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COI - W.C. Drilling, Inc. - Expires 2025-01-01ACORDTM PRODUCER Edgewood Partners Ins Center 3697 Mt Diablo Blvd, Suite 100 Lafayette, CA 94549 510 452-0458 Client#: 286973 WCDRILL CERTIFICATE OF LIABILITY INSURANCE INSURED W.C. Drilling, Inc. PO Box 254 Pinole, CA 94564 ADDRESS: sally.wallace@epicbrokers.com IDATE (MM/DDIYYYY) 12/28/2023 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). NAME: Sally Wallace PFIONE ) 510 452-0458 (A/C, No, Ext): I FAX No): 925 297 2081 INSURER(S) AFFORDING COVERAGE INSURER A : Crum & Forster Specialty Insurance Co INSURER B : State Compensation Ins. Fund INSURER C : Vantapro Specialty Insurance Company INSURER D NAIC # 44520 35076 44768 INSURER E COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE INSURER F : REVISION NUMBER: INDICATED, CERTIFICATE EXCLUSIONS INSR NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFtANY CONTRACT ORF{OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY POLICY EFF POLICY EXP {MMIDD/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY GL0102499 01/01/2024 01/01/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADEX OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $50,000 MED EXP (Any ono person) $ 5,000 GEN'L AGGREGATE LIMIT PERSONAL & ADV INJURY $1,000,000 X APPLIES PRO- PER: GENERAL AGGREGATE $2,000,000 P POLICY JECT LOC PRODUCTS -COMP/OPAGG $2,000,000 OTHER: $ C AUTOMOBILE X LIABILITY 508709503 01/01/2024 01/01/2025 COMBINED NGLE LIMIT (Ea accident)SI $1,000,000 ANY AUTO OWNED SCHEDULED BODILY INJURY (Per person) $ A AUTOS ONLY HIRED A AUTOS NON -OWNED BODILY INJURY (Per accident) $ A AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ A UMBRELLA LIAB EXCESS LIAB X OCCUR SE0127742 01/01/2024 01/01/2025 EACH OCCURRENCE $5,000,000 X CLAIMS -MADE AGGREGATE $5,000,000 DED RETENTION $ $ OFFICER/MEMBER EXCLUDED? y N /A E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $1,000,000 D DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Contractors Pollution Liab. GL0102499 01/01/2024 01/01/2025 $1,000,000 Per Incident $1,000,000 Aggregate $5,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of Gilroy is included as Additional Insured if required by written contract and per form CG2010/CG2037 attached to the General Liability policy with respect to their interest in liability arising from the operations of the Named Insured CERTIFICATE HOLDER CITY OF GILROY 7351 ROSANNA STREET Gilroy, CA 95020-0000 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -�L✓tZ ��i�vibyry-t- 1oz -#10 - 1413 - 1751 -F1 P1755 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S6169183/M6169108 CGA04