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?+-+C)-y. ?1--r, Vr IU- <br />,i4!a_. 1M" A DATE (MMIDDIVYYY <br />CERTIFICATE OF LIABILITY INSURANCEh ? <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 />IMPOK IAN T: nine eeroneate 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 566-467-6720 CONTACT <br />NAME: <br />Rubin Insurance Agency Inc. <br />5363 Greenwich Dr #120 858457.5725 PHONE FA% <br /> Bal) <br />NO Arc No <br />M <br />CA#0645355 San blego, CA 92122 E- <br />A <br />Michael Rubin Ins Agency Inc ADDRES <br />S: <br /> cuosm ID :B&DTO-1 <br />' <br /> INSURE S) AFFORDING COVERAGE NAG# <br />INSURED B&D Towing, Inc INSURERA:StatO Comp Ins Fund 35076 <br />1502 N Susan Street <br />Santa Ana, CA INSURERS; <br />h/1\/COARCC f\CBTILV?I\TC P11111A000.. Mr\nE?,i\?, <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />L TYPEOFINSURANCE O <br /> <br />INSR <br /> <br />POLICYNUMBER POLICY F <br /> <br />MIO IYYYY I PO CYEXP <br /> <br />IMWt)DAYW <br /> <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LABILITY PREMISES En occurrence $ <br /> CLAIMS-MADE ? OCCUR MED EXP(Any one person) $ <br /> PERSONAL&AOV INJURY $ <br /> <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMNOP AGO $ <br /> POLICY PRO- LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> ALL OWNED AUTOS <br />C BODILY INJURY (Per strident) $ <br /> S <br />HEDULED AUTOS PROPERTY DAMAGE <br />$ <br /> HIREDAUTOS (Peraccklent) <br /> NON-OWNEDAUTOS $ <br /> $ <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ <br /> WORKERS COMPENSATION XY <br />IMII OE <br /> AND EMPLOYERS' LIABILITY L <br />A ANY PROPRIETOPJPARTNEPJFXECUTIVEY <br />C <br />EM NIA 1962754-12 10101112 10101113 E.L. EACH ACCIDENT $ 1,000,00 <br /> OFFI <br />ER(M <br />BER EXCLUOEDR <br />(MamIatoryln NH) <br />E.L. DISEASE - FA EMPLOYE <br />$ 1,000,00 <br /> If 9yes, describe under <br />OESCRIPTION.OFOPERATICNSbelm - <br />E.L. DISEASE-POLICY LIMIT <br />$ 1,000,00 <br /> AS TO FORM <br />OF OPERA <br />I <br />TIONSILOCATIONS IVEHICLES (Attach ACORD 101, AddlUonai Remarks Schedule, if more space is required) " <br />Proof T <br />iN <br />B <br />_, --- a-Ura A. Rossini <br />Proof of Insurance <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 />nl (/ <br /> <br />ACORD 25 (2009109) <br />The ACORD name and logo are registered marks of ACORD