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,4co�o® r�tctovku OCT U 2009 <br /> CERTIFICATE OF LIABILITY INSUP-eANCE DATE <br /> 10/1MIDD/YYYY) <br /> PRODUCER (209)478-5023 FAX: (209)478-0217 10/5/2009 <br /> THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br /> ,F"--uex insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> a ). Box 7276 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 2291 W. March Lane, Suite 100A <br /> Stockton CA 95267 INSURERS AFFORDING COVERAGE <br /> INSURED NAIG# <br /> INSURER A:Security National Ins Co 19879 <br /> V & W Drilling, Inc. and Robert E. Vickery FRE INSURER B: <br /> 3806 Duck Creek <br /> INSURER C: <br /> StocktO INSURER D: <br /> CA 95215 INSURER D <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <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 OFSUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> /NSR DD' <br /> POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES(Ea omcuTenCs1 .$ _ 100,000 <br /> A X CLAIMS MADE f X J OCCUR PP1001631 10�2�2009 10�2�2010 MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 <br /> X POLICY PRO LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> X ANYAUTO (Ea accident) $ 1,000,000 <br /> A ALL OWNED AUTOSPP1001631 10/2/2009 102/2010 <br /> SCHEDULED AUTOS BODILY <br /> P Drso)URY i$Pn <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON-OWNED AUTOS I (Per accident) $ <br /> PROPERTY DAMAGE I <br /> (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 1$ _ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR FICLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ _ $ <br /> WORKERS COMPENSATION ~-�- —� WE-STATU- OTHi <br /> AND EMPLOYERS'LIABILITY YIN TORY LIMITS EANY PROPRIETOR/PARTNER/EXECUTIVE❑ <br /> OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) <br /> E.L.DISEASE-EA EMPLOYE $ <br /> Des describe under _ <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Geological Technics, Inc., is named as an additional insured with respects to general liability only per the attached <br /> blanket additional insured form CG2033 0704. <br /> Job: All California operations performed by the insured for the certificate holder and the additional insured. <br /> *(10) Ten day notice of cancellation for non-payment of premium <br /> CERTIFICATE HOLDER CANCELLATION <br /> 1 (209)522-4227 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Geological Technics Inc. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br /> / Atten: Ginnie Sinclair NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 1101 7th Street <br /> Modesto, CA 95354 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> F <br /> THORIZED REPRESENTATIVE:mes Watt/ANGIEV ; <br /> ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> INS026(200901) The ACORD name and logo are registered marks of ACORD <br />