FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

Alila� CERTIFICATE OF LIABILITY INSURANCE °"0410 ,20" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Parker,Smith&Feek, Inc. PHONEFAx 425-709-36 ac No:425-709-7460 2233 1121h Avenue NE E-MAIL . Bellevue,WA 98004 ADDRESS: PRODUCER c WSUREWS)AFFORDING COVERAGE NAICE INSURED WDC Exploration&Wells INSURER A:Zurich American Insurance Co 1300 National Drive,Suite 140 INSURER a:Steadfast Insurance Company Sacramento,CA 95834 INSURER C: INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IRSPLICY EFF LTR TYPEOFINSURANCE A21:11 111M D BR POLICY NUMBER MMIDDMYY MLICIr ORD up LIMITS A OFAERALLIABIUTY GLO904744605 4/12011 411/2012 EACH OCCURRENCE E X COMMERCIAL GENERAL LIABILITY I I PREMISES Es occurrence E 100 ODO CLAIMS�AADE nL�OCCUR I MED EXP(Any one Person) S PERSONAL E ADV INJURY E GENERAL AGGREGATE S 2,00D.000 GENL AGGREGATE LBRT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000000 POLICY X PEO RCT X LOC S AUTOMOBILE LIABILITY BAP90474500$ COMBINED SINGLE LIMIT A 4112011 4/112012 (Ea accident) E 1,000,000 X ANY AUTO F F BODILY INJURY(Pw person) $ ALL OWNED AUTOS BODILY INJURY(Par accident) E SCHEDULEDAUTOS PROPERTY DAMAGE HIRED AUTOS (Per accosm) $ NON-OWNED AUTOS $ E B UMBRELLA LIAR X OCCUR SE0904745305 4112011 4112012 EACH OCCURRENCE $ 10,000,000 X EXCESS LATS CLAIMS-MADE F F AGGREGATE S 10,000,000 DEDUCTIBLE I __ S X RETENTION $ 0E WORKERS COMPENSATION VVC904756805 4/12011 4/12012 X WC STATIM- OTHH- A AND EMPLOYERS'LIABILITYYiN ANY PROPRIETORPARTNEI%SXECUTNE� N/Ar EL.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? Mandatory In NH) EL.DISEASE-EA EMPLOYEE E 1,000,000 f yea,deecAPFruU ri°e undw EL.DISEASE-POLICY LIMIT S 1,000,000 B Pollution Liability I -F— CPL904745205 4112011 4/1/2012 $1,000,000 Each Claim ;I $1,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,K ancre space is Mulled) EXHIBIT OF INSURANCE, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR BID/PREQUALIFICATION AUTHORIZED REPRESENTATIVE PURPOSES ONLY I�Ib-T— MOa� ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(20091091 The ACORD name and lo°o are registered marks of ACORD