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+ .,S- ACORDn GTFfT LABv .J4GEaE f o A 2-MAY-2000 1000CER » 85664 THIS CERTIFICATE 15 ISSU>=D A5 A MATTER O>= INFORMATION ills of Seattle,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE liSox 34201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 701 Fifth Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4200 Columbia Center COMPANIES AFFORDING COVERAGE Seattle WA 9812425674-001 (SEAT) (206)386-7400 CaMPANYTravelers Indemnity Company of Illinois Linda Sturrock A25674-002 {SEAT} INSURED Cot PANYTravelers Indemnity Company of Illinois 9I 38733-001 (SEAT) Cascade Drilling.Inc:California COMPANYAIaska National Insurance Company C 3632 Omec Circle Rancho Cordova CA 95642 COMPANY _. ..y .,iC}}ry.AlJ�..v:.v::::.i;:::^::�:.:::.>::'�:'.::�:,::.::.?:::::�:-:�0.::«:..v...:..::�.�.�{.isv:.u•.twvvv:...uv,.::::.v:..vU...:»m....nnx.:.C?:::vr.n.vre.:nxv::.:hr:..Turn».nmvmv..:c.r.±.moi..x.i:v�:i.4.v "`�:4.N45itr.{v. rvviiVTze::::-:y_."-..: :L�;Y;CiI.............:::::.�::.w::::::.v::.:�:.:....v::,.::.....xrw•+A:vm•.:.w.:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co __-TPOLICY HUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE DATE(MMIDD[M DATE(MMfDD[M A GENERAL LIABILITY DTE C0348K0429T1LD0 01-MAY-2000 01-MAY-2001 GENERALAGGREGATE $ 2.000,000 X COMMERCIAL GENERAL LIABILITY PAODUCTS.COMPCPAGG S 2.000.000 CLAIMS MADE OCCUR PERSONAL aAOVINJURY $ 1.000.000 OWNER'S d CONTRACTOR'S PROT EACH OCCURRENCE 6 1,000.000 FIRE DAMAGE(Any one fire) S 300,000 MED EXP(Anv one aefs*nI S 5.000 B AUTOMOBILELIABILTY DT810348K1518TIL00 01-MAY-2000 Oi-MAY-2001 COMBINED SINGLE LIMIT $ 1,000.000 X ANY AUTO ALLOWNEOAUTOS BODILY INJURY S (Per P«wn) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ ' (Per accident) X NON4CWNED AUTOS PROPERTYDAMAGE j AUM ONLY-EA ACCIDENT S I AGE LIABILITY --- OTHER THAN AUTO ONLY,: ANY AUTO EACH ACCIDENTS AGGREGATE EACH OCCURRENCE t EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORMWC STATU- DTH --' C WORKERS COMPENSATION AND OOEWS30531 01-MAY-2000 01-MAY-2001 X T MI .: ::::: >.�........ : .........., . . EMPLOYERS'LIABILITY EL EACH ACCIDENT S 1.0 0 0,0 0 0 THEPROPAIETOW INCL ELDISEASE-POUCYUMIT $ 1.000.000 PARTNERS/EXECUTIVE 1.000,000 - OFFICERSARE: EXCL ELQISEASE-EAEMPLOYEE OTHER DESCRIPTION OF OPERAT10NSILOCAMNSfVEHK:LES4SPECIAL ITEMS SEE ATTACHED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - San Jaoquin County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Donna Horan,Director 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Public Health Division BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE No OBLIGATION OR LIABILITY 304 E Weber Ave,3rd FL OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. Stockton CA 95202 AU' EPRE NTATTVE ....v::..::4-......:.......,ry .......................>....................... .. ... .........::ii:,n;::.:Y::t:•.:L:is i:::v.:�. :?.Fn::+.YYs?::�iw'i.iii'4.z:v.:K.:n::.w;w;J1;6i:ry :.;.Y,^,ti^c:.v a:wnYb:.n":*":i%x..y^YFS•.l%:' ... L1!':l:1rY',):�r'!::i;.:.:;:.::;;y:.:«::•;•.�::::.ins.::v:f.::..4?:::v!}.isi{'.;•k.?::.�.:._.......:............:......:.....,...., - ;::nrr�On>�>r'acts:rnct-isi.:>::.i;:'r?...::',>::>:>:�5:::»i>'z>'<.:s:a.::::.-::::�:.v:...?C I ............:..:..::.:.:::::.?:??:. ....