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200461 cloudburst mobile inc <br />Certificate of Insurance (page 1 of 1) 07/09/2010 02:41:18 PM <br />''?i°''°' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />.- ' 7/9/20, 0 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br /> <br />T NAME: <br />echlnsurance <br />1301 Central Expy <br />South <br />Suite 115 PHONE -7020 <br />A/C No Ext : (800) 668 <br />i (A//c, No): (972) 390-8484 <br />. <br />, <br />Allen, TX 75013 _ <br />E-MAIL <br />ADDRESS: <br /> PRODUCER - <br /> CUSTOMER ID M <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED INSURERA: The Hartford 30104 <br />cloudburst mobile inc <br />420 10th Ave West INSURER B <br /> <br />Kirkland, WA 98033 INSURER C : <br /> INSURER D : <br /> INSURER E : <br />O? INSURER F : <br />COVERAGES CERTIFICATE NUMBER: RFVI.RInN NI IMRFR: <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 REQUIREMENT, 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 />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR TYPE OF INSURANCE ADDL SUER , <br />POLICY NUMBER POLICY EFF <br />MM/DD/YYYY ! POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br /> GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br /> ? COMMERCIAL GENERAL LIABILITY DAMA E RENTED 1,000,000 <br />PREMISES Ea occurrence $ <br /> CLAIMS-MADE 'i ? OCCUR MED EXP (Any one person) $ 10,000 <br />A 463BMZG7259 7/9/2010 7/9/2011 PERSONAL & ADV INJURY $ 1,000,000 <br /> <br /> GENERAL AGGREGATE ! $ 2,000,000 <br /> i <br /> GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS -COMP/OP AGG $ 2,000,000 <br /> ? POLICY 1 PRO- LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> <br />ANY AUTO j (Ea accident) $ <br /> <br />ALL OWNE <br />O BODILY INJURY (Per person) I $ <br /> D AUT <br />S <br /> <br />SCHEDUL BODILY INJURY (Per accident) $ <br /> ED AUTOS ST FORM PROPERTY DAMAGE <br /> HIRED AUTOS (Per accident) $ <br /> NON-OWNED AUTOS n $ <br /> <br /> <br /> UMBRELLA LIAB OCCUR <br />Depu Cit <br />A <br />ttorney EACH OCCUR E " <br /> EXCESS LIAB <br />CLAIMS-MADE y AGGREGATE „ <br /> DEDUCTIBLE <br /> RETENTION $ <br />? <br /> WORKERS COMPENSATION WC STAT ' -"';;? •,? <br />: OTH-' <br /> AND EMPLOYERS' LIABILITY . <br />ER 'V <br />TORY LIM1111 <br /> Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ? <br /> <br />N / A <br /> <br />E.L. EACH ACC $ <br /> (Mandatory in NH) E.L. DISEASE - ~ j OYE <br /> If yes, describe under <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - =LIMIT <br />A Professional Liability (Errors and Ommissions) TBA 84 CRL 1793 7/9/2010 7/9/2011 Occurrence / Aggreg ,000,000 / $1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ff more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> <br /> <br />ACORD 25 (2009/09) <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD