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-4c v® CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD/YYYY) <br />G7/lO /2012 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br />Ric wai ss ingc>r- Tnsl; ra nce Aganc y, inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ric Weiss ir_ge r, Agent Lic q GC65167 HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />5922 Warner P_ve, Hunt :.ng ton Beach CA 52695 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ <br /> <br />a <br />- INSURERS AFFORDING COVERAGE <br />_. NAIC 7C <br />INSURED N=2013-001 <br /> <br />O C SAFETY INC' .._------------- <br />INSURERA-State Farm Genfial. I.nsu Tanctl Company 2S1Si <br />_. __ ......... .. . ... ... _ -_ -. _. <br />- ?-- ? <br /> <br /> <br />??_- <br />$952 BOOTHBe'1Y CT_R INSURER B- <br /> <br />HUNT INGTN BCH CA 92 69 6-4 4 02 INSVRERC <br /> INSURER D <br /> INSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUM ENT WITH RES PEC7 TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES- AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUC ED BY PAID CLAIMS. <br />INSR ADD'L - - POLN]Y EFFECTIVE POLICY EXPIRATNJN -- <br />LTR IN$RD TYPE OF INSURANCE POLICY NVNBER DATE NM/pD/YY DATE NM/DD/YY LIMITS <br />X X GEN ERAL LIABWTY 52-CD-K091-4 G 04-02-2012 04-02-201 3 EACH OCCURRENCE $ 1, GOO, OOO <br /> X COMMERG WL GENERAL LIABILITY PREMISES Ea pcarrence 5 100,000 <br /> _ _ CLAIMS MADE ?OCCVR MEO EXP An one arson S 5. JOO <br /> ._. _. _.__._- PERSONAL6ADV INJURY $ r OOO r'OOG <br /> GENERAL AGGREGATE S 2. 0 0 0, G O G <br /> GENE AGCfiEG4TE ! MTa-QI-IES PEa PRODUCTS - coMPIOPAGC E 2 , O O G , G O O <br /> <br />X PR6 <br />X POLICY JECT X LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> (Ee arsdan0 <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY E <br /> (Par parson) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY E <br /> NON-OWNED AUTOS (Par ar<wanp <br />- PROPERTY DAMAGE $ <br /> (Per aCtderN) <br />GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> Q <br />? <br /> ANY AVTO A'Q ' ? ? OTHER THAN EA ACC S <br /> 11 AVTO ONLY. <br /> AGG $ <br /> EYCESSIUNBRELIA LIABILITY Q EACH OCCURRENCE S <br /> OCCUR C? CLAIMS MADE 44? ? AGGREGATE $ <br /> A ? ? <br /> oto <br />st< E <br /> S <br />b <br />? <br /> DeoucnBLE ?C ? s <br />_ <br /> S? G, _ __ <br /> RETENTION $ <br />S <br /> WORKERS CONPENSATIOM AND <br />EMPLOYERS' LIABILITY ?iJts TORY LIMITS ER <br /> <br /> ANY PROPRIETOR/PARTN ER/EXECUTIVE E.L. EACH ACCIDENT E <br /> OFFICER/MEMBER EXCIUDED9 <br />E.L DISEASE - EA EMPLOYEE <br />E <br /> If yas. Describe rMar <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT E <br />X OTHER <br />? 6usiness Property 92-CD-KG51-4 L 04-02-20 L2 G9-02-"201.3 S 45, OGO <br />DESCRIPTION OF OPERATIONS / LOCATKJNS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />::oC kl - 199E N TUSTIN ST STE 103, ORANGE, CA 92865 <br />CFRT?FICTE HOLUF_R, TTS OFFICERS, AGENTS AND EMPLGYL:ES AlYE NAMS?D AS ADDITIONAL INSCTRRD 7N REGARDS <br />TO G?NT_-:RAE LSABI LI7'Y t'ER l'YTACHED FEF?G9 <br />C FRTI FIC ATF HCII T]FR C:ANC ELI_A r IL)N <br /> SHOVED ANY OF THE ABOVE DESCRIBED POUCIE6 BE CANCELLED BEFORE THE EXPIRATION <br />C 1'I'Y OF' SANTA RNR DATE THEREOF, THE ISSUING INSURER WILL ENBEAVBR TO MAIL 32 DAYS WRITTEN <br />RT TN PU RC HAS ING DE PARTMF: N'L' NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, L <br /> <br />20 CIVIC CENTHR PLAZA <br />SANTA ANA, CA 92::11 <br /> HOR42 D R RE3 TA E • • <br /> 'c ?ssinger, Agent <br />T32B49 03-13-2007 ? ? • v All rights f@SBrVBd