FIELD DOCUMENTS FILE 2 - Laserfiche WebLink

Home Browse Search

ACC>R& CERTIFICATE OF LIABILITY INSURANCE704104/2011 TE(MMIDD/YYYY) 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,SmitF�&Feek,Inc. PHONE Ax F 2233 112th Avenue NE EaU-425-709_3600 (LAIC, No 425-709-7460 EMAIL Bellevue,WA 98004 ADORES PRODUCER INSURERS)AFFORDING COVERAGE NAIC# INSURED WDC Exploration&Wells INSURER A:Zurich American Insurance Co. 1300 National Drive,Suite 140 INSURER B:Steadfast Insurance ComDany 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. _ - - POLIC IN TYPE OF INSURANCE �AODL SU 1 POLICY NUMBER MMlDDlYYYY MM DYIYYYY LIMITS LTR A GENERAL LIABILITY i j GLO904744605 4/1/2011 4/1/2012 EACH OCCURRENCE I$ 1.440,4 ED X COMMERCIAL GENERAL LIABILITY I� r PREMISEES q@ occ genre) 1'X- I I _ 1 occvnence $ 1.04 CLAIMS-MADE OCCUR I MED EXP(Any one person) $ 5 i PERSONAL&ADV INJURY ( ,GENERAL AGGREGATE $ 2.000 000 G_EN'L AGGREGATE LIMIT APPLIES PER'. ' PI RODUCTS-COMPIOP AGG $ 2,OOQ,Q.. ` I POLICYX I PRO- X . LOC f 1 - $ AUTOMOBILE LIABILITY BAP904745005 - COMBINED SINGLE LIMIT A :— F 4/1/2011 I 4/1/2012 (Ea accident) $ 1,000,000 •x ANY AUTO I I BODILY INJURY(Per person) $ ALL OWNED AUTOS ' BODILY INJURY(Per acciderrt) $ I SCHEDULED AUTOS I PROPERTY DAMAGE $ HIRED AUTOS I (Per accident) NON-OWNED AUTOS $ I i g B UMBRELLA LIAR X OCCUR i SE0904745305 4/1/2011 4/1/2012 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADEI�rl AGGREGATE $ 10,000,000 DEDUCTIBLE I $ RETENTION $ 0I $ WORKERS COMPENSATION WC904756805 4/1/2011 4/112012 X we sTAru- oTH- A AND EMPLOYERS'LIABILITY i I TORY LIMITS I ANY PROPRIETORIPARTNERIEXECUTIVE YINN/A E.L.EACH ACCIDENT Is 1,000 000 OFFICER/MEMBER EXCLUDED? [I - �.-'"- (Mandatory in NH) j i £.L.DISEASE-EA EMPLOYEE$ 1,000,00 yes,describe under £.L.DISEASE-POLICY LIMIT 1$ 1,000,000 B I Pollution Liability �;1 CPL904745205 411!2011 4/1/2012 $1,000,000 Each Claim i$1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It more space Is required) 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 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and loco are reaistered marks of ACORD