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<br />S UMMARY OF = NS URANCE <br /> rH? <br /> HAHTFURD <br />FOR : <br />P2GS TAIL USA LLC Prepared: 04-26-2012 <br />1 6 0 1 E SAINT ANDREW PL <br />SANTA ANA CA 9 2 7 0 5 <br />Phone : FAX : <br />BY : HOME OFF2 CE <br />CJN INSURANCE SERV2C E5/PHS 135212 <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br />Phone: (866)467-8730 FAX: (87 7)905-0457 <br />ACCOUNT POLICY RECAP Po l i cv Numbe r E££ Da t o Exp D a t e P remium <br />.Workers' Comppensation 51 WEC DR3209 04302012 04302013 $14,891.00 ??? <br />Hart fiord Underwriters Ins Co <br />POLICY DETA2 L Pot i cv Works r s ' Comp ens a t i on <br />Policy States: CA <br />Location O 1 Premises Address <br />1601 E ST ANDREW PL <br />SANTA ANA CA, 92705 <br />Worker's Compensation Coveraves <br />Emp lover's Liability Limits Limit <br />Disease - Policy Limit $1,000,000 <br />Disease - Each Employee $1,000,000 <br />Each Accident $1,000,000 <br />Individual 2ncluded/Excluded <br />Class/Pa yroll Detail Class Deacrintion C1asa Coda Payroll #o£ Emp <br />Location 01 - CA PLASTIC GOODS MFG - N.O_C. 4478 $126,300 <br />Location 01 - CA SALESPERSONS - OUTSIDE 8742 $40,300 <br />Location 01 - CA CLER=CAL OFFICE EMPLOYEES-N O 8810 $65,300 <br />This Summary and its attachments provides a high level overview o£ policy coverages and <br />does not include all conditions, limitations or exclusions. Please refer to the actual <br />policy forms for detailed coverages, limits and deductibles. <br />Exhibit C