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ACOR CERTIFICATE OF LIABILITY INSURANCE <br /> <br />4 <br />1 <br />DATE(MM/DDIYYYY) <br />N 07/23/2013 <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 />IMPORTANT: I the certificate holder is an ADDITIONAL INSURED, the policy ios) must be endorsed. If SUBROGATION I WAIVED, sub ect 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 />certiflosto holder in lieu of such endorsement(s), <br />PRODUCER CONTACT <br />Ken Noden <br />NAME: <br />Wigmore Insurance Agency, Inc. P 714,979.6543 714.549.2943 <br />c No s.l: A)c No): <br />2970 Harbor Blvd. #215 ADDRESS: commercial@wigmoreins,com <br />License #0611959 INSURERS AFFORDING COVERAGE NAICR <br />Costa Mesa, CA 92626 INSURERA: Golden Eagle Ins Co. 10836 <br />INSURED UNION INVESTMENTS INC DBA STONESHINE INSURER B; The Granite State Ins. Co. 23809 <br />2110 E MCFADDEN #G INSURER C: <br />SANTA ANA, CA 92705 INSURER O: <br /> INSURERS: <br /> NSURER P ; <br />UUVERAGES CERTIFICATE NUMBER: ZU13 Auto and WC REVISION NUMBER: <br />'THIS IS TO CERTIFY THAT THE POLICIES OF E LISTED BELOW BEEN ISSUED O THE INSURED NAMED ABOV FOR THE POLIO 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 />LTR TYPE OF INSURANCE IN Me POLICYNUMBER 0l'bD E MMIODIYYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE <br /> COMMERCIAL GENERAL LIABILITY <br />PREMISES Es aocurrence <br />$ <br /> CLAIMS-MADE [7 OCCUR MED EXP(Any one person) $ <br /> PERSONAL &ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ <br /> POLICY IF T LOG $ <br /> AUT OMOBILE LIABILITY BA677932 0611012013 0611012014 MIJINdent $ 1,000,00 <br /> X <br />-- ANYAUTO <br />- BODILY INJURY (For person) $ <br />A AAUL GOWNED <br />F <br />7 <br />uH0911LED <br />A <br />BODILY INJURY (Peraccldant) <br />$ <br /> <br />HIRED AUT03 NON-OWNED <br />AUTOS <br />Par aacbonl <br /> <br />$ <br /> <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEO RETENTIONS $ <br /> WO <br />AND RKERS COMPENSATION <br />EMPLOYERS' LIABILITY 06525729 0710112013 0710112014 X <br />TORY LIMITS ER <br />B <br />ANY FFICERIMEMBER EXCLUDED? XECUTIVf? <br />O <br />NIA <br />E,L. EACH ACCIDENT <br />$ 1, QQQ QQ <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 1,000 OQ <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.0 <br />00 , oQ <br /> 0 <br />Y <br />''44 <br />DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (Attach ACORD lot, Addlllomd Remarks Schedule, If more a pace is requited) ryry <br />.91 yp fey <br />41,, 06 Ott <br />ISERI Ir NrA I E HULUEK CANCELLATION <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 />Proof only document Timothv Wigmore/G128 <br />Oa 1988.2010 ACORD CORPORATION. All rights reserved <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Exhibit C