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OCT 24 2008 11=20 FR KINKLE RODIGER SPRIGG714 667 7806 TO 17146476515 P.02i02 <br />~- - ~o~-~-v S <br /> <br /> <br />ACORD <br />CERTiFIC <br />ATE OF ~ <br />IABILITY INSURANCE ; <br />°""~" <br />,. <br />~ , D <br />t;u; a <br />aooucER THIS CFRTIFICATE l6199UED AE3 A MATTER OF INFORMATION <br />~luh Int'I of CA - IE CL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE` <br />Hub lnCl of CA Ins Serv <br />Inc MOLDER TWe CERTIFICATE DOES NOT AMEND, E)CTE]dD OR <br />, <br />. ALTER THE COVERAGE' AFFORDED I3Y THE POLJCIE3 BELOW. <br />4371 Latham St, Eats tt101 <br />Rlvsrsids, CA 92501 INSIIRER6 AFFORDING COVERAGE NAIL aY <br />IIM1BVRED INSURER A; Flraman9 Fund hlliUr7i110B Gom anise 899999 <br />Klnkle, Rodlga b Spriggs INauREa a: EVBTest NaNotlgl InauranC6 Company 1012D <br />3339 Fourteenth Street INti1RER c: Navigators Insurand Comparry 42307 <br />Riveralda, CA 925D1 <br /> R7BlWER D: <br /> INeJRER E' <br />COVERAGES <br />TFIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED IVA~dFD ABOvE FaR THE POLICY vFJiIOD INDICTED. tvOTYNTHBTANDINO <br />ANY REQUIREMENT, TERM OR COND1710N OF ANY GONTRAC7 OR OTHER OOCU~nENT YNTH RESPECT 70 WHICH TFIIB CERTIFICATE MAY 8E 188UED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY TH5 POLICIES DESCRIBED HEREIN IB 6UBJECT TO ALL rHE TERMS. EXCLUSIONS AND cowmDArs OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE eEfEN REDUCED BY PAID CLAIM9. <br /> <br />Y <br />TYPE OR INlYRANCE <br />POLICY NUIMiR POLiGY !/ POLICY ^XMRATION <br />u-'lli[ <br />A wNRRALLIASII.m AZC80T2458S O41011D9 04101/09 cwcJtoccuRREruClt s 00 <br /> X COMMERCIAL OEN[RJLL, lu~eluTY TO pENYED =~~ DOO <br /> CLAIMS IMD! ~ OCCUR NEO EJfP ( aria P.rnml i10 D00 <br /> Pti180NAL s ADV IruuRY sExc tided <br /> OENENAI AOOREDAT'E i4 000 000 <br /> OlNY AOOREG-TE LtM? APPCIEB PER PRODUCTS - COMPIOP AOG i2 000 DDD <br /> DOLICY PRO LOC <br />A AuTOMasltt tJASlurr AZCD0724565 04101108 04101109 <br /> COMBINED awOle urlr <br />e <br />000 <br />D00 <br />s1 <br /> ANY AUTO IFi.ccl <br />/M) , <br />, <br /> All OYMED AIlT'08 eOptY INJURY <br />[ <br /> ecneouLEOAUros ~, (P.rpnfan) <br /> X MRED AUTOS ~ODlY INJURY <br /> X NONdYIMED AUT08 "~ ~ r <br />fPtl ~aJOMI) <br />[ <br /> <br /> ~/'~" ~_.. PROPERTY DAMAGE <br /> i <br /> (Pw Y~inq <br /> DAMOE LABILITY ~ _ ~ AUTDDNLr-EAACCWENT [ <br /> AIVV AUTO / <br />~ OTneR TNAN ~ AOC [ <br /> AVYOOWIV; A00 i <br />A RJtcestwwsaeuw LuelLrtr AZC80724565 04101iD8 04101/09 EACNOCGURRFN~ 0000 <br /> OCCUR ~ CLAIM[ MADE ACGREpATE SS DDD 000 <br /> s <br /> DEDUCTIBLE [ <br /> RETENTION S [ <br />B woRKERB cowlPtNBAT10N AN0 CA20D10190081 01/01108 01/01/09 x we °TATV- <br /> EMPLOYER[' lV1BILlTr <br />AlW PROPRIETpR/PARTNpLcYECVTIV <br />' <br /> <br />EL. FaCN AOOOeNT <br /> <br />11 000 DDD <br /> E <br />OPRIOEJtNFJNPRFIOCLUDED7 ELOIBFiBE•EAPJI~LOYEE Si 000 ODD <br /> lIl+ • OACIIEY YnM <br />SPB~IAI PROVISIONS ennr <br />E.L DISEASE • POLICY UItTT <br />S7 OOO 000 <br />C oTNeR pTOfesslonal NYOBLPL2219301dV 03114/08 03/14/09 55,OOD,000 oa Oacurr <br /> Llabllly 55,000,000 aggregate <br /> 550,000 r claim <br />oEecRS'TIOn OR OPEtn.noNt I wCATION[ ~ ~ENICLE[ 1 E1CWlIONL ao0E0 Br eNDORlEMENT r t:-ECIAL PRO~IEIONS <br />Clly of Santa Ana Is named e9 eddltonal insurod with respects to the <br />opsrstlona of the named Insured. <br /> snoulo ANr oc Tf1E Aeove oeECRIe11D rouclss sa CANCELLeo BecoRE THE EYPIRAY1oN <br />Gty of Sartta Ana oA rE TNBREOI'. THE teauwo twuRER wlLl ENOFwvoR To MAa _~_ Dwre WRITTGN <br />PO BOX 1998 NOTCE TO 7NE ClRTIfIGTB NOLA[R NAMEn 70 THE L.ERT, auT PAIWRe ro oo fo [MALI <br />Santa Ana, GA 92702 INVOBp ND OBLgAT10N OR LIABIIAT'Y of ANr RMD WON Tile WN1Al0. RE AaeNT9 OR <br />t.D EtUMtISENrATNE <br />J~p/ T <br />ACORD 25 (2001!08) 1 of 2 ~IIII52998 D8T o ACORD CORPORATION 18EIB <br />** TOTAL PAGE.02 ** <br />