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Alk r OP ID: JM <br />A U- <br />CERTIFI ATE OF LIABILITY IIVSU NCE <br />09!28!2014 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERft AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, 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 endorsemen s . <br />PRODUCER <br />NTAOT Dennis Cote' <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />PHONE <br />925-395-2600 925-287-0710 <br />Walnut Creek, CA 94597 <br />Dennis Cote' <br />QUIMMER in a.. WALTO-2 <br />INSURER(S) AFFORDING COVERAGE NAIL 0 <br />INSURED Walton Engineering, Inc. <br />INSURER A: State Com enation Insurance <br />P.O. Box 1025 <br />West Sacramento, CA 95691 <br />INSURER e : <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSIR <br />Am <br />TYPE OF INSURANCE <br />OWN <br />MCI <br />POLICY NUMBERno% <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE S <br />OAMArA TO REHMD <br />PRENSFS <br />MED EXP ate S <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE r OCCUR <br />PERSONAL 3 ADV INJURY S <br />GENERALAGGREGATE S <br />GENT. AGGREGATE LIMITAPPLIES PER: <br />POLICY PR LOC <br />PRO - COMPS AGG $ <br />S <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />COM13INED SINGLE LIMIT S <br />(E° ) <br />BWLY INJURY (Por pmaon) S <br />ALL OWNED euros <br />BOOILY INJURY (Pa ac idmtl) S <br />SCHEDULED AUTOS <br />PROPERTYDAMAGE <br />(PER ACCIDENT)S <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />S <br />5 <br />UMBRELLA UAB <br />EXCESS LIAR <br />IOCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE S <br />AGGREGATE $ <br />DEDUCTIBLE <br />$ <br />S <br />A <br />WORKERE COSIPBNSATNUN <br />AND EMPLOYERS' LIABILITY IN <br />IETO� RTTNUEERIE UTNE YD <br />�' mal <br />OF OPERA <br />NIA <br />113339.14 <br />10/01/2014 <br />10/01/2015 <br />X STAT? OTH <br />_UW <br />E.L. EACH ACCIDENT t 1,000,004 <br />E.L. DISEASE - EA EMPLOYEE S 11000,00 <br />E.L DISEASE - POLICY LIMIT $ 11000100 <br />DENRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AVwM ACORD 101, Addison! Remarks Salmduio. N arose spars Is required) <br />*10 days notice applies if ameelled for non-payment of premium. <br />NOV 2 0 2014 <br />TOWHOMI <br />To Whom It May Concern <br />SHOULD ANY OF THE ABOVE DESCRIBED P ftr RE <br />THE EXPIRATION DATE THEREOF, NOTi BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZE REPREssiffAme <br />Dennis Com' <br />®1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />