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<br />, <br /> <br /> ACORD,,, CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 1 DATE <br /> 06/28/2007 <br /> PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />i Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 25 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. O. Box 305191 <br /> Nashville, 'l'N 37230S1i1 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Taller San Jose A-2006-235 INSURER A: Amerioan Unitv Groun Ltd C0929-0Dl <br /> 460 South Batavia : INSURER B~ <br /> Orange, CA 92&56 <br /> I INSURER C: <br /> A_2006-235-01 INSURER 0: <br /> INSURER E' <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENT, 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 MA Y HAVE BEEN REDUCED BY PAID CLAIMS. <br />I,N~~ ~1?,9;~ TYPE OF INSURANCE PO~ICY NUMBER PgH~~~U'~;;~~ PR~.fl,!'.7f,~%3tpN ! ~IMITS <br />A ~NERAl L1ABIUTY UNI-CGL-07-01-023 6/30/2007 6/30/2008 ! EACH OCCURRENCE $ 2 ono.nnn <br /> A OMERCIAL OENERAL ~IABILITY ~~~~fi:U9.~~~~~~nr.\ $ <br /> - CLAIMS MADE GJ OCCUR MED EXP (Any one oo"onl $ <br /> - PERSONAL& ADV INJURY S 2 oon 000 <br /> I - GENERAL AGGREGATE S 2 nnn.ooo <br /> ~N'L AGGRnE LIMIT APnS PER: PRDDUCTS .COMP/OP AGG S <br /> PRO. <br /> POLICY JECT lOC <br /> I AUTOMOBI~E LIA61LITY COMBINED SINGLE LIMIT <br /> :=l ANY AUTO , {Ea accident} S <br /> i <br /> -i AllOWNEDAUTOS i 600lL Y INJURY S <br /> -i SCHEOULEDAUTOS IPor po"on} <br /> , <br /> _ HIREO AUTOS BOOI~ Y INJURY S <br /> NON.OWNED AUTOS (Per accident) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~RAGE L1A61~ITY I AUTO ONLY. EAACCIOENT 1$ <br /> ANY AUTO OTHER THAN EAACC $ <br /> ! AUTO ONLY: AGG $ <br /> I :5ESS/UM6RELLA L.IABIUTY EACH OCCU RRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> -, ~ TO FOR}\ $ <br /> --1 DEDUCTIBLE APPR;~VED !I $ <br /> RETENTION $ '-' $ <br /> WORKERS COMPENSATION AND _1lf/fP IX "':::-- ~ i T'X~~TfJ,Ii." I IOJ~- <br /> EMPL.DYERS' UABIUTY ~\02" <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Lorena f E.L. EACH ACCIDENT S <br /> OFFICERiMEM6ER EXCLUDED? ty Attornc,: E.L. DISEASE - EA EMPLOYEE $ <br /> If ya.s. dascrlbo under , b. <:s.istant C <br /> SPECIAL PROVISIONS bolow E.l. DISEASE - POLICY LIMIT $ <br /> OTHER I <br /> I <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICL.ES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />The Certificate Holder is named as Additional Insured by endorsement to the policy subject to the <br />terms set forth in the endorsement. <br />Taller San Jose, Block Grant - 610 N. poinsetta, Santa llna, CA 92701 <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SHOUUl ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCEL.~ED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WIL.L ~MAIL. ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF~L <br /> <br />ACORD 25 (2001/08) <br /> <br />Coll:2029l41 'I'pl:647050 <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />Banta Ana Work Center <br />1000 E. Santa Ana Blvd. <br />Suite 2000 <br />Banta Ana, CA 92701 <br /> <br />