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WHEN 1 01 4 tl A A,
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DAT06112/13YY'
<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: if the Certificate holder is an ADDITIONAL INSURED, the policyties) 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 endorsements .
<br />PRODUCER 916 - 380. 5300
<br />Warren G. Bender CO.
<br />616 Gibson Drive Suite 246 916- 380 -6208
<br />Roseville, CA 56678
<br />Maggio Bender Johnson
<br />°O °T Warren G. Bender Co.
<br />PHONE PAX
<br />No. E,d1:916- 380 -63QQ INC. Not 916- 380 -9206
<br />E -M.AR , certs w bender,com
<br />INSURER S AFPORQINO COVERAGE NAIC #
<br />INSURER A:Hartford Fire 1 ns. Co. 119682
<br />INSURED Bickmore and Associates, Inc. -
<br />1760 Creekside Drive #200
<br />Sacramento, CA 96833
<br />INSURER s:Harttord Ins. of the Midwest
<br />INSURER c:XL Specialty Ins. Co.
<br />INSURER D:Hartford Casualty Company 29424
<br />INSURER E:
<br />06/01/14
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 PA(D CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OFINSURANCE
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />a
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />POLICY F
<br />PQUCYEXP
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑ OCCUR
<br />q
<br />57 UUN ATi464
<br />05/01/111
<br />06/01/14
<br />EACH OCCURRENCE
<br />$ 1,000,00
<br />P E IE Lu ryn�
<br />$ 500,00
<br />MEO EXP (An yPro Person}
<br />_5 S,OO
<br />PERSONAL &ADV INJURY
<br />& 1,000,00
<br />m
<br />GENERAL AGGREGATE
<br />E 2,000,00
<br />GENT. AGGREGATELIMITAPPLIES
<br />X POLICY
<br />PR6
<br />PER: ._..
<br />LOD
<br />PRC=TS- CWROPAGG
<br />S 2,000,00
<br />S
<br />A
<br />AUTOMOBILE LIABILITY
<br />ANYAUO
<br />ALLGWNED SCHEDIAED
<br />AlP'OB AUTOS
<br />X HIRED AU70S X NON-OWNED
<br />AUTOS
<br />7UUN AT1464
<br />06101115
<br />05101114
<br />E accident
<br />S 11000,00
<br />SOOLY INJURY (P. Person)
<br />$
<br />BODILY MJURY (Pw accidenN
<br />$
<br />PROPER AMA,
<br />Pet a- Qcltlsne
<br />$
<br />S
<br />D
<br />UMBRELLA LIAR
<br />EXCESS UAB
<br />X OCCUR
<br />CLAIMSMAOE
<br />67 RHU AT0766
<br />05/01)13
<br />05/01)14
<br />EACH OCCURRENCE
<br />Is 3,000,00
<br />AGGREGATE
<br />$ 3,000,00
<br />QED I X I RETENTION 10,000
<br />S
<br />B
<br />WORKERSCOMPENSATION
<br />ANDEMPLOYERS'LIAEIUTY
<br />ANY PROPRIETORMARTNEWEXECUTIVE Y�
<br />OPPICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />N es.dEM antler
<br />D ST,'i2 OPERATIONS
<br />NIA
<br />67 WE DX7604
<br />06/01/13
<br />06101/14
<br />X WCSTATU- OTN-
<br />E,L, EACH ACCIDENT
<br />$ 1, 000,00
<br />E.L. DISEASE -EA EMPLOYEE
<br />S 1,000,00
<br />E,L. DiSEAEE- ROLICY LiMrr
<br />1,000,0
<br />$
<br />C
<br />Professional Liab.
<br />Deduct. $25,000
<br />MPP0023655 07
<br />05/D1fi3
<br />06/01/14
<br />Each Oce 6,000,0
<br />Aggregate 6100010
<br />DESCRIPTION OF OPERATIONS [LOCATIONS /VEHICLES (Ararat ACORD 101, Additional RoMarks SchodUle, (f more space to required)
<br />Evidence of Insurance
<br />CERTIFICATE HOLDER CANCELLATION
<br />EVIDEVI
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Evidence of Insurance
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORR2E�DREPRESENTATIVE
<br />q
<br />©1988 -2010 ACORD CORPORATION. Alt rights reserved.
<br />ADDED 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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