� COMB N $ <br /> ED $ <br /> X INDEPENDENT CONTRACTORS OR 300 <br /> X BROAD FORM PROPERTY DAMAGE <br /> X PERSONAL INJURY PERSONAL INJURY $ <br /> 300 <br /> AUTOMOBILE LIABILITY my <br /> X ANY AUTO ( " $ 100 <br /> X ALL OWNED AUTOS(PRN.PASS.) MY <br /> B X ALL OWNED AUTOS(OTTHERPASS.TTHAAN) IPER JCooENT) $ 300 <br /> X HIRED AUTOS / (Complete) Complete) (Complete PROPERTY <br /> NON-OWNED AUTOS DAMAGE $ So <br /> GARAGE LIABILITY <br /> OR COMB NED $ 300 <br /> EXCESS LIABILITY <br /> PD <br /> UMBRELLA FORM BI a <br /> COMBINED $ $ <br /> ROTHER THAN UMBRELLA FORM <br /> STATUTORY <br /> ::­ <br /> WORKERS*COMPENSATION <br /> C AND ;�: $ (EACH ACCIDENT) <br /> (Complete.) Complete) (Complete $ (DISEASE-POLICY LIMIT) <br /> EMPLOYERS'LIABILITY <br /> $ (DISEASE-EACH EMPLOYEE) <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Additional insured - City ot StocRton, its <br /> agents, officers, and employees are named as additional insured under this <br /> policy and this policy and this insurance coverage shall be primary over any <br /> SHOCity Of Stockton PI AUTIONLD NDATE THEREOF, THE Y OF THE ABOVE tBISSUNG ED ICOMPANYES BE CWILL XfflXORE�TMXXD0 <br /> Risk Management Division MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER Q"G0?0'14? Qtx <br /> City Hallxe�o��aorm°�o``�°aco�o °� Oo�Ax 'xar , FU� txlx��i�5rx <br /> Stockton, CA 95202 AUTHORIZED REPRESENTATIVE <br /> k. ti- .rL .:'a1•: ..��"+x••'-1. L.�' .J a.Cy'{� Y+ ��y5 ~" ct' Y .r^-:4. . <br />