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<br />2.01 INSURANCE AND BOND VERIFICATION <br /> <br />A. The undersigned Bidder Certifies that he has the following insurance coverage: <br /> <br />1. Workers' Compensation: <br /> <br />Carrier: Vi rgi ni i'l SlJrpty <br /> <br />Address: Central Park Plaza South, 222 South 15th Str, Ste 1200 <br /> <br />Omaha, NE 68102-1680 <br />Phone~ndF~:Agencv: WJH Corp phone 831/722-9666 Fax # 831/722-2932 <br /> <br />Policy Number: WVS0015110-01 <br /> <br />2. General Liability: <br /> <br />Carrier: Financial Pacific Ins Co. <br /> <br />Address: P.O. Box 292220 Sacramento, CA 95829-2220 <br /> <br />Phone ~rl!tE~: Fax #916/630-5061 <br />Policy Number: 171367B <br />Policy Limits: $ 2,000,000 <br /> <br />A.M. Best Rating: <br /> <br />A <br /> <br />3. Automotive Liability: <br /> <br />Carrier: Clarendon National Ins. Co. <br /> <br />Address: 7 Times Square. New York. NY 10036 <br />Phone and Fa~: Nat'l Cl aims Mqmt Phone #503/636-1266 Fax #503/636-1605 <br /> <br />Policy Number: <br /> <br />SC1-CN-102712-00 <br /> <br />Policy Limits: $ <br /> <br />1,000,000 <br />A- <br /> <br />A.M. Best Rating: <br /> <br />BIDDER CERTIFICATIONS <br /> <br />Page 30f7 <br />