Laserfiche WebLink
12/07/2H10 17:13 18667241212 <br />PAGE 02/03 <br />`°'�-�"��' CERTIFICATE OF LIABILITY IiYSURANCE °A�`""r'°°^"Y''' <br />07!76/2010 <br />THIS CEfCCIFIGATE fS ISSV F.D AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 7FEE CERTIFICATE FIOLDER, THIS <br />CER7IFICATE DOES NOT AFFIRMATIVELY OR NEQATIVELY AMEND, EXfBNO OR ALTER THE COVERAGE AFFORDED HY THE POLICIES <br />BELOW. THIS CERTIFICATE OF IN5VRANCE DOE5 NOT CONSTITUTE A CONTRACT 6EfVVEEN THE ISSUING INSURER(3), AUTHORIZED <br />RHPRHSENTATIVE OR PRODUCER, AND THH CERTIFICATE HOLDER. <br />IMPORTANT; K the oartlflcate holder is an ADDITt AL INSURED, dra poNty(laa) must lea GntlOrsad. If SUBROGATION 19 WArygp, subject t0 <br />the [army and oondklona of the pelley, Celtain polldes may [squire an endorasmenL A StetsmrMt on this Ge/y}Iwta doer not confer rights to the <br />certiTicgta noldsr In lieu of sur3r andets9man a , <br />PRODUCER 1- 800 -955 -6700 WfEh.ar J. O:al'laghnr a Co. <br />Ar Cburr J. Oallagae= � Co. $Hilr9aee $rolcara <br />of Calitozaia, Sac. (949) 399 -9600 yc Ne: 0949) 749 -9967 <br />15 scnbsp Tsar BCC 200 e+u1L �- <br />. 5s: <br />A13ao Vipjo, CA 97656 CU <br />eta.ra sarber <br />IHaaatsp <br />OVSIHtE E AFFgipINO COVERAGE NAIC! <br />Young Cba�iiwa biCCSaaEi ea Prort^ -�^ ^, Inc_ M SCR$ � B LZAH CO 3810 <br />C.a0. CJiaapioa io�aGh Ou4rrsach Program, IEG. WatIRER e: BASSTi•O8D CA9 I2f9 CO 29424 <br />2717 8. Graced Ava_ <br />at <br />Saaea �Aas, CA 9]70s -4806 D: <br />-- -'- rct:VI510N NUMBER: <br />TH13 IS TO CERTIFY THAT THE POLICIES OF INSURANCE <br />LISTED HELpyY HAVE HE6N ISSUED TO THE IN$r,1RF� NAMED ABOVE FOR THE POUCY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONWT)ON OF ANY CONTRACT <br />OR OTH£R DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE Mp.Y BE ISSUED OR MAY PERTAIN, THE IN3U RANC6. AFFORDED HY THE POLICIES <br />OE$CFyBED HERCIN I$ SUH.IEGT TO ALL THE TERMS, <br />IXCL,V$IONS AND CONDITION$ OF SUCH POLICIES fJMITS SHOWN MAY <br />HAVE BEEN REDUCED BY PA1p GLA[M5. <br />IH6R � <br />TYPE OF INaanAwGE <br />wu <br />J. GEN6pAL LNBILRY <br />X <br />P2GL10000005 <br />07/31/1 <br />r <br />07/31/11 <br />Lena <br />�� OOCVRRENCS g 1,000,000 <br />X OOM1J 4iCU,L GEN ERAL UAHi6f7'r <br />� <br />F <br />I erar� t 300,000 <br />CW MS VADE O OCCVR <br />� � <br />' X ZaCl Atb PartiCBanCa <br />MED EXP one ovson <br />(Any S 5,000 <br />PERaOHAL Ba AOV mJURY b 1,000,000 <br />6ENF_ILW AOORH E i 2,000 DOO <br />OEN'L AGORE6AT6 UMIT APPl1E3 PER <br />- <br />x �U�. Plxo- <br />- � <br />PROOIJCrg - COMP /OP S 2, 000000 <br />s <br />tea <br />B 4UIOMpHp.E LNHIL[iY <br />72t)EC. 5713 <br />12 Oi /O <br />YS 01 10 <br />OOrgINED SINGLE LIMTf <br />X ApyyAUTO <br />IEa xrxoe0p S 1,000.000 <br />NI OWNEb AUTOa <br />BODILY INJURY /Per Person) 5 <br />SGH6DULSD AVT03 <br />� <br />BODILY INJURY (Per arclpan0 S <br />$ MRED AVT06 <br />�a vE� E S <br />Z <br />NONOWIVED AUTOS <br />a <br />9 <br />64tH OCCURRENCE g 1, 000, 000 <br />A06REGATE t 1,000,000 <br />A Urra•ra, • s clA9 X OCCUR <br />X Occ6aa L1A9 CLAIIUSJUADE <br />S <br />HEY 0000102 <br />A 1 �' f�� \ � - ,' <br />07/31 1 <br />- � ��� <br />.� <br />� � �� <br />DEDUCT1aLE <br />s <br />_ TU- OrFF <br />W VR�Ra eorPenan'aOn <br />AN0 FAPI.OY[DIa`LU1Bp.ITr O <br />ANV PROPRI6YONPARTN9y y (ECUTNE <br />� <br />j __. <br />_. - - -C —/ , <br />_ <br />__. -�- <br />� <br />El. FAOJ ACGDEM S <br />OFFICEMIFMBFR O(f1VDEDT <br />N /A <br />I 3 <br />�., ` <br />lMandborY N NH) <br />■Yes. eesulbe urbp <br />� <br />^ � � l � l' I l � <br />� <br />. j 1� � li- - <br />- Y <br />- <br />£.L. aL4EASE - EA Ewly 5 <br />DEBCTiIPTION OF OPE TIONS <br />� <br />EL. DISEASE _POLICY LrN1T B <br />B a tress azpo JrzOD• <br />Ha,OLTd 778 <br />>;taaoial aorm/xC <br />D•ductlble 1, ouD <br />OE3 OR OF OPOaArp !L B /VCI6CLES <br />!Arm <br />ACORD <br />tOi i[enW ^ -- - s��,e.r.m <br />,..�.��_ :__�.��. <br />- <br />-_._- <br />- � r,er, a�o-rs namao as nadytianal iaWaarsd par the attaabad £crm. ayylias Ce Gaagral sad �caaa <br />><.iability, lacludiag primary g aoa- concributpry sordingr .rhsze required by vritem Coatzact. <br />8s: Delhi ceatar, 90S seat Csatral Ave_, J3aata Ana, m 95707 <br />CarciYieatn tioldaz (s) eeat3auadr 1'tae: C: ty of sense Aaa, ice olfieara, ageata, •my:loyaaa, aaC voluacaera <br />C3 ty o£ Strata JLna Parks, RaeroaCioa SHOULD ANYOF THE ABOVE UESGR ®ED POLICIES BE CANCELLED 9EFORE <br />and COramll3t }tY 9Crvicea THE E.J�1RA'f10N DATE TIIEItEOF, NOTICE WILL B@ DELIVERED IN <br />ATlpre Rosalio Gem•a ACCORpANCE 11117TH THE POLICY PROVISIONS. <br />a23g [feat D[CFa1Q ►a Ava., Suit• 9 <br />AVTHeR ®REPRas6NTA'11VE� - <br />3anta Aua. CA 92704 <br />tlsA <br />~� -��� ®1888 2009 gCgRD CORPORATION. All h hts reserve! <br />16804 SD 55 (20081Og) � Tile ACORD name and Ingo are reglatered marks of AC4Rp 9 <br />