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� - aOd y - orJ/ � ACORO,_ CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 6 B 2010 PRODVCER phone: 619- z36 -IBZ6 Fax: 6IB- sss -zl4z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Alliant Snsurance 701 B Street, Services, Snc. 6th £ioor ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego CA 92101 20 Civic Center P1aZa M -29 SHALL IMPOSE NO OBLIGATION OR LiABILI TY OF ANY KIND UPON EACH OCCURRENCE INSURERS AFFORDING COVERAGE NAIC # INSURED MED EXP (Any one person) INSURER A:Hart £Ord IRS CO Of tha Midwest 37478 Daley & He£t 462 Stevens Ave=_nue #201 INSURER B: GENERAL AGGREGATE $ Solana Beach CA 92315 INSURER C: INSURER D: AUTOMOBILE INSURER E: AS AYpRpV ED SC1t �a�ta �SSiscan t C� � Stieedy �,tcozney COVERAGES 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 THTS 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. AGGREGATE LSMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO' BEFORE THE EXPIRATION DATE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS Indhira Gagnon CERTIFICATE HOLDER NAMED TO GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR 20 Civic Center P1aZa M -29 SHALL IMPOSE NO OBLIGATION OR LiABILI TY OF ANY KIND UPON EACH OCCURRENCE $ PREMISES Ea occurenca $ MED EXP (Any one person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS- COMP /OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AS AYpRpV ED SC1t �a�ta �SSiscan t C� � Stieedy �,tcozney COMBINED SINGLE LIMIT (Ea accitlent) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accitlenq $ PROPERTY DAMAGE (Per accitlen[) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS /UMBRELLA LIABILITY OCCUR � CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/M EM BER EXCLUDED? If yes, tlescribe untler SPECIAL PROVISIONS below 72 WECZX3412 6�8�2010 6�8�2011 X WC STATU- DTH- E.L. EACH ACCIDENT $ 1 0 0 0 0 0 0 E.L. DISEASE - EA EMPLOYEE $ 1 O O O O O O E.L. DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXC LUSION3 ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Proof of Coverage CERTIFICGTE HOLDER CONCELLOTION�� n rinvc TTr-iTTr -c r ='r-io TTrlTTD 21VMATTT ACORD 25 (200'1/06) � �� ©ACORD CORPORATION '1988 SHOULD ANY OF THE ABOVE DES CABBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City O£ Santa Ana WILL ENDEAVOR TO MAIL <30> DAYS WRITTEN NOTICE TO THE Indhira Gagnon CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 20 Civic Center P1aZa M -29 SHALL IMPOSE NO OBLIGATION OR LiABILI TY OF ANY KIND UPON Santa Ana CA 92702 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (200'1/06) � �� ©ACORD CORPORATION '1988