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/� - zevx i 1) -?- <br />ACORD CERTIFICATE OF LIABILITY INSURANCE 9/5%2008 m/DDffYYY' <br />PRODUCER (714)221-3900 FAX: (714)221-2277 <br />Armstrong/Robitaille/Riegle <br />Business & Insurance Services <br />2127 W Orangewood Suite 100 <br />Orange CA 92868 <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 <br />NAIC # <br />INSURED <br />Chambers Group Inc <br />17671 Cowan Ave #110INSURER <br />Irvine CA 92614 <br />INSURERA:Hartford Fire & Casualty <br />POLICY NUMBER <br />INSURERB'. <br />POLICYEXPIRATION <br />TE MDOIYY <br />C: <br />NS JR. D. <br />GENERAL LIABILITY <br />INSURER E'. <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 />LIMITSREG kTE WN MAY HAVE BEE 4 REDUCED BY PAID CLAIMS. <br />INSR <br />ADD'LTYPE <br />LU= <br />OF INSURANCE <br />POLICY NUMBER <br />D <br />DATE(MMD/YYI <br />POLICYEXPIRATION <br />TE MDOIYY <br />LIMITS <br />GENERAL LIABILITY <br />AUTHORIZED REPRESENTATIVE <br />EACH OCCURRENCE$ <br />DR MI SES E.E TO RENTED e $ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one arson $ <br />CLAIMS MADE ❑ OCCUR <br />PERSONAL & AVI $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMPI P $ <br />PRO - <br />LOC <br />AUTOMOBILE <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT E <br />(Ea accitlen0 <br />BODILY INJURY $ <br />(Per person) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />cidY $ <br />HIRED AUTOS <br />NON OWNED AUTOS <br />PROPERTY <br />P er.rod YDAMAGE $ <br />ROP <br />(Per accitlenl) <br />GARAGE LIABILITY <br />- <br />AUTO ONLY - EA ACCIDENT $ <br />OTHERTHAN EAA $ <br />ANY AUTO <br />-i' <br />'t <br />AUTO ONLY AGG $ <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCC RRENCE 3 <br />AGGREGATE $ <br />OCCUR FICIAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION <br />A <br />WORKERS COMPENSATION AND <br />VvC STATU- OTH- <br />X I <br />EMPLOYERS'LIABILITY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />72WEFV9991 <br />09/15/2008 <br />09/15/2009 <br />E. L. EACH ACCIDENT 8 1,000,000 <br />E L DISEASE -EA EMPLOYEE E 1, 000, 000 <br />OFFICERMIEMBER EXCLUDED? <br />Ryes, AL PR a PROVISIONS <br />SPECIAL PROVISIONS bebw <br />E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />*30 days written notice of cancellation except 10 days for non-payment of premium. <br />Waiver of subrogation included as per form WC990305 <br />CERTlcicerc HOLDER CANCELLATION <br />ACORD 25 (2001108) <br />INS025 (Inm oaa <br />0 ACORD CORPUHA I IU N 1 UU6 <br />Page 1 ol2 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa <br />Ana <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />20 Civic Center P1Z , M20 <br />10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />Santa Ana, CA <br />92701 <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Dan Armstrong/SARZO <br />ACORD 25 (2001108) <br />INS025 (Inm oaa <br />0 ACORD CORPUHA I IU N 1 UU6 <br />Page 1 ol2 <br />