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-- <br />(: _ <br />'?`,?_°? ° CERTIFICATE.OF LIABILITY INSURANCE ? a tzo° a' <br />CATE IS ISSVED AS P: MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS.:UPON-TIE CERTIFICATE HOLDER_THIS <br />CERTIFICATE pOES NOT AFFlRMATNELY OR NEGATIVELY AMEND, EXTENb OR ALTER Tk1E COVERAGE.AFFORDED. $y THE .POIlCIES <br />BELOW. THIS CERTIFICATE OF IN5URANEE DOES NOT CONSTITUTE A. CONTRACT BETWEEN-T1iE ISSUING INSURER(S); AUTHORRED <br />REPRESENTATIVEORPRODLICER,AND-THE CERTIFICATE.HOLDER. <br />IMPORTAN'h tf. the certlncate holder is an ADOITONAL iNSUAED, the: poliay(les) must be, endorsed_:.If SUBRt7GATION 15. WANED, subjed'to <br />the terms'snd eonditlons of:tlte -polity, nertein policies may raqulre_an..andorsement_ A statementon this ter#Ificate. doesriot confer rlghtsto th@ <br />BLACA SH88B.=NSIIR2?NCH SERVSCES -?D? _3y3:-2.93,.-3-624 ? P'?- -323-293-3540 <br />NC No <br />3686- CRSNSHAW BLVD E'?L-' BLAC898RSP =?NS®YAHOO..COM <br /> <br />- PRODUCER <br />LOS -ANGHLES <br />CA 90DO B -iNSU--? 9;AFFOIiO1NG COVERAGE' NAIO• <br />IN6UREO D16URea A: GENTiJRY ?SNSIIRANCS COMPANY <br />Z VSNTDR$.. CAP=TAI:-FRONT=$RS. =NC- tRS[iRErt':B_.TOPA 2NSII3tAIJCS COMPANY <br />DBA TBH PAYPB:ONS. .COMPANY AND T88: ZAMAN C3ROUP -uisUra=RC: <br />1625 W. 'VSRNON AV8 .. INSUREn D: <br />LOS ANOSLHS ? <br />/ ?CA 9.0062 ?INSDREitec <br />? <br />(O - INBIIRER F <br />EOVERAGES CERTIFICATE NUMBER= aFVlcYnu NIT1111FIFIi•' <br />THIS. 15"TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN.. ISSUEDTO THE:INSUI3ED NAMED./4BOVE FOR THE.P <br />OLICY'PERIOD <br />. <br />INDICATED. NOTWITHSTANpiNG ANY REOUIREMENT,'TERM? OR CONDITIOieI: OF ANY CONTRACT OR'OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUEL] OR. MAY PERTAIN, THE IIVSUR'ANCE AFFORDED BY. THE POLICIES DESCRIBED- }iERE1N IS BUBJEOT TO ALL THE TERMS <br />, <br />EXCLUSIONS AND CgNDIT70N5 QF SLIG'H POLICIES. LIMITS SHOWN MAY HAVE,BEEN REDUCED BY PAID CLAIMS. <br />LTq -TYPEOF INSURANCE <br />POLICYNUMBeR. POLICY EFP <br />u/D ? POLH:Y <br />evD <br />LlM1T3-. <br /> GEwEI+nLLUU3urrr CCPEi53Q.19' BS/az/a41o oslas?zoi EACHOCCURraEew?E s 1,-0?O:D., 00`0 <br /> GOMMERCIALOENERAL LIABILRY PREMI6 ' nee- 5 10 O. OQO <br /> GLAINISMADE ?. OCCUR MED EXP ( o,» ermon] 5 S', O OO <br />A PEPSONAL.S-ADVINJURY 5 1rO.O.O.OAO <br /> <br /> GENERAL AGGREGATE S 2000'.. 0?'OO <br /> <br /> GEN'L AGGREGATE LiIdrr APPLIESPER PROOUCT9-COMPIOP AGG' S 1000.. 0:00 <br /> POLICY PRO- LOC. nvamo era o •--- 5 1..O.OA.. OOO <br /> AUT OYOHII.E LV1e1LnY <br /> <br />ANY AUTO <br />CCP653019 <br />OS/31/2D70 <br />DS /31/2011 <br />ODMHINEO SINGLE iIMrf <br />(Ee9RJCent] <br />c,,, 1,0.00. OO'0 <br /> ALI OWNED AV705 BODILY INJURY(Per Peraon]' 6 <br /> <br />SCHEDULED AUTO6 00DILY INJURY{@ereQJdanq 6 <br />A . PROPERTY DAMAGE 5 <br /> HIRED;AUTOS (per aeeldenl] <br /> NON-0WNEDAUT05. § <br /> 5 <br /> UMBRELLA LIAB pC?R Yr:66"0186 os/si/zoio 03/31/201Y. EACH OCCURRENCE 5 S, DOD, OAO <br /> E%CEBS.IJA6 CLAlIN5?i1.4DE AGGREGATE 'S S', 000,000 <br />B <br /> DEDUCTIBLE <br />5 <br /> RETENTION -6 <br />6 <br /> WO RKERS.CONP ENSATION WC STATU-- OTii- <br /> ..AND EitPLOYERB' LVABIIJTY <br />' <br />S <br />O FO <br /> N <br />.ANY PROPF3IETOR/PARTNER/EXECtJT1VE Y/ APPROVED A <br /> DFFlCERPoIENBER EXCLUDED? ? N/A - <br />E1. EACH ACCIDENT <br />S <br /> '[MendaloryIn.NH] <br />II <br />ea'-deaedbe <br />ind ? EI DISEASE:-EA EMPLOYE S <br /> y <br />f <br />er <br />DESCRIPTON OF OPERATONS below <br />EL DISEASE-POLICY LlArtrf <br />5 <br /> <br /> uia Stitt S e y <br />-OESCRIPTtON:OF OPEiiATONS/LOCATONS/VEMCLES (A1[aeh ACORD.,.1G1, ? dYle.'Hmora ePeu h,e9WnW) <br />CERTSFTCATE I3CIS.DER IS ?HERSBY TSa*?'+?•D AS ADD=TSONAL SNSIIRSD. X10 DAY NOTICE OF <br />CANCELLAT20N FOR: NON-PA7C1?.;NT. OF PREM=U?d. <br />L.GRI Irlcsi It ncaL.UtK CANCELLATION <br />City C£ Santa Ana .SHOULD ANY CF THE ABOVE DESCRIBED POLICIES BE:CANCELLEDBEFORE <br />C/O P117?1i.C 9fOi$H AgeaCyr/Tkle Depot THE EXPIRATON DATE THEREOF, NOTCE WILL BE DELNEREO IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic'CanterPlaza, M-2'1 - <br />AVTHOR® REPRE9 - <br />SANTA ANA CA 92701 if?? ,.?? <br />x'1988-20D9 ACURO."CORPORATION. All rights reserved <br />AGV12O 20 (2089/OBj The AGORD name and logo ere registered -marks-of ACORD <br />i <br />i