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ASR, CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />PRODUCER (818)224-6100 <br />C. M. Meiers Company, Inc. <br />21045 Cal i fa St . #100 <br />Woodland Hills, CA 91367 <br />FAX (818)224-6099 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC 4 <br />INSURED LaBelle Marvin, Inc. <br />2700 So. Grand Ave <br />Santa Ana, CA 92705 <br />A -- o?00 - *y <br />A - c?06H - /,S -Z/ Dl <br />INSURERA• Hartford <br />INSURERS: Houston Casualty <br />INSURER c: <br />INSURER D: <br />INSURER E: <br />THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />BLSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />_ „ _ _ <br />20 Civic Center Plaza <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />GENERALLIA ILITY <br />72SBANU6283 <br />06/16/2007 <br />06/16/2008 <br />EACHOcctmENcE s 1,00-0,0001 <br />DAMAGE TF;qO RENTED = 3OO <br />X COMMERCIAL GENERAL LLOOLrrY <br />MED EXP (Any one Pin) S 10 <br />CLAIMS MADEF71 OCCUR <br />PERSONAL d AOV INJURY S 1 ON <br />A <br />X <br />GENERAL AGGREGATE $ 2 000 0 <br />GEMLAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OPAGG Z 2,000 O <br />X Poucv Jj'ECT M LOC <br />AUTOMOBILELIABKRY <br />X ANY AUTO <br />72UECAN0364 <br />06/16/2007 <br />06/16/2008 <br />COMBINED SINGLE LIMIT <br />(Es acadeM) S 1,000,000 <br />BODILY INJURY <br />(Per person) Z <br />A <br />X <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) 6 <br />PROPERTY DAMAGE S <br />(Per and sera) <br />GARAGE LIABILITY <br />AUTO ONLY • EA ACCIDENT S <br />OTHER THAN EA ACC S <br />AUTO ONLY: AW S <br />ANY AUTO <br />EXCESSAN/BRELLALIABIITY <br />72SBANU6283 <br />06/16/2007 <br />06/16/2008 <br />EACH OCCURRENCE $ 5,000,00 <br />AGGREGATE S 51 000, 00 <br />Xi OCCUR FICLAIMS MADE <br />s <br />A <br />X <br />t <br />DEDUCTIBLE <br />$ <br />X RETENTION s 10,000 <br />WORKERS COMPENSATION AND <br />72WECRQ5643 <br />06/16/2007 <br />06/16/2008 <br />X I WC STATU 0TH• <br />E.L. EACH ACCIDENT S 1 0002000 <br />A <br />EMPLOYEAW LIABILITY <br />ANY OFFICER/MEMI BER EXCLUDED?�XECUTIVE <br />E.L. DISEASE - EA EMPLOYE S 1 000,000 <br />H yes desaibe underIAL PROVISIONS belay <br />SPEC <br />E.L. DISEASE -POLICY LIMITS 1,000,00 <br />g <br />i-HE SIGNAL LIABILITY <br />HC071009403 <br />06/16/2007 <br />06/16/2008 <br />$1,000,000 PER CLAIM <br />$1,000,000 AGGREGATE <br />DESC ON OF OPERATKHVS /LOCATIONS / V / EXCLLBSI S ADDED BY EMDORSEMENT / SPECIAL PROVISIONS <br />ertiiicate holder is nameY%Ls an Adc tional Insured as respects to the operation of the Named insured. <br />10 Days Notice of Cancellation for nonpayment of premium. <br />e•eamr,e,nwTe unl naa l!ANCFI 1 ATICIN <br />ACORD 25 (2001/08) ®ACORD CORPORATION 191 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />39 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLM NAMED TO THE LEFT, <br />city Of Santa And M-93 <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />_ „ _ _ <br />20 Civic Center Plaza <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Herbert Rothman VI <br />Santa Ana, CA 92701 <br />? <br />ACORD 25 (2001/08) ®ACORD CORPORATION 191 <br />