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NOU-07-2001 14::30 INTERSTATE BENEFITS 530 272 2605 P.01i01 <br /> AGUHU,,, CERTIFICATF OF LIABILITY 1NSU CE11/oDATE <br /> 7/2001 <br /> PRODUCER THIS CERTIFICATE WSSUED AS A MATTER OF INFORMATION <br /> IBC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> PO BOX 984 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 10175—A JOERSCFIFCE DRIVE <br /> GRASS VALLEY CA 95945— <br /> INSURERS AFFORDING COVERAGE <br /> INSURED INSURER A:FULCRUM INSURANCE COMPANY <br /> EN PROB ENVIRONMENTAL PROBING (NSURERB:UNIGARD INSURANCE COMPANY <br /> PO BOX 6093 INSURERC:STATE COMPENSATION INSURANCE FUND <br /> INSURER D: <br /> OROVILLE CA 95966— INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY <br /> REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS, <br /> INSR TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY DCPIRAT <br /> LTR DATE MWOUN DATE M/D0lION <br /> Y LIMITS <br /> A GENERAL LIABILITY <br /> EACH OCCURRENCE S 1,000,000 <br /> X COMMERCIAL GENERAL LIARUTY FIRE DAMAGE An ono fire S 100,000 <br /> CLAIMS MADE ❑X .V <br /> OCCUR CP1035784 01/13/2001 01/13/2002 MEDE (Anyonaperson) s 1,000 <br /> PERSONAL SADV INJURY S 1,000,000 <br /> GENERAL AGGREGATE S 2,000,000 <br /> GENL AGGRFGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S 1,000,000 <br /> POLICY FjITR LOC <br /> B AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accidemt) 5 1,000,000 <br /> ALL OWNED AUTOS ELA618468 02/14/2001 02/14/2002 <br /> BODILY INJURY <br /> X 5CHEOU1 ED AUTOS (Por parson) S <br /> X HIRED ALTOS / / / / BODILY INJURY <br /> X NON-OWNED AUTOS (Per accdenq S <br /> PROPERTY DAMAGE <br /> (Per accdenq s <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO / I I / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGO S <br /> EXCESS LIABILITY / / / / EACH OCCURRENCE S <br /> OCCUR F�CLAIMS MADE AGGREGATE s <br /> S <br /> DEDUCTIBLE <br /> RETENTION S - S <br /> C WORKERS COMPENSATION AND WC STATU- OT H. <br /> EMPLOYERS'LIABILITY / / / / TORY LIMITS I ER <br /> EL EACH ACCIDENT S 1,000,000 <br /> 713-00 0007363 10/01/2001 10/01/2002 EL.DISEASE-EAEMPLOYEES <br /> EL-DISEASE-POLICY LIMIT s <br /> OTHER <br /> DESCRIPTION CF OPERATIONSILOCATIONSNEHICLESIEXCLU$IONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS <br /> DRILLING FOR SOIL 6 GROUND WATER <br /> CERTIFICATE HOLDER X I ADDITIONAL IN5URED;INSURER LETTER_ CANCELLATION <br /> GEOS)rNTEC CONSULTANTS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> ATTN: ELLEN MANLEY EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 1500 NYWELL AVE. , #800 010 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT <br /> WALNUT CREEK CA 94596— FAILURE TO DO 30 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25-S (7/97) ®ACORD CORPORATION 1988 <br /> �INS025S(5910) ELECTRCNIC LASER FORMS.INC..(800)327.0545 Pace 1 of 2 <br /> TOTAL P.01 <br />