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From. SANDI FALCONE At: FIRST WEST INS AGENCY FaxID: 714- 842 -3128 To' Marty Shirey Date: 11242009 11'02 AM Page. 2 of 2 <br />c� CERTIFICATE OF LIABILITY INSURANCE D��; :1 11 2• <br />PROOU ER HIS GER CA IS E 8 A MA 1 ORMATION <br />Pi rat west Insurance Agency ONLY AND GONFER8 NO RICiHT9 UPON THE CERTIFICATE <br />16742 Ootharfl 6t 1k 217 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />P.O Box 1009 ' <br />Ruatington Hach CA 92647 NA,�y <br />Phonal 714- 842 -2523 Faxs714 -842 -3128 INSURERS AFFORDING COVERAGE <br />IN3uRED INSURER IL DSERCDitY CASi7laI.TY CO. 119( <br />1 W9URER B: _ <br />vets Cara v :c inatioa Bervlcaa, """" "" °' <br />Il 7ounta�n�Va��iyACl n9270B -6016 IsuRERO� <br />I NSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LJSTLO BELOW HAKE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITNSTANDRIG <br />4NV REQUIREMENT, TERM OR CONDRION OF ANY GDNTRACT OR OTHER DOCUMENT WfTH RE6vECT TO WHICN TH13 CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE MSURANGE AFFORDED BY THC POUGIE6 DESCRIBED NEREM IS SUBJECT TO ALL THE TERMS, EXCLUBION6 AND GONDTION9 OF SUCH <br />P OLIC�ES AGGREGATE LNRS SHOWN MAY HAVE BEEN REDUCED BY PAq CUIMS. <br />lTR NERD TYPE OF IMBl1RANC[ <br />OEN ERAL LULBILITY <br />i i COMUERGAL GENERAL LWBILRY <br />POLICY NYYHER <br />I <br />DAT[ MM/O <br />E MY <br />LYT[ <br />EACH OCCURRENCE <br />S <br />PREME6E5 Ea slcu+Rro <br />i <br />MED E%P IAnY ar pY») <br />e <br />CLAIN6 MAOE u OCCVR <br />PER60NAL a AOV Iw URY <br />s <br />i <br />I <br />� � <br />I <br />GENERAL AGGREGATE <br />PRODVCT9 - COM ►/OP AOG <br />3 _ <br />EtS PER: <br />II��'L AGGREGATE LA1IT AP�P'L <br />—I <br />' 1 POLICY jECT I LOC <br />A � ; <br />wUTOMOBKE LIABILITY <br />F -- <br />X_ /LNY Avro <br />COMBINED 81NGLE LIMIT <br />(Ee aaad�rv) <br />i <br />BODILY INJURY <br />(P���I <br />f 100,000 <br />� <br />l+l <br />ALl OWNED AUTOS <br />SCNEDULED AUT06 <br />AC11076036 <br />Oti /02/09 <br />06/02/10 <br />I <br />_ HIREO AUTOS <br />6«DIL�V ItlN: ;RY <br />6300,000 <br />i <br />i NoNOwNED wuros <br />PROPERTY DAMAGE <br />(Par aeCMM) <br />3 100, OOO <br />GARAGE VABILITY <br />AUTO ONLY -EA ACCIDENT <br />S <br />OTNER TIUN EA AGC <br />AUTO ONLY: AOG <br />ANY AUTO <br />i <br />I <br />1 EICE6BIUM6RELLA LUIBILITY <br />EACH OCCVRRENCE <br />e <br />AGOAEpATE <br />3 <br />—� OCCUR � CLAIMS MADE <br />I <br />s <br />e <br />DEDUCTIBLE <br />s <br />RETENTION i <br />Y <br />AND EMPLOYERS' LU\[ILrrY YIN <br />I ANY PROPRIETOR/PAATNERlE%ECUT <br />I OF FICERMEMBER EXCLUOEDT Mf� <br />(Mantlatory in NNl <br />_ <br />T RY IMRS ER <br />E.L FJ.CN ACCIDENT <br />i <br />E.L DISEASE - EA EMPLOYE <br />i <br />.__ _.__.. <br />E.L. DISEASE - POLICY LIMB <br />n yva«.. asrilee v.e.r <br />SPED WL PROV4gN5 tpb.Y <br />J <br />� DTNER <br />1 <br />DESCRIPTION OF OPERATION! / LOCATgMS /VENICE[[ / EIICLUS10N3 ADDlD BY EIIDORBEY ENT 16PCOAL PR01IIB10N6 <br />[MOULD ANY OF THE ABOVE DEBCRIBEO POIJCtES 9E GNCELLED BEFO w! THE E %PMATIDM <br />_ DATE THEREOF. THE IB[Ulln INSURER WILL [NDIAVOR TO YAK � DAYS Ml1BTTEN i <br />NOTICE TO THE CERTFICAIE MOLDER NAMED TO THE LEPT, BUT FAKURE TO 00 BO BNALL i <br />MPOSE MO OBLIGATION OR LIABILITY OF ANY KIND UPON THE WEUREIL lis AGENTS OR <br />VGG Cara Vacciaatloa Be:rY1 CO■ RlPREBENTATNEB. <br />AUTN •ATNE <br />ACO RD 25 (2009101) ®1986 -2009 ACORD CORPORATION. All light: rBSSTYBd. <br />Tt» ACORD name and bgo ere reBlBteTStl IRarxs oT AGORD <br />L� � � <br />��2Ly,/L" •� <br />/ 1 7 /CO <br />S[ /�' {{{{�� <br />����✓ �� <br />�� v f11,1 <br />O '� <br />