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.acORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIVYYY) <br />F <br />04/26/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />qHIC NNu E . (888 202-3007 AAic Not; <br />520 Madison Avenue <br />EMAIL <br />ADDRESS: Contact@hiscox.COm <br />INSURER$ AFFORDING COVERAGE <br />NAICN <br />32nd Floor <br />INSURERA: HIBCOX Insurance Company Inc <br />10200 <br />New York, NY 10022 N-201$_088 <br />INSURED <br />INSURER B <br />GEN'L <br />X <br />INSURER C <br />PERSONAL &ADV INJURY $ 1,000,000 <br />MICHAEL RANESES <br />INSURER D: <br />PRODUCTS. COMPIOPAGG $ SIT Gen. Agg. <br />2409 MIRA MONTE CT <br />INSURER E: <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NOWO <br />HIREDAUTOS AUTOS NEO <br />AUTOS <br />1 INSURERF; <br />TUSTIN CA 92782 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />VD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE XX OCCUR <br />UDC -2163525 -CGL -18 <br />02/01/2018 <br />02/01/2019 <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />GEN'L <br />X <br />PERSONAL &ADV INJURY $ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY D PRO- LOC <br />OTHER: <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS. COMPIOPAGG $ SIT Gen. Agg. <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NOWO <br />HIREDAUTOS AUTOS NEO <br />AUTOS <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />BODILY INJURY Per accident <br />( ) $ <br />PROPERTVDAMAGE $ <br />Per accident <br />$ <br />UMBRELLALIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOWPARTNERIEXECUTIVE ❑ <br />OFF CERIMEMBEREXCLUDED4 <br />I <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD <br />101, Additional Remarks Schedule, may be attached if mare space Is required) <br />CERTIFICATE HOLDER <br />CANCELLATION <br />- <br />SHOULD ANY OF THE AB VE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DA THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH TH POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />xS <br />