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<br />CERTIFICATE OF LIABILITY INSURANCE
<br />912912015
<br />1;8 ps Imp] I K01 I', I WN -Ail OR6101 124 2;1; &911, 100.3 10.11 21011i 1111111111111111111
<br />oxorkiff-41111
<br />:W
<br />1 01401: 1
<br />PRODUCER
<br />� Ul �v
<br />NNE. James H. Bonner
<br />The Graham Company
<br />PHONEX
<br />5-56-630
<br />Graham wilding
<br />.__�.215-525-0234
<br />1 Penn Square West
<br />BONNER
<br />A' OR ESE. _UNIT@gra - hamico com -------------
<br />Philadelphia PA 19102-
<br />INSURER(S) AFFORDING COVERAGE MAIC
<br />INSURERAiLibert Ins,urance Corporation
<br />. .....................
<br />42404
<br />GENERAL AGGREGATE
<br />INSURED OPEXOOO.01
<br />INSURER B:North River Insurance Cq��n
<br />?1105
<br />OPEX Corporation
<br />INSURER C
<br />ANYAUTO
<br />305 Commerce Drive
<br />BODILY INJUPY (Pet Terson)
<br />-- ----- --- ------
<br />Moorestown NJ 08057
<br />1-YNLUHRm-2 . ... .....
<br />SaIEDULED
<br />'OVERAGES REVISION NUMBER:
<br />CERTIFICATE NUMBER: 1224704255
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED, BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />IS' R AUUIL'jUbh POLICY E F OLIC EX
<br />TR TYPE OF INSURANCE jl!�M Y—Y1 POLICY NUMBER rmftowyyyy) (MM;0Q�YYYyI---- LIMITS
<br />EACH OCCURRENCE $1,00$1,000„00C)-Mt5� --S
<br />A X COMMERCIAL GENERAL LIABILITY TSTZ,51�290099-075 10i1/2015 10/11/2016
<br />DAMAGE TO RENTED
<br />CLAIMS MADE F� OCCUR $700,000
<br />A WORKER$ COMPENSATION
<br />AND EMP'LOYERS'LIIABILITY
<br />ANY PROPRIETOR/PARTt4FRIEXF.:CkiTIVE-
<br />OFFICER/MEMBER EXCLUDED?
<br />ry
<br />(Mindaloin NH)
<br />'I ves. describe urdet
<br />0111111197
<br />AS7-Z51-290099-035 1 I O� 1/2015 110/1/2010
<br />5811059034 1110/1/2015 110/112016
<br />WC7-751-290099-015 110/1/2015 110,1./2016
<br />GEN"L AGGREGATE LIMITAPPLIES PER
<br />PRO-
<br />F�]
<br />POLICY JECT
<br />LOC
<br />$5,000
<br />PERSONAL & ADV INJURY
<br />$1,000,000
<br />GENERAL AGGREGATE
<br />A
<br />AUTOMOBILE LIABILITY
<br />$2,0,00,000
<br />X
<br />ANYAUTO
<br />$ 000,000
<br />BODILY INJUPY (Pet Terson)
<br />$
<br />IOW' IFIDI
<br />$
<br />SaIEDULED
<br />$
<br />(Pee accidwiII
<br />AbTO's”,
<br />RD DeducTible
<br />AUTOS
<br />EACH OCCUI NICE
<br />$20,000,000
<br />AGGREGATE
<br />$40,000,000
<br />111ON OWNED
<br />OTH-
<br />HIRED AUTOS
<br />'3TA Uy E LEB—
<br />AUTOS
<br />E L EA(+I ACCIDEN r
<br />$1,000,000
<br />Phys Dmig
<br />$1,000,000
<br />E L DISEASE - PCiL1ICY LIMIT $1,000,000
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EXC E SS LIAB
<br />CLAIMS -MADE
<br />A WORKER$ COMPENSATION
<br />AND EMP'LOYERS'LIIABILITY
<br />ANY PROPRIETOR/PARTt4FRIEXF.:CkiTIVE-
<br />OFFICER/MEMBER EXCLUDED?
<br />ry
<br />(Mindaloin NH)
<br />'I ves. describe urdet
<br />0111111197
<br />AS7-Z51-290099-035 1 I O� 1/2015 110/1/2010
<br />5811059034 1110/1/2015 110/112016
<br />WC7-751-290099-015 110/1/2015 110,1./2016
<br />DESCRIPTION OF OPERATIONS � LOCATIONS f VEHICLES (ACORD 101, Addhional Remarks Schedule, may Be allached N more space is reqWred)
<br />9*1-111007TNU511 M.0
<br />City, of Santa Ana
<br />20 Civic Center Plaza - Room 1
<br />17-nntn Ann (A 007ri1- HQA
<br />0 1988.2014, ACO RD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />MED EXP (Any one person)
<br />$5,000
<br />PERSONAL & ADV INJURY
<br />$1,000,000
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />PRODUCT S - COMP/OP AGO
<br />$2,0,00,000
<br />(Ea acdd(,,ro
<br />$ 000,000
<br />BODILY INJUPY (Pet Terson)
<br />$
<br />BODILY INJURY IF& accident)
<br />$
<br />PROPERTY DAMAGE
<br />$
<br />(Pee accidwiII
<br />RD DeducTible
<br />$1,000
<br />EACH OCCUI NICE
<br />$20,000,000
<br />AGGREGATE
<br />$40,000,000
<br />OTH-
<br />'3TA Uy E LEB—
<br />E L EA(+I ACCIDEN r
<br />$1,000,000
<br />E L DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />E L DISEASE - PCiL1ICY LIMIT $1,000,000
<br />DESCRIPTION OF OPERATIONS � LOCATIONS f VEHICLES (ACORD 101, Addhional Remarks Schedule, may Be allached N more space is reqWred)
<br />9*1-111007TNU511 M.0
<br />City, of Santa Ana
<br />20 Civic Center Plaza - Room 1
<br />17-nntn Ann (A 007ri1- HQA
<br />0 1988.2014, ACO RD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />
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