Commercial

SIERRA WEST PAINTING

CONTRACTORS DECLARATION

I hereby affirm that I am a licensed contractor under provisions of Chapter 9 (Commencing with section 7000) of Division 3 of the Business & Professional Code of the State of California, and that my license is in full effect.
License Class C-33 License #: 590137 Exp. Date: 3-31-04

WORKERS’ COMPENSATION DECLARATION

I hereby affirm that I have Workers’ Compensation Insurance.

Insurance Company: ARM of California Phone #: 949-221-8700

Policy #: 005125-00 Exp. Date 1-01-04

GENERAL LIABILITY INSURANCE

I hereby affirm that I have General Liability Insurance including: broad form property damage, products and completed operation, comprehensive and independent contractor’s coverage, combined bodily and property.

$2,000,000 Minimum

Insurance Company: First Specialty Insurance Co. Phone #: 949-349-9821

Account Executive: Karen Brower Exp. Date: 11-8-03

Broker: Arthur J. Gallagher & Co. Phone #: 949-349-9800

Does your company comply with California State Law SB198 ? YES

AUTHORIZED SIGNATURE

Date

ERIC SCHIRMER

CEO: Schirmer Enterprises