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Dec 01 04 04: 41p GP <br /> BGG ➢RILLING 925,,U30302 p. 3 <br /> v" ' ■ ■' ' E yr L-lmom11 T IIN,UI{ uAm <br /> PRGDUDER �+t Pnge I. 0£ 2 OB/11/2r <br /> 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA- V <br /> ONLY AND CONFERS NO RIGHTS UPON THE CER71RC <br /> NLllia Norte America, xao. - Re9iem,1 Cart center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND i <br /> a6 Century Bloc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL <br /> NBPhville, 12T372305191 INSURERSAFFORDING COVERAGE <br /> P. D. Box 305191 <br /> IRED Gre00 Ozilli� F Taeti <br /> �• amu- INSURER';Be"rlpht lnaazance Ca any 15563 0 <br /> GCegD xn Situ, Inc_ _ <br /> 2726 Nelnut Avenue . INSURERS: <br /> SiDn N111, CA 90755 INSURFAC: <br /> INSURERQ <br /> COVERAGES INSURE'E: <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANE <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SI <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS. <br /> LNSR TYPEOFINSURANCEPO Y POLI FXFl TON <br /> POLX:YNUMBER <br /> OENERALLIAMLITY uAm <br /> I EACH OCCURRENCE $ <br /> COMMERCUL GENBiALL1ABWTY FIRED ' ane Rn E <br /> CLAIMS MADE 0OCCUR MED EXP one anon $ <br /> PERSON ALdADV INJURY 9 <br /> GENERALAGOREGATE S __ <br /> OEN'LAGOREOATE UMRAPPUES PER: <br /> P O PRODUCTS-COMPATPAG, $ <br /> POLICY LOO - <br /> *ALC ONO UABILIY <br /> COMBINEOSINGLE UMI <br /> ANY <br /> AUTO IF+Aaolbnl) E <br /> ALLOWNEDAUTOS — <br /> :SCHEDULEDAUTOS I I BODOIYNJURY E <br /> ODIL NJ <br /> HIREOAUT08 <br /> NON-OWNEDAUTOS I (B. 'WRIFTY E <br /> (Pwe�NOAMAGE $ <br /> I ) ' <br /> LRAOE UABNTY <br /> N AUTOONLY-EAACCIDENT S <br /> ANYAUTO <br /> AUTOO ONLY: EA ACC S <br /> AVTOONLY: AGO S <br /> EKCEBB UABIUTY I EACHOCCURRENCE S <br /> OCCUR CWMBMADE AOGREOATE $ <br /> E <br /> DEDUCTIBLE E <br /> RETENTION 8 E <br /> WORKERSCOMPEASATIONAND BB1O4026118/1/2005AT - OTN- <br /> EMPLOYERS-UABILRY 8/1/2004 1; <br /> E.I.EACH ACCIDENT E 11000.00 <br /> E.L.DISEASE-EA EMPLOYEE S 1,000a <br /> 0 <br /> OTHER <br /> 112.1DISEASE-POUCYLIMIT IS L O O o <br /> OB ROOFOPERATIOBBIWOCATION&VEHICESXCLUBpMECIALPO <br /> mms <br /> CERTIFICATE HOLDER I 1ADDITTONALINSURED,,INSURERLMER: CANCELLATION>e�.x <br /> SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION <br /> DATE THEREOF,THE OWING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRI TEI <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHAL <br /> Sea Jo Q-i- COnnty Eavirormental IMPOSE NO OBUGATION OR LNBR OF ANY KND UPON THE INSURER,IS AGENTS OI <br /> Realth Dept. REPRESENTATIVE& <br /> 304 Haat Weber St. REPRESENT TIVE <br /> Stockton, CA 95202 <br /> ACORD25S(1/9() Coll:1065616 Ty1:287965 Cert:4668148 ®ACORD CORPORATION 198 <br />