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ACORO CERTIFICATE QF LIABILITY INSURANCE ?? DATE (MM/DD/YYYY) 12/8/2011 PRODUCER (303) 534-7325 FAX: (303) 623-7325 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Perak 360, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1600 E S HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR merson t. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Danvar CO 80218 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: HOmaland Insurance CO Of NY We1lDyna, Inc_ Wa1lDynaRX INSURER B,Continantal Insurance (CNA) 7472 S . Tucson Way wsuRER cTha Hartford oo91a Suite 100-A and $111 t0 100-B INSURER D: Cantann a1 CO 80112 - e2. INSURER E' vvcKACats THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES- AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' N R TYPE FIN C POLICY NUMBER POLICY EFFECTIVE DA MM/ POLICY EXPIRATION ATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 OOO 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300 000 A CLAIMS MA ?X ' ` DE OCCUR L-0925-11 12/7/ 2011 12/7/201 1 MED EXP (Any one person) $ $ 000 PERSONAL 8 ADV INJURY $ 1 OOO OOO GENERAL AGGREGATE $ 3 000 OOO GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS -COMP/OP AGG $ 3 000 000 X POLICY PRO LOC AUT OMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accitlent) $ 1 , 000 , OOO B ALL OWIJED AUTOS 4026985883 12/7/2011 12/7/2012 BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS C F RM ?y ?j L ?? ?`, ?O ?v BODILY INJURY $ X NON-OWNED AUTOS ? AF T` l (par accitleni) // / Z PROPERTY DAMAGE P ic $ ( er acc enl) GA RAGE LIABILITY .a.IITa. edY ) AUTO ONLY - EA ACCIDENT $ ANY AUTO _ Agy1SC9.RL ?l AtY OT11 (' OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 2 OOO 000 X OCCUR ? CLAIMS MADE AGGREGATE $ 2 OOO 000 A DEDUCTIBLE -0251-11 12/7/2011 12/7/2012 $ X RETENTION $ 10,00 EXCESS OVER CLiA ONLY $ C WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ? OFFICER/MEM BER EXCLUDEDi E.L. EACH ACCIDENT $ 1 OOO OOO (mandatory In NH) 34wEJZ3046 6/1/2011 6/1/2012 E.L. DISEASE-EA EMPLOYE $ 1 000 OOO If yes, describe antler SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 000 OTHER EACB OCCURRENCE $ 1 , OOO , OOO A PROFESSIONAL -0925-11 12/7/2011 12/7/2012 ANNDaL Ac,GREC,xxE $ 3,000,000 LIABILITY DESCRIPTION OF OPERATONS/ LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS IiGR I lrl V/'11 G 1"IVLUCR VAry(i CL.L/>\ I ILJry ckindig@santa-erne. org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN CHRI STY K2NDIG NOTCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. AUTHORIZED REPRESENTATIVE / l ?__ _ Gary Friedman/GARY ! - - {? °? AGUKU l5 (L009/07) ©1988-2009 ACORD CORPORATION. All rights reserved. ? INS025 (zooso'I) The ACORD name and logo are registered marks of ACORD j . f