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?oR°® CERTIFICATE OF LIABILITY INSURANCE FD?ATE( <br />M /2009 <br />page 1 of 2 <br />y , <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. 0. Box 305191 <br />Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Taller San Jose INSURERA: Hartford Insurance Company of the Midwest 37478-001 <br />801 N. Broadway <br />Santa Ana <br />CA 92701 INSURER B: <br />, <br /> INSURER C: <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <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 DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />S R <br />LTR <br />DD' <br />IN= <br />TYPE OF INSURANCE <br />- <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br /> GENERAL LIABILITY EACHOCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO ED <br />PREMISES(ERaoccENTurence <br />$ <br /> CLAIMS MADE <br />OCCUR <br /> u MED EXP (Anyone person) $ <br /> PERSONAL&ADVINJURY $ <br /> <br /> GENERAL AGGREGATE $ <br /> <br /> GEN'LAGGREGATE LIMIT APPLIES PER: 0 PRODUCTS -COMP/OP AGG $ <br /> POLICY PR? LOC <br /> AU TOMOBILE LIABILITY <br />too <br /> <br />ANYAUTO <br />9 COMBINED SINGLE LIMIT <br />(Ea accident) $ <br /> ALLOWNEDAUTOS re? <br /> o? BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> S' <br />P <br />4 ??7 <br /> HIREDAUTOS 1? <br />?C? <br /> <br />NON-OWNED AUTOS r <br />? BODILY INJURY <br />(Per accident) <br />$ <br /> <br /> PROPERTYDAMAGE $ <br /> (Per accident) <br /> GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> <br /> ANYAUTO EAACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> 7 OCCUR 7 CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE <br /> RETENTION $ $ <br />A WORKERS COMPENSATION 72WNC93300 5/31/2009 <br />5 <br />31 <br />2 ICSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY / <br />/ <br />010 X T CRY LIMITS ER <br /> YIN <br />ANY PROPRIETOR/PARTNER/EXECUTiVE? <br />OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ 1,000,000 <br /> (Mandatory in NH) <br />If <br />es <br />describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> y <br />, <br />SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> <br /> <br /> <br /> <br />2, <br />--... •• •- I V I l,N1YVCLLA I IVIY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL iYCGALGlMRE MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />Santa Ana Work Center <br />1000 E. Santa Ana Blvd. a------------me. <br />Suite 2000 AUTHORIZED RE RESENTATIVE <br />Santa Ana, CA 92701 ?/ b"- <br />ACORD25(2009/01) Co11:2703835 Tp1:928960 Cert:1256286 01988-2009ACORnCnRPCIRATInN ellrinhfcre..-A <br />The ACORD name and logo are registered marks of ACORD