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-04%12/•99 16:19 FAX 425 251 8782 BARGHAUSEN 01003/009 <br /> —� TO 14252 T82 PAGE .002/007 <br /> APR 12 ' 99 15 -.09 FROM CL LER-RYAN INC pATE(NIMIOGIYY) <br /> GERTIFiCATE OF INSURANCE 04/07/99 <br /> PF)ODUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION <br /> N atsen Insurance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOIN. <br /> 100 Story Point Road Ste . 160 <br /> � .O. BOX 907 COMPANIES AFFORDING COVERAGE <br /> Fanta Rosa, CA 95402 I COMPANY <br /> AAdmi.ral Insurance Cam an !I <br /> FWD MT 1 <br /> Gettler-Ryan, Inc. enns lvania General Ins . Co. _I <br /> 674 7 Sierra Court, Sul ANY <br /> Dublin, CA 94565 cFremont Com <br /> ensatior_ Ins . Co. I <br /> I'1rI �y DGeneral Security Insurance Co. <br /> COVERAGES �� �W � • <br /> THIS IS TO CERTIFY THAT THE POLICIES OF M oNA.,V�E- BEEN ISSUED 70 THE INSURED NAMED A80VE FOR THE POLICY PEAICC <br /> INDICATED. NOTNCfIiSTANDWG ANY >aEQU1FEM L�fQ�Ra+�- ONTFACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIHIS <br /> CFRT1FICATE MAY er: ISSUER OR MAY PF-RTAIN,, 14�l►� AFFORDED BY TME POLICIES UESCREED HEIREIN IS SUBJECT TO ALL THE TENMS, <br /> E7cCLu5IONS AND CONQmoNS OF sucH POLICIES.UM17S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> iPOLICTEF9raTIVL'POLIOTEXPIRA7IONI LIMITS <br /> C? ' TYPE OF INSURANCE POL1CrNOM9CR CATEIMMFOD/Y'T)'DATE(MMIOOrYY) <br /> L'R <br /> E6 MENERALUAeIUrr A98AG04689 : 04/01/98 '04/01/00 'DENERALAGOaEGATE s3 , OaG , G00 <br /> 'PROOUCTS•CO:NP/OP AGO53 6 0 C+•1 C 0 0 <br /> X COMMERCIAL GENERAL LIABILITY. <br /> TS <br /> ' "X PERSONAL 0 ADV INJUR_ 3� O Q Q, O O O <br /> CLAIMS MADE OCCVR' <br /> Ow NtAS b CONTRACTOR'S PROT EACH OCCURRENCE .33,0 0 C_,0 ILO <br /> X 8 Z F'RE DAMAGE(Any Cnc he )'310 0, 0 0 0 <br /> _. <br /> EXP Any ono Certanl SEXC 1LldE:.'�. <br /> _I er occurence <br /> 11 AVTOM06n•,ELIABILITY m-401594950304/01/99 04/O� �Oa MED <br /> :COMBINED SINGLE LIMIT ;Sl/ 000 , 000 <br /> TI ANY AUTO <br /> ALL OwNBO AUTCS GO OILY INJUpY .� <br /> _ IPer pefSC�) <br /> ' <br /> SC)-'E DVLEO AUTOS - <br /> X HIRED AUTOS gaplLY INJuar <br /> .IPer accidonty I3 <br /> X i NON-OWNED ALTOS <br /> :PROP'EATY DAMAGE i <br /> 1 AUTO ONLY-EA ACCIDENT i5 <br /> MANAGE UAW UTI i <br /> � 1 ; OTMEA THAN AUTO ONLY: <br /> ANY AUTO I <br /> ` 1 EACW ACCIDENT S <br /> 1 ' AQ4REGA711k! .2 <br /> E i <br /> ij �esSUAB1UTT C29000020 04/01/99 E04/O1/00 lACHOCCVRRCNCE e2 000 000 <br /> I ApOAeoATE <br /> _UMBRELLA FORM $XceSS Auto <br /> s <br /> X OTHER THANUM9AeLLAFORM! <br /> 04/01/99 01/01/00 ; X STATUYDRYLIM{TS <br /> l� WOR!(ERSCOINPENSATI0NAN0 i WN9980853Z01 I �EACHACCIDENT 111 000000 <br /> `EMPLOYERS L1AB0.tTY � i <br /> ' DISEASE-POLICY LIMIT <br /> 00(), <br /> 0_ <br /> THE PROPFIETOPI I INCL 00(), 000 <br /> PARTNEASIEXECUTIVE I'-- 'OLSEASE.EACHEMPLOTEE171.a <br /> OFFICERS ARE' X EXCL. <br /> ;� ;ornEr+ A98PL04586 104/01/98 074/011-7OO Aggregate $3 , 000 , 000 <br /> (Professional ; Claims Made ; Each Claim $3 , 000 , 000 <br /> Incl. Poll. 1 <br /> I <br /> C'ESCAWTION OF OPERATIONSILOCAT(ONSWI:MIGLESISPECIAL ITEMS <br /> certificate holder is named additional insured per attached form CG2010 . <br /> CANCELLATION <br /> CERTIFICATE HOLDER <br /> gHOUL"AMV CF THE ABOVE DESCRI6ED POLICIES 9e CANCELLED 8L'FOHQ TH <br /> E)WRATION DATE THEREOF.THE ISSUING COMPANY WILL EN DEAVORTO IAAII <br /> GATS W WTTEN NGTtCCTOTHE CERTIFICATE HOLDER N"K0 TO THE LEFT. <br /> SIJTFAILURETO YAIL SUCH MOTIC✓°SHALL IMPOSE NO OSLIOATION GR UJIEILR'T <br /> Up NT KIYO UPON TME COMPANYTS A[1f: TS OA RCP}ilC NTATI. a <br /> AIJTMORMED REP"ESENT r`y <br /> J ,a y. ,.:a - yi t" :s >` t". ^. � 'kms ;;w-':ii gb-�° > �" COitLYiCLPC�FIAiI ION 7993. <br /> ,CORDg <br />