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WENDAND-01 KDEDECKER ,acoRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YYYY) 11/22/2013 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: Vantreo Insurance Brokerage PHONE 707 546-2300 FAX (7 ) 100 Stony Point Rd,Suite 160 AIC No Ext): ) AIc.No: 07 546-2915 Santa Rosa,CA 95401 ADDRIESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Admiral Insurance Company 24856 INSURED INSURER 8:Peerless Insurance Co. 24198 Wendt and Sons Construction INSURER c:State Compensation Insurance Fund 35076 Po Box 1403 INSURER D: Lodi,CA 95241 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. INSRTYPE OF INSURANCE ADD LSUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/D/YYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMA13E TO REN I EL) A X COMMERCIAL GENERAL LIABILITY FEIECC1591100 7/1/2013 7/1/2014 PREMISES Ea occurrence) $ 50,000 CLAIMS-MADE FX1 OCCUR MED EXP(Any one person) $ 5,000 X $2500 Deductible PERSONAL&ADV INJURY $ 1,000,000 X Per Occurence GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,ODO,000 Ea accident $ B X ANY AUTO BA8956730 7/1/2013 7/1/2014 BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED BODILY INJURY(Per accident) $ NON-OWNED Per a.'d.ht $ AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE S DED I I RETENTION$ $ WORKERS COMPENSATION X VVC STATU- OTH- AND EMPLOYERS'LIABILITY T RY LIMITS ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N 9072992-13 10/1/2013 10/1/2014 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,tlescnbunder DESCRIPTIONN OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000.000 B Equipment Floater CBP8950730 7/1/2013 7/1/2014 Rented/Leased Equip 150,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) <<Evidence of Coverage» CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE San Joaquin Environmental Health Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN q p ACCORDANCE WITH THE POLICY PROVISIONS. 1868 E Hazelton Ave Stockton,CA 95205 AUTHORIZED REPRESENTATIVE i 14 mzlwx ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD