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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/Y0
<br />01 /15/2010
<br />PRODUCER 805.493.5401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />PRIMARY & EXCESS INS SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />EMAIL: BESSEY @PRIMARYINS.COM HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />PO BOX 2002 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />THOUSAND OAKS, CA 91358 -2002 INSURERS AFFORDING COVERAGE
<br />INSURED NAIC #
<br />INSURERA: HARTFORD CASUALTY COMPANY
<br />BURKE, WILLIAMS & SORENSEN, LLP
<br />INSURERB:
<br />444 S. FLOWER ST., SUITE 2400
<br />INSURER C: UNDERWRITERS AT LLOYDS, LONDON
<br />LOS ANGELES, CA 90071
<br />INSURER D:
<br />COVERAGES
<br />INSURER E:
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
<br />DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED
<br />BY PAID
<br />SR DD'
<br />CLAIMS.
<br />TYPE OF INSURANCE POLICY NUMBER
<br />POLICY EFFECTIVE POLICY EXPIRATION
<br />D TE MM A M
<br />A X GENERAL LIABILITY
<br />LIMITS
<br />X COMMERCIAL GENERAL LIABILITY 72 UUN UR 4713
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMAGE TO RENTED
<br />8/1/2009 8/1/2010 PREMISES 300,000
<br />CLAIMS MADE F OCCUR FORM HIS 0001 0605
<br />Ea occurrence $
<br />X AUTOMATIC ADD'L
<br />MED EXP (Any one person) $ 10,000
<br />X SEE NOTE (1)
<br />PERSONAL &ADV INJURY_ $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE $ 2,000,000
<br />POLICY PRO
<br />PRODUCTS - COMP /OP AGG $ 2,000,000
<br />X LOG
<br />A AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />72 UUN UR 4713
<br />COMBINED SINGLE LIMIT 1,000,000
<br />8/1/2009 8/1/2010 (Ea accident) $
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />BODILY INJURY $
<br />(Per person)
<br />X HIREDAUTOS
<br />NON -OWNED AUTOS
<br />BODILY INJURY
<br />(Per accident) $
<br />PROPERTY DAMAGE
<br />$
<br />(Per accident)
<br />GARAGE LIABILITY
<br />ANY AUTO
<br />AUTO ONLY - EA ACCIDENT $
<br />OTHER THAN EAACC $
<br />AUTO ONLY:
<br />A
<br />EXCESS 1 UMBRELLA LIABILITY
<br />AGG
<br />$
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />X OCCUR CLAIMS MADE
<br />72 XHU UR 1585
<br />8/1/2009
<br />811/2010
<br />AGGREGATE
<br />$ 10,000,000
<br />DEDUCTIBLE
<br />RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />X
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRI ETOR/PARTNER/EXECUTIVE YIN
<br />SPECIFIC EMPLOYERS'
<br />4/1/2009
<br />4/1/2010
<br />X WCY TATUS OER
<br />E.L.E ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMSER EXCLUDED?
<br />(M NH)
<br />CERTIFICATE IS ISSUED
<br />SEASE - EA EMPLOYEE
<br />$ 1,000 000
<br />es describe
<br />yes, describe under
<br />BY ISU / STANTON INS '
<br />S
<br />SPECIAL PROVISIONS below
<br />OTHER
<br />ISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />LAWYERS PROFESSIONAL
<br />LIABILITY INSURANCE
<br />BO 595 EO 070330 2010
<br />1/15/2010
<br />1/15/2012
<br />LIMIT: $10,000,000 PER CLAIM AND
<br />ANNUAL AGGREGATE, SIR: $250,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
<br />i
<br />NOTE (1) GENERAL LIABILITY POL ICY EXCLUDES PROFESSIONAL SERVICES- REFER TO LAWYERS PROFESSIONAL L/ABILTI'YPOLICY NOTWI,THS ANDING°Fkfl1EXC SIO 1N NpTE
<br />WRITTEN CONTRACTS W77H INSURED ARE AUTOMATICALLY INCLUDED AS ADDITIONAL INSUREDS
<br />(1), PARTIES WITH
<br />' a
<br />UNDER HARTFORD'S COMMERC /
<br />P 001 0605, INCLUDING
<br />PROVISIONS FOR PRIMARY /NON - CONTRIBUTORY INSURAN6E17$EPARA RON OF INTERESTS, AND WAIVER OF SUBROGA 7ION TO THE
<br />'
<br />POLICIES, ENDORSEMENTS, CLARIFlCAI "IONS. AND /ORADDfT1OrV.4l DOCUMENTATION IS AVAILABLE
<br />EXT NT 7HAT C 'j'hyryl(i#�Fwa
<br />vaaa�QllVi UNDER THAT POLICY.
<br />UPON REQUEST. Q
<br />'stant
<br />J s Cit /�ti ij,*
<br />CERTIFICATE HbLAER
<br />CANCELLATION
<br />_
<br />II t
<br />SHOULD ANY OF THE ABOV DE I IE EC ED BEFORE THE EXPIRATION
<br />CITYtb� SANTO ANA �^
<br />DATE THEREOF, THE ISS G E o AIL 30 DAYS WRITTEN
<br />ATTN: INDHIRA GAGNON
<br />NOTICE TO THE CERTIFIC T A T LEFT j(XM(
<br />20 CIVIC CENTER PLAZA, 7TH FLOOR
<br />)w)( w)bU QDGx A€g+`;Dfkwx
<br />SANTA ANA, CA 92702
<br />a w)*a li%xvj* CXXX X
<br />AUTHORIZED REPRESENTATI J FI
<br />isl John A. Besse
<br />ACORD 25 (2009!01)
<br />,�PCU'
<br />©1988 -2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and loao are reaistered marks of ACORD
<br />
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