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<br />�-,:20077
<br />DateErterea inilsigoin
<br />,acorzo CERTIFICATE OF LIABILITY INSURANCE
<br />�-
<br />DATE (MMIOO(Yw ✓)
<br />10/15/2010
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS
<br />CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights tothe
<br />certificate holder in lieu of such endorsement(s).
<br />PRCOLCER
<br />Migliore Insurance Services
<br />15545 Devonshire Street, Suite 110
<br />Mission Hills, CA 91345
<br />(818) 830-3442
<br />CD
<br />NAME —
<br />PHONE ---- —---------`-- A
<br />ss,..Ent_.____�—___ tArc,Nol t )
<br />E-MAIL _._-- --------
<br />ADDRESS----
<br />PRO—
<br />SV1IQMERM�
<br />.NSURER(AFFORDING COVERAGE NAICE
<br />INSILREO
<br />HUNT DESIGN ASSOCIATES, INC
<br />_
<br />INSUR_E_R__A FARt�RS INSURANCE EXCHANGE
<br />TRUCK INSURANCE EXCHANGE ;rT
<br />INSURER B�.—
<br />:.. ,,._... 1..�
<br />IN SURER
<br />INSURERo
<br />25 NORTH MENTOR AVENUE
<br />INSURER
<br />PASADENA, CA 91106
<br />NSVkcR F
<br />THIS IS TO CERT FY THAT THE POLIC ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T "� FidLICY PIOD
<br />1-4UCATEO NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CON TRACT OR OTHER DOCUMENT WITH RESP WHIC THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO� tE TERM,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS %O-
<br />—_ —
<br />NS R.�— --
<br />LTR TYPE OF INSURANCE
<br />POLICY NUMBER
<br />U —
<br />VYY
<br />__FOLICY EK3_
<br />M Iry
<br />LIMITS
<br />GENERAL LIABILITY !
<br />A R./ G AL - �y .. bLIT` I
<br />160028
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<br />lO 13
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<br />11/28/200 �a
<br />I/2 H/2O1 q
<br />Fc iRRFv-F
<br />$1,000,000
<br />1-1( m R h
<br />PRFMt ES tE3c dEr{Pj
<br />r+ED EkP rNl ts011
<br />t_ 100, 000
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<br />L'E NFLd AV 1V-IL RY
<br />—5,000 _
<br />E1,000,000
<br />ATE
<br />1$2,000,000
<br />Pu D MPlJPa.O
<br />=2,000,000
<br />TE aMiTA.PLIESPER
<br />_—
<br />AUTOMOBILE LIABILITY-
<br />A PNV.a,T,
<br />60028 10 13
<br />'11/28/200`#11/28/201�
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<br />I G`�F? r °C S NG_E LIVIT
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<br />AND EMPLOYERS LIAWLITY YIN
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<br />$ - c Ect ME+rr,:-1 NIA
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<br />IBIS09 49 89
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<br />111/28/200�L1/28/201
<br />F l F.1T
<br />i 1, 000 , 000
<br />CA-RK` '1
<br />EL EA,E L_IEE
<br />1, 000 OOO
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<br />EL Ea-E
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<br />$1,000,000
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<br />DESCRIPTION OF CPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101, AddBienal Remarks Schedule, A mom space Is reRurea)
<br />• 10 DAYS FOR NON PAYMENT
<br />JOB: SANTA ANA 200
<br />HDA REFERENCE NO. 2577
<br />CERTIFICATE HOLDER CANCELLATION
<br />IANTA ANA 200
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOAT—
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />188 W . SANTA ANA BLVD 2ND FLOOR ACCORDANCE WITH THE POLICY PROVISIONS.
<br />;)UNTA ANA, CA 92702 AUT-40R!ZED RE PRE SENTATIVE
<br />LJ ltlOe-LUUJ AI.URU l-UR YLJRA I IVfV. NII rlgncs reserved,
<br />ACORD 25 (2009f09) The ACORD name and logo are registered marks of ACORD
<br />n1oa.:Ceo I Sing Forms Bass P iS So4w41'e a Formssoss corn, impress" PuCBsri rg 800 200 1977
<br />
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