Laserfiche WebLink
MELOMAC-01 IBLU <br /> ACORDCERTIFICATE OF LIABILITY INSURANCE °oM33MO <br /> PRODUCER (209)578-0183 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> DiBuduo&DeFendis Insurance Agency,Inc.-Modesto ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> License#0707137 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P.O.Box 580531 <br /> Modesto,CA 95358-0071 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURM Jim N.Melo&Brenda Melo dba:Melo Machine& LNSIRER a Everest National Insurance Company <br /> Manufacturing INst1RER B <br /> P O Box 517 INSURER C_ <br /> Patterson,CA 95363-0000 <br /> INSURER D <br /> INSURER E <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 OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- <br /> MSR kDDL POLICYEFFECTFVE P0UCYE0IRAATSON LDRTS <br /> LTR SRC TYPE RgRAMINICE POLPCY NUMBIER DATE 0048M= DATE NVAIMM <br /> GENERAL LIABILITY FJ1G1 OCCURRQJCE s <br /> NM.IERCLAL GENERAL LIABILITY PREMISES Ea ocarence = <br /> CLAIMS MADE OCCUR We are required by our E&O Carrier to forw ird a copy of MED Exp(Any one cels«,) s <br /> h-cerificate of insuranc -issued to your office for—__ Irsorco�a n-V lr�,L�v� — <br /> ur records. Please do nol return. GENERAL AGGREGATE s <br /> GENU AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMTT $ <br /> (Es ecadod) <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY rN IURY $ <br /> SCHEDULED AUTOS (Per Person) <br /> HIRED AUTOS BODILY INJLRY s <br /> NON OWNED AJfTOS (Per acddert) <br /> PROPERTY DAMAGE S <br /> (Per aCCKWt) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANI AUTO OTHER THAN EA ACC 11 <br /> N1T0 ONLY: AGG $ <br /> EXCESB/1IMEIREL.LA LIABILItt EACH OCCURRENCE $ <br /> OCCUR ❑CLAIMS MADE AGGREGATE $ <br /> s <br /> DEDUCTIBLE f$ <br /> EN — <br /> REFENTION = WC STATU- OTH- <br /> WORKERS COMPENSATION AND X TORY LIMITS <br /> A EMPLOYERS•LIABILITY A20010249081 311 @008 3!112009 E L.EACH ACCIDENT ; 1'0W'00( <br /> ANY PROPRIETOR/PARTNER/EXECUTTVE 1��� <br /> OFFICERWEMEER EXCLUDED? E L.DISEASE-EA EMPLOYEE S <br /> If yes,desmbe uder1,000,00 <br /> SPECIAL PROVISIONS beim EL DISEASE-POLICY LIMIT S <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS AMM BY ENDORSEMEWT I SPECIAL PROVISIONS <br /> 0 day notice of cancellation due to non payment of premium appiles. <br /> Re:Install new pump In well at 31600 Koster Rd.Tracy,CA on 01/09/08 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DeSCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Nat Bachettl DATE THEREOF,THE ISSUING INSLRER WILL EMEAVORTO MAL 30 DAYS WRITTEN <br /> 31600 Koster Rd <br /> Tracy,CA 95304- NOTICE TO THE CEfYr61CATE HOLDER NAMED TO THE LH�r,BUT FAILURE TO Do so SHALL <br /> IMPOSE NO OBUGATION OR LIABILITY OF ANY I@m UPON THE INSUR6s,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHOR®REPRESENTATIVE <br /> i ACORD 25(200108) � � ©ACORD CORPORATION 1868 <br /> i <br />