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GU - -/ <br />... A OORD TM. CERTIFICATE OF LIABILITY INSURANCE <br />)ATE (MWDDNYYY) <br />02128(2007 <br />-RO'Yj'SR PhWw. (8170)38&B075 Fax (e58)51"822 <br />'N40 WELLNESS INSURANCE AGENCY <br />?'J$.'AVENUE, SUITE 206 <br />:2??5 <br />THIS CERTIFICATE 15 ISSUED AS A MATTER OF <br />INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Zurich American Insurance Company <br />- Id <br />% 7ti7ORRES <br />r1g2 RANCHERO WAY <br />INSURER B: <br />INSURER O <br />INSURER D: <br />C'4RDEN GROVE CA 92843 <br />INSURER E: <br />o-' 1'SLR CE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOW ITHSTANDING <br />OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISE UED OR <br />V°J uCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />' - 3R: 31%'C LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />-_"IF <br />- <br />OF INSURANCE <br />_ <br />POLICY NUMBER <br />Paley ErrrC a <br />DATE Im"ONY1 <br />POLICY"PrIATION <br />DATE MW <br />LIMITS <br />" !—X1`COMMERCALGENERAL UABILI <br />CLAIMS MADE OCCUR <br />6763733-00 <br />0112007 <br />01/24/08 <br />EACH OCCURRENCE <br />$ 0 , <br />p�nEu ToRMare°n�.) <br />E 100,000 <br />MED. CXP (Am one person) <br />$ 2,500 <br />PERSONALBADV IN JURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />J <br />OcN 'L AGGREGATE LIMIT <br />t APPLIES PEX POLICY PRO LOC <br />PRODUCTS-COMP70PAGG. <br />$ 3,000,000 <br />i AUTOMOBILE <br />rLIABILITY <br />' I A4YAUTO <br />COMBINEDSINGLELE LIMIT <br />MiraaMmlt) <br />E <br />- - ' <br />BODILYINJURY <br />T SCHEDULED AUTOS <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />BODILY INJURY <br />(Per wddemn <br />$ <br />PROPERTY DAMAGE <br />Per EmiDent <br />§ <br />---. <br />.. ... <br />AUTO ONLY - EA ACCIDENT <br />$ <br />. ... liLly <br />- - <br />AtW ALTO <br />OTHER THAN EA ACC <br />E <br />AUTO ONLY: AG[. <br />E <br />CXCESS) UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />L` !'' " <br />it SalSl (I nl <br />L.iiy ..,,,i .,, <br />EACH OCCURRENCE <br />$ <br />AGGREGATE41 <br />§ <br />_•" erS <br />RKERS COMPENSATION AND <br />-..; LC'YI—F!" LIABILITY <br />we sTATr <br />roar uxllrs <br />oTNEP <br />Et <br />E.LEACH ACCIDENT <br />$ <br />�iVry PROPPRTOERMTN[N2iECUME <br />Jc�fEEP.aEMBFA GXCLDDEpi <br />- s.o•�-Dae bbw <br />F DBFAS6EA EMPIOYEf <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />i <br />DESCRIPTION dF OPERATIONSILOCATIONSNEHICLEStEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />;ts officers, employees, agents, and representatives are added as an additional insured but only as the <br />respects <br />RT" 1ed insured except that liability resulting from the additional insureds sole negligence. <br />A-1` sonal Insured Endorsement is Effective: 02t27tO7 <br />_ '-Gli tyULL`ER <br />"a-Ita Ann, its officers, <br />- - nn-ts aid representatives. <br />S£8 Al-23 <br />:a:'ta A 1B CA 927C2 <br />F,*..rvtlon: <br />^?F'10011081 Certificate# 63663 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA JCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAt IED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUI Y OF ANY KIND UPON THE <br />INSURER, IT'S AGENTS OR REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br />C� <br />Jeffrey E. Frick CEO <br />0 ACORD C ORPORATION 1988 <br />