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<br />' CERTIFICATE OF INSURANCE ISSUEDAT'E:
<br />~;~;,>;~p® 2/5/2010
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<br />I'R..~I l.'~ Ia:: 'T'HIS CERTIFICATF. IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br /> CONFERS NO I21GH'fS UPON THE CERTIFICATE HOLDER, 'THIS CERTIFICATE
<br />``~1'~ iIS Fargo Insurance Services USA
<br />IriC. DOES NOT AMEND, EXTEND OR ALTL'R OTHER COVERAGE AFFORDED BY'CHE
<br />, POLICIES BELOW.
<br />~; ~ I'1'('mOnt Street, SUlte 800 COMPANIES AFFORDING COVERAGE
<br />S~: r, I' 1 ~1nC1SC0 CA 94105 coMPANY
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<br />Great Northern Insurance Company
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<br />C'A DOI License #OD08408 con1PANY
<br /> Federal Insurance Com an
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<br />i ~d~:Ui l-D COMPANY
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<br />,,,,-mouth Figueroa Street, Ste. 3200 LE'rreRD
<br />i-~ s :~ngeles
<br />CA 90017 a>MPANY
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<br />COVERAGES AND LIMITS
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<br />"i'HEl 1S ICI CHI2'I'IFY T'ILAT THE POLICIES OF INSURANCE LLSTED BET.OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
<br />~:O'14N Ill IS'I',AADING ANY REQUIREMENT, TERM OR CONDTTION OF P.NY CONTR 4C T OR OTHER DOCUMENT W ITH RESPFC'T TO WHICH THIS CERTiF*CnTr. M11AV BF. IgsLJFn nR MAv'
<br />I'GI:IAI\. "I'I-I P: INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SU BJECT TO ALL THE TERMS, EXCLUSIONS AND CONDTTIONS OF SUCH POLICIES. i1MITS SI101NN
<br />iA1Al' I-1,A1 F RELN RFDUCL•D BY PAID CLAIMS.
<br />CCU. 'I'YPI: OP INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. DESCRIPTION LIMITS
<br />Cl'I< DATE DATE
<br /> GCNP:KALLL~BILH'Y GENERAL AGGREGATE $ 2,000,000
<br />;~ r~ C'O\-Ir,t. GENERAL LIAB.
<br />1_-- 3582-11-51 02/01/10 02/01/11 PROD-COMP/OP AGG. $ SUh)eCt t0 the
<br /> General
<br /> Aggregate
<br /> f'~ C I_r\I\iS MADE PERS dr ADV. EvJIIRY' $ 1,000,000
<br />i I ~ I C~CCCRREVCF
<br />LJ EACHOCCL'RRENCE $
<br />1,000,000
<br /> IL_-~ ~hY \'I':R'S ~ CONT'RACT'S PROT FIRE DAMAGE (One Fire) ~ $ 1,000,000
<br />
<br />F--- MEDICAL EXPENSE (One Per) $ 10,000
<br /> AUTOAIORILE LIABIL71'Y
<br /> L~ A~\Y AUTO 7499-6569 02/01/10 02/01/11 COMBINED SINGLELIMI'T $ 1,OOQ000
<br />I ~ l-~ ALL 011~NED AUTOS
<br />l BODILY INJURY (Per Person) $
<br /> ~
<br />~ SLI I LI)ULED AUTOS BODILY INJURY (Per Accident) $
<br /> L~ I IIRIiD AUTOS PROPERTY DAMAGE $
<br /> CJ NON-OWNED AUTOS
<br /> ~ ~ CrARAGE LIABILITY
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<br />12 DSCI'.S I L1GIl,IT1' EACH C~CURRENCE $ 5,000,000
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<br />~, ~ UvIPIfIiLL.A FORM 7982-0023 02/01/10 02/01/11 AGGREGATE $ 5,000,000
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<br />fti:\N UMBRELLA FORM
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<br /> l1~ORKERS' COMPENSATION ^ STATUTORY LTR%11FS'' `
<br /> AND ~~I~1)t~_{..~~L3~ ;'~...T ,1 1~3 1 L)I\.i~/I EACH ACCIDENT
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<br /> RA1PLOYE R'S LIABILITY ~ DISEASE- POLICY LIMIT ~
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<br />r ~ DISEASE -EACH EMPLOYEE _
<br /> ?1'111 R I`~til'P.ANCE _ ~. _ ~--..,...~__.__
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<br />llLSCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES/SPE IA LITEMS: "
<br />!~he Cite. its oilicers, agents, volunteers and employees are nam ed as Additional Insured. ~ - ~ `~
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<br />'~.':1 X11 AN D ADDRESS OF CERTIFICATE HOLDER: CANCELLATION:
<br /> SHOULD ANY OF THF. ABOVE DESCRIBED YOLICIES BE CANCELED BEFORE THE EXI'IR.4'I']ON
<br /> DATE "THEREOF, THF. ISSUING COMPANY WILL ENDEAVOR TO M.41L 30 DAYS WRff"I'tiN
<br />C.l ly Ol 5antd And, FFrldnce dnd Management NOTICE TO THE CER"CIFICAI'E HOLDER NAMED TO THF. LEFT, BLT FAILURE 7'O MAIL SUCH
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<br />ICE SHALL IAIPC~E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,
<br />.
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<br />gency
<br />C ITS AGENTS OR REPRF•.SENTATIVES.
<br />20 Civic Center Plaza M17
<br />P.O. 13ox 1988
<br />
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<br />~nta Ana, CA 92701 /
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<br />~\,tn: Francisco Gutierrez ~ r¢ ,g „~
<br />:A~orcl 25-S (7/97) ACORD CORPORATION 1988
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