Laserfiche WebLink
JAN 07 192 15:2G TONT' ?ILLING 916-966-6825 PP 4 <br /> FEE 07 '52 371 et� Llbr-H.��LL. CertIficale of Inearsnoe -%Wool <br /> TMtI CEPITIPIOATE Id 19SUED AS A MATTER OF INa'OpMATION ONLY AND COtififtl NO RIaHTI UPON YOU Thl OLRTIPSOATE ti0LD1>1 7Fi{I C1RTiPiCllTi 18 NOT AN JNSURh.YCEi� + <br /> ►DLIOY AND DORI NOT AMEND,EXTEND.CA ALTRI TH1 OOVERAOE AFPORDID BY THE POu01q UITlD![LOW, <br /> This Is to Certify.that ���R� <br /> r 7 V �lvv <br /> Tonto Drilling services, Inc. Name and <br /> j) <br /> 2120 Blumenfeld Drive +* addredS Of <br /> L Sacramento, OA 95616 _.iI Insured, <br /> 11,u"Issue daft of IN#001VII094,Iriwratl by of Company unds.,the P*40.latl)49160 below Tiro:noufs'101 safforded by thI 11114d 001068)fi luttlEC 1v III their <br /> tatn;6,azolualons and oondttions or-9 N not alittod by any requirement,term or oondition o!any 0ontraot or other doMMinl W:th raeps0t to which th,9 oertifiaata mty <br /> to iatuad, <br /> TYPE CERT.IXP.DATLO' <br /> ❑CONTlNt}O�I POLICY <br /> POL+CY D TtNDIO NUMBER ; OF LIABILITY <br /> ❑nwoy TIRM <br /> 4/1/92 102-161-0330rsTMLFop.owlNGerarlte; ' �'cr���ecole+rt <br /> A! <br /> woRKERe� � u• <br /> PI <br /> ccMPENSATION jwwy Injury ft 91965" <br /> 1,000,000 n <br /> oanarai papa a, er nar u ae ptra roN <br /> jraduou omp atsd oetra one pprepata <br /> l <br /> D Yn Yry arto POp►ttY an�ape 4 aei y <br /> f pet oQOJRfnCe <br /> ❑OLAIMS MEAD! �Personu anc t vnnlc.�,nmy per er��Mn <br /> 3 I I <br /> ;ntr <br /> ❑oCOUwNOE <br /> I EACH AOCiD[NT•etNOL!LIMIT•B.J.AND P.b.pOMD1NtD <br /> OWN= <br /> ❑NON•OWNIM gmµIIDSNT EACH ACCIDENT <br /> p HIRED , OR OCOURRENOE I OR OCCURRENCE <br /> All States Endorsement <br /> Voluntary Compensation <br /> LbCATI N( )v I k ARM$) DLI I TI OPE TION <br /> I <br /> REI <br /> 9zprat ate. owe»r, <br /> �o>in taste ez ration ate i1 90r1G Wlla or extenp90 term, you velli a r;c:.nd I 0pveraQ9 s terminated or MUM eton the oerL,cet. <br /> you&LW be notiflid annuaity of the Convn6clom of coverage, uberty Mut1w <br /> NOTICE OF CANCELLATION; THE COMPANY WILL NOT TERMINATE OR REbUCE Iaeurenc9 Group <br /> THE INSURANCE AFFOSDED UNDER THE ABOVE POLICIES UNLESS--.XX._DAYS <br /> NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN MAILED TO: <br /> I <br /> San Joaquin County <br /> CERT1FIoArE Public Keslth Services <br /> P.O. Sox 2009 AUTMUMIM REPIKERMENRTIAVEM <br /> Stockton CA 95201 January 7, 1992 SLC VT <br /> L Aunt Mike Infurna j oFaicE <br /> q . a r+ap+ei+e.�n,n+�ra�oe a1 is ariotea0 y n or'09n191 <br /> ss��s Iia <br /> sr.ew+a ar'L-151 V UJ t L' t� O� T <br />