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AC-08-D- CERTIFICATE OF LIABILITY INSURANCE <br />m7i17 zoos <br />PRODUCER (760)241 -7900 FAX: (760)241 -1467 <br />ISU Insurance Services - AMIAC Agency <br />17177 Yuma Street <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 />1439 S. Broadway Ave.. <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />Victorville CA 92395 <br />INSURERS AFFORDING COVERAGE <br />NAIC E <br />N18URED <br />NSURERA Peerless Insurance <br />imsUREmUnited Financial CasuSLIty <br />11770 <br />Cascom, Inc.., DBA: Hi Desert Communications <br />17181 Jasmine Street <br />NsUEaOGolden Eagle <br />10836 <br />INSURER D, Pennsylvania <br />12262 <br />INSURER <br />Victorville CA 92395 <br />RAGFS <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />%TE LIMITS SHOWN MAY HAVE BEE 4 REDUCED BY PAID C1 ALMS <br />MOR <br />TYPE OP NBURANCe <br />POLICYNUMBIR <br />POLICY <br />EFF <br />LIMITS <br />GEN ERAL LIABILITY <br />I 1, 000, 00X <br />D RENTED <br />I 100,000 <br />A <br />COMMERCALGENENALLIABUTY <br />CLAIMS MADE FX OCCUR <br />CBP0315374 <br />8/30/2007 <br />7PROQUCTS-COMPIOPAGG <br />Exp <br />S 5 00PERSONAL <br />A ADY INJURY <br />S 1,000 00= <br />2,000,000 <br />GENL AGGREGATE <br />LIMIT APPLIES PER <br />S 2,000,000 <br />X <br />oc <br />AUTOMOBILE <br />LABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(EI acdd R10 <br />N 1,000,000 <br />BODILY INJURY <br />(PS P.M) <br />N <br />B <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />5942126 -0 <br />8/30/2007 <br />6/30/2008 <br />X <br />X <br />BODSYINAJRY <br />Pw e¢ 4e Y <br />$ <br />HIREDAUTOS <br />NON -0WNED AUTOS <br />_ n� <br />1(� <br />i <br />X <br />PROPE[TYDAMAGE <br />(PO erkwA) <br />8 <br />_ <br />GARAGE UABS.ITY <br />l <br />ALTO ONLY - EA ACCIDENT <br />S <br />ANY AUTO <br />.� <br />OTHER THAN EA ACC <br />AUTO ONLY. .6213 <br />EICEaeNMBRFL i A LIABILITY <br />l �. <br />GCUEtEY <br />1,000,000 <br />..AGGREGATE <br />} 1,000.000 <br />X. .00CUR E] CLAMS MADE <br />- _. .. <br />".__... <br />.._ <br />L <br />= <br />C <br />DEDUCTIBLE <br />CUS327584 <br />9/25/2007 <br />8/30/2008 <br />X 1,000 <br />D <br />WORKERS COMPENSATION AND <br />XSTATIt 0 <br />E.L EACH AC <br />$ 1,000,000 <br />EMPLOYERS LIABILITY <br />ANY PROPRIETORIPAIWIERh ECUTAIE <br />OFF(CERIAEMBER EXCLUDED? <br />pIDLIwC102459600 <br />08/31/2007 <br />08/31/2008 <br />-EAE <br />I 1r 000,000 <br />EL V <br />S 1,000,000 <br />ff a a,.nma urOW <br />SPECK PROVISIONS hdow <br />OTHER <br />DBKMFnON OF OPERATIONEILOCATWMBNEMCLF .SOMLUMONS ADDED SY E DORSEMEMDBPECAL PROVISIONS <br />Certificate holder is hereby cased as additional insured in regards to the General liability, Umbrella and Auto <br />policy, workers comp is verification of coverage ooly.. a10 Day notice of cancellation for non - payment of preaius. <br />CERTIFICATE HOLDER CANCELLATION <br />bwatsonesanta-ana..org <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Santa Ana Fire Department <br />EXPIRATION DATE THEREOF. THE ISSUING INSURER WALL ENDEAVOR TO MAIL <br />1439 S. Broadway Ave.. <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />Santa Ana, CA 92707 <br />FAILURE TO 00 SD SMALL IMPOSE NO OBLIGATION OR LABIUTY OF ANY KIND UPON WE <br />INSUREK ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED RPPRR E TATIVE <br />Chrystal wells /CHRNEL <br />ACORD 28 (2001(08) o AWRD CORPORAT(UN T 850 <br />INS026 (olaa)o&, Parr 1 are <br />