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3/2d/20s0 09:21 FAX 8187026401 1001/001 <br /> ~~---1 Policy Number: Date Entered; 3/24/2010 <br /> ® DATE (NMlDDIYYY Y) <br /> A~ <br /> ° ~ ~ CERTIFICATE OF LIABi?..ITY INSURANCE 3/24/2010 <br /> 'HIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RICrHTS UPON THE CERTIFICATE HOLDER. THIS <br /> ;ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> (FLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> tEPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> VIPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the pvlicy(IBS) must ba endorsed. If SUBROGATION 19 WAIVED, subject to <br /> no forms and condit)onE of the. policy, certain policies may require an endorsement. A Statement on this ccrtificate dose not confer rights to the <br /> ertifiCate holder in lieu Of fuch ondorsement(5). <br /> IDUCER CONTAC <br /> SYNERGY INSURANCE SERVICES NAM: <br /> 2doNiCA RODRiGUBZ PHONE , (818) 702-9400 FAC Nn ; (816) 702-6001 <br /> E"A't ,mouicacQsbcglobal.net <br /> 22141 Ventura Blvd. # 202 PaooucER <br /> lJ~YTONEA ID N: <br /> Woodland Hihe, CA 91364 _ _ IN3URER(61AFFORDINGCOVERAOE NAICN <br /> JRED CALIFORNIA R$SIDEN'FIAL ABPRAISERS r16uRERA:F~~ ZNSUAAb7CE EXCI3ANGE . <br /> I~SURER'B : , . <br /> SoPHINY READtG wsuRER C : _ <br /> 8041 FLORENCE AVE. SUITE 20d WSURERD: - <br /> DOWNEY, CA 90240 INTVRER E: <br /> ' W 9VRER F <br /> IVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> 'HIS IS TO CERTIFY THAT THQ POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> VOICATED. NOTWITHSTANGINQ ANY RE~UIREMEN7, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> :ERTIFICATE MAY 6E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> :XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS-SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> I TYPE OF WSURANCE IADDL SUER POLICY NUMBER POLIC EFF PGUCY EkP tINIT6 <br /> GENERALLIABIUTY I EACH OCCURRENCE S1,000,OOO <br /> COMMGRCIALGENERALLIABILITY I A ,EccEO S 75,000 <br /> CLAIMS-),LADE ®OCCUR 60d716011 Z/14/201p /1d/2011 MEDEXP(Anyon9panon s 5,000 <br /> _ PER60NAL d AOV W,IURY Si i OOO r OOO <br /> _ GENERALAGOREGATE SZ, OOO, OOO <br /> OEN'LAGGREGATCUMRAPPLIESPER PRODUCTS-COMP/OPAGG S1,000,OOO <br /> POUCv, PRO' LOC S ~ <br /> AUTOMOeILtF LIABILITY FeK tE 9C~a InIGLE LIMIT ( s <br /> ANYAUTO L'~~~Oy~'~ AS 0000.YWJURY(P9rDenon) f <br /> ALL OWNED AUTOS ~ OD 0.Y WJURY (P0r 9t:Gtlon~} i <br /> SCHEDULED AUTOS ~ ! C~( PROPERTY DAMAGE I : <br /> HIRED AUTOS M141SA E- SS fley (Paracutl9nt> <br /> NON-OWNED AUTOS CLtY ttOf S <br /> pss~stant s <br /> UMBRELLA FLAB OCCUR EACH OCCURRENCE i <br /> E)LCESS LIAR CLAIMS-MADE ~ AGGREGATE S <br /> DEDUCTIBLE - _ S <br /> RETENTION = <br /> WORKERSDOMPENiAriON STATTS - 'OTH• <br /> ANDEAIPLOYERSUABILRY Y/N <br /> ANY PROPRIETOR/PARTNER~EXECVTIV¢ E L. EACH ACCIDENT S <br /> OFFICEP/MEMBERE%CLUOED7 ~ N/A 1 <br /> (Mand~tO,y Ut NH) E t. DISEAS6 • EA EMPLOYE S <br /> w ifs dosa+bsunea/ - - <br /> DE IPTION OF PERATIONS Oebw ' E L. DISEASE • POLICY LIMIT S <br /> cwPnON OF OPERATIONS/LOCATIONS? vr.HKLEC (Much ACORO 101, AaORIalIAI RY/9irk9 ScMauw, Ir eon 9yNa Iaf ngYlr9a} I <br /> <br /> .'Y OF SANTA ANA IS t3AMLD AS ADDITIONAL IDTStJS~D T7IT8 RY6PECT TO ALL 08ERATIONB OF TFIE NRt~D INSURED <br /> ' ~ •10 DAY NOTICE OS CANCELLATION FOR NON-PAYb1ENT <br /> <br /> RTIFICATE HOLDER CANCELLATION <br /> ULD AN E DESCRIEIED POU tE LLED BEFORE <br /> CITY bF trANTl? AtiA Tti4 EXPIRATION OATS THEREOF, NOTICfi WILL ®E DEWERED IN <br /> 20 CMC CENTER ?I.1LP.A, M-37 AUTHOR¢EDREPREtENTAYIVE <br /> SANTA ANA, CA 92701 <br /> ®1988-2009 CORD CORPORATION. All right reserved. <br /> <br /> ORD 25 (2009!09) The ACORD name and logo a:'e ror6lstered marks ofACORD <br /> a-.. a--- e,... ..r...........v r,,...,.r...e. w.,m• „wnra-cw, Pu6Gsi,ine 900.206-t fi77 <br /> <br />