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178443 Ah_R CERTIFICATE OF LIABILITY INSURANCE D9/21/2/D°",m' o9r_tr_ol 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER CONTCT NAM : Cheri Greco John 0.Bronson Co./#0425149 PHONE 916-480-4153 FAX 3636 American River Drive Suite 200 E-MAILac N ;916-t80-1153 Sacramento,CA 95864 ADORES : raof-ohnobronson.com 916-974-7800 INSURERS AFFORDING COVERAGE NAIC S INSURER A: National Fire Insurance of Hartford(CNA Insurance) INSURED Fox Loomis Inc. INSURERS: Oak River Insurance Company(BHHC) INSURER C: Continental Casualty(CNA Insurance) 6901 Mc Comber Street Sacramento,CA 95828 INSURER D:_ INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iLTR TYPE OF INSURANCE ---TAD6QSU6R -- - — - POLICY EFF POLICY EXP POLICY NUMBER MM/DD MM/DD LIMITS 8ENEItAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY 4016889746 9/20/2011 10/1/2012 PREMISES TO R oNTED $ 1 0000O I CLAIMS-MADE X OCCUR MED EXP Any oneperson) S 5,000 A x I BI&PD Dcductible $2,000 Per Project Aggregate Applies PERSONAL d ADV INJURY S 1,000,000 When Required By Written Contract GENERAL AGGREGATE $ 2,000,000 - _ GEN'L AGGREGATE LIMIT APPLIES PER' - I PRODUCTS-COMP/OP AGG S 2,000.000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY �- 4016889777 9/20/2011 10/1/2012 Eaa ident ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS ,_-AUTOS BODILY INJURY(Per accident),S NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS tPer accident) S X1 UMBRELLA LIAB X OCCUR 4016889763 9/20/2011 10/1/2012 EACH OCCURRENCE S 3.000,000 C ~� EXCESS LIAB CLAIMS-MADE I ��--,�-- AGGREGATE g 3.000,000 DEO , X 1 RETENTION$RETENTION10,000 S WORKERS COMPENSATIONWC STATU- OTH- ANDEMPLOYERS*LIABILITY Y/N 2200054068-102 10/1/2011 10/1/2012 __X :TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEN/A E.L.EACH ACCIDENT B ' (Mende ory in NHOFFIC S EXCLUDED. E 1.000,000 If Yyes,161111 under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Limited Pollution Liability 4016889476 9/20/2011 10/1/2012 A IDeductible-S2.(W Each Incident S1.000.000 Each Incident 52,000,000 Aggregate Limit DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schoduls,If more space is required) RE: Add'I Interests: Forms: CERTIFICATE HOLDER CANCELLATION '30 Day Notice of Cancellation/10 Dav for Non-PaY/Non-RptR* FOX LOOMIS, INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 6901 MC COMBER STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SACRAMENTO,CA 95828 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved.