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O8/18/2002 TUE 10:26 FAX 2002 <br /> .TUh1-17-2002 03:25P FROM: � T 167774101 P•1rc <br /> AC�RA� CERTIFICATE OF LIA�iIL T'Y INSURANCE O /17/17°6 "J200Qfl2 <br /> PR tK (70 E5 ISSUE-OWSW <br /> 374-5309 FAX (700JI74-158{14 - ONLY AND CONFERS No RIGHTS UPON THE CERTrFiCATr <br /> Augusto insurance Age ncy HOLDER.THIS CERTIF=TE DOES NOT AMEND,EXTEND OR <br /> 32 N, Front SL. ALTER THE COVERArjE AFFORQ613sY THE POLICIES SCLOW. <br /> P,O.Sox $16 INSURERSAFFORDING COVERAGE <br /> I Rio Vista, CA 94571 <br /> TIt 6"E V & W Drilling xnc. INS: I7EFIA llni tad Ra=inna'E Ins. to. <br /> Robert Vickery & 7q,y-Vickery, DBA: INsuABRH F'inx>nGial IndeJsmit Ins. <br /> P.C. Bax 4I6 [N$LAiERL, <br /> Fire mafl'S Fund Ins. Co_ _- <br /> Isl eton, CA 95541 o: State CoaMensation Ins. Fund <br /> MUM C: <br /> cDV1=F.At3WT-1 ` . <br /> THE P .1 EG OF INSURANCE LISTED RC OW}iavE eEe[i Ie5UEu T lir_INSURED NAMED AB C FOR THP;PIjui,6 PERI NOICATED.NO �ANDIN(t <br /> ANY REDUREMEN f.TERM C)R Como nOlJ Cir ANY COWrRACT OR OTHER DOcumt:NT WITH f}C£F'EG I'7C3 WRI(H THIS CCRT[rlCA7E MAY F3E ISS <br /> MAY PER1 NN,THF_INSIIRAfVGE AFFORDED KY THE POLICICa koSCFiIBEo HL-REIN Is SU0.lECT To ALL THE TERMS, SUCH <br /> AND CON13rtIONZ OF SUC <br /> Fs XICIES.AGGRCGA7E;_jIj TS SMOWN MAY►SALVE O_EN REDUCED BY PAID CLAINS. <br /> Ll[{ <br /> 'i'FPE bf INRL RANCE POLICY NUrderA UA1=jMl M01D:r t1 DAM IfA wanrvr uu11'S <br /> GENERALLIAB16RT R3a003.134 11/02/2001 13.(DZ/2002 {AI;t+UGGURRCNcE 9 .l OOR 00 <br /> X Cp�IAET>OW,L`ENeRA1I1!<B1LfIY rAiEDAM>r.=IAnYu^eTd=) <br /> GI AIMSMRRE `J: OCCUR hilmF.%PVarv&epmon) S 5 I30Q <br /> r�+aplenl.A Apv 1NJURY a 1'U00 000 <br /> A f3EN!NALAGGRCfaATf >K 2,00VIDDO <br /> PROOLCM-MMPIOPAM: i. <br /> firEM AGGREGATE I,Ilarr APPLIE1' FtK <br /> A4LICY JEC� Lor - <br /> AITiUMO�u LIA64LnY 7f 6141$ Xti/01./ 601 1b/U1/ZQU2 il�aoaau�1ej INaLE l n,�j y <br /> 1,000 QD0 <br /> ANY= <br /> ALL 4vVf+Fn AUYI IH HL:lnLY ldJumt <br /> fl".a faunu.} <br /> 91:,1.13I1LE0 AUTOS <br /> xWISED A4To9 DODILY INJURY y <br /> lreracelprn� <br /> )[ NONzwNEDAums <br /> rRrjFCRTr .DAMACC S <br /> ' IP9r�.rid,ydl <br /> AUTO Pt'i Y wM1 AcCrts-N r t <br /> GAp04E LIA040T* <br /> fJ <br /> - 7'HE=R T14 <br /> MA �AGG R <br /> ANY AUTO AUTO ONLY: . <br /> RAGC 6 <br /> DtcCss uAelurr Yz-GflG-9666-1549 I3/D2/2Ex01 1Xtfl2f2UO2 Etch 00CunrENCE e i 1,040,a0 <br /> nGCLIk - ACGRI`-C•ATE <br /> U CLAIMS MADE S L OOQ 000 <br /> - S <br /> C <br /> E <br /> p>rpUCT1HLE <br /> S <br /> I�E7ENTIn�1 a _ <br /> WOMERSCD% cr=Ar10NAND 7i3-5334-41 10 nL/2Q101 10/01/2001 TorrrLlln s <br /> EMrLoYEAs`LICI3ILRY E I EACH A=Di-_lT <br /> f<L fMFASE-EA EMfFLOYC 6 1 r X00.08 <br /> E.L.L)3LA:5E-PQLrYLIMrIS 1,000 000 <br /> UTNBR <br /> oEsr:Rla t for 1 da JLo`ki Ge ofLcancell tion for non-payment of premium. <br /> I <br /> C7SGCp Y <br /> ertificate Holder is named Additional Insured per attached, <br /> CERTiFI OLDER ADDITIONAL INSURED;INSLWR1-MER: CANDLL�` IOC <br /> WOULD ANY OF TFIE AQOVC CEGCOIBED POLICIES RE CAMCELI.90 BEFORE-WE <br /> - E7fpIpg77L1nn�TETIi[9tEOF,THEI$LiUINgCQ{YIPANT,YtLL�1/A.IL. <br /> *In pA7SN(Rn'EnN.-nnCvo-rite tF-RTIFILIATEHOLMIXMAMED.ToTkaLFII. <br /> City of 5totkton <br /> Its Officerx, Agents, and CmPloyees <br /> d25 K. El Dorado Street <br /> Stockton, CA 95202 I <br /> EP S <br /> 06/17/2002 RIJN 14:23 [TI/RX NO 75321 2041 <br />