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COVEix ► ,. Y i !4 1 W75 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED i <br />aww <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: <br />INSR j —JAbb <br />Ley , TYPE OF INSURANCE <br />i s ti � • � r` �� <br />POLICY EFF I <br />NUD + <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such . a <br />PRODUCER Phone: 530-895-10% <br />InterWast Insurance Services <br />Pcense #01301094 Fax: 530-895-1311! <br />CA 96927-8110 <br />'Chip Arenchild <br />CON, Len <br />PHONE <br />1AFC No E�tw: <br />i <br />INSU 9) AFFORDING COVERAGEi <br />INSURER A: State COMP ( A 136076 <br />INSURED MVP Petroleum Engineering, Inc <br />,. 95763-0281 <br />INSURER 8: <br />_ <br />- 111110016 T4wr. <br />, ,. ;.... <br />— <br />PREMISES (Escccutt�tercel -IS _ <br />E CLAIMS -MADE Il OCCUR <br />INSURER <br />� a <br />COVEix ► ,. Y i !4 1 W75 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED i <br />aww <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: <br />INSR j —JAbb <br />Ley , TYPE OF INSURANCE <br />POUCY NUMBER <br />POLICY EFF I <br />NUD + <br />FOUOY EXP <br />MAMBIDDtYYY i <br />—�-�-- <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE 11 S <br />r• -•--Z <br />( COMMERCIAL GENERAL LIABILITY i <br />— <br />PREMISES (Escccutt�tercel -IS _ <br />E CLAIMS -MADE Il OCCUR <br />i MED EXP (Any one personD <br />gggl <br />�._. <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE $ <br />PRODUCTS COMPIOP AGG_ S <br />— <br />' <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />PRO <br />! <br />- <br />; <br />Is <br />POLICY) 1 LOC <br />AUTOMOBILE + <br />COMBINED SINGLE LIT <br />(eel sociientl Is <br />ROOLY INJURY (Per ) IS <br />ANY AUTO <br />� <br />Y ALL OWNED [ ._ 1 SCHEDULED <br />AUTOS _ j AUTOS I <br />BODILY INJURY (Per ) I $ <br />PROPERfYDAMAGE $ <br />_(Peraodd�ul <br />MON-OWNED <br />i HIRED AUTOS i i AUTOS <br />i <br />4 <br />S <br />UMBRELLA UAB OCCUR <br />OCCURRENCE is <br />E EXCESS UAB CLAIMS -MADE <br />j AGGREGATE <br />OED i RETEPITION S <br />S <br />WORKERS COMPENSATION <br />I <br />1 X I WC STATU i OTH-1 <br />�._.SS2SY LIMA_I�S_�_...,.=_ER„ I_.__.._._. <br />AND EMPLOYERS` LIABILITY ! <br />A ANY PROPMETORtPARTNERIFa(ECUTNE Y t N I <br />I <br />19073075-14 <br />10/0112014 <br />10/0112015 <br />j E.L. EACH ACCIDENT s 1,000,00 <br />._____..—._.. �._._ <br />'s OFFICER/MEMSER EXCLUDED? N (A <br />1 (Myyassnssdatory in NHI ' <br />E,L DISEASE - EA EMkPLOVEEj S 1,000,000 <br />crft under <br />i DESCRdIP OF OPERATIONS below? <br />( <br />f E. L. DISEASE - POLICY LIMIT i S 1,000,0 <br />t <br />DESCRIPTION OF OPERATIONS ( LOCATIONS I VEHICLES (Attach ACORD 161, Additional Rentarks Schedule, It more space Is required) <br />Confirmation of Coverage. <br />ll IM <br />• Box 281 <br />Folsom, <br />rte. <br />LC9j1!%t:2£'Y{IY[l1_Ctlelii3liYiitillis}'��i1Ls}itt;:ll�iL+7ri.3_7-.,..T�Tisi - i:ll <br />73=1 : ! 3 ,. `*ri . -aI M z_, -a s fe! <br />