|
m DA'rEINMtnWVYYY7
<br />�"CERTIFICATEf� LIABILITY INSURANCE_ _D
<br />THIS CERTIFICATE IS ISSUED AS A MATTER DF 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 />5BLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACTBEIVIEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder in an ADDITIONAL INSUREV, the policyHos) must no endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsemont. A statement on this certificate does not confer rights to the
<br />1 certificate holder In lieu of such endorsement{s6.
<br />PRODOCER
<br />APalin 0eiwrat fa6uraew Agunay, Ina. (1)
<br />P. 0, Hoa. 1308
<br />Sonom o California 95476
<br />INSURED
<br />J& -G' Industries. [Be.
<br />18627 BroakharseSreeet
<br />PMd 302
<br />Fountain Valley, CA 92708 {^I,
<br />ERTIFY THAT THE POLICIES OF INSURANI
<br />NOTN4'THS'rANDING ANY REQUIREMENT.
<br />MAY BE ISSUED OR MAY PERTAIN, THE
<br />AND CONDITIONS OF SUCH POLICIES. LI411
<br />luilee t.ew'vs
<br />10172
<br />ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT TO VVHIOI'1 THIS
<br />BY THE POLICIES DESCRIBED HEREIN IS SU8JEC"T TO ALL THE TERMS.
<br />=N REDUCED BY PAID CtAINIS.
<br />G5NERAL OL
<br />(j
<br />111 L?01
<br />II ,2014 I ACNDccueRFNCE �a
<br />10111141M
<br />GENERALIW'1A. 1115
<br />�DAN100020+
<br />k ant E"7O RLN'L
<br />300.000A
<br />F GoMl1RRAL
<br />htcc
<br />......_
<br />I I c A SNIADE . QI OL:R
<br />(lfy a %„ 2tilvlDl'id LIT llrt it St.{tot
<br />C �1`Iit x13 > r , User
<br />(s
<br />_ 5,000
<br />p([°•j'{';i:
<br />DI 1i(C1,tl r ,�Aecr.T
<br />Fm
<br />C nInL SNobNJnY
<br />8 _ __.
<br />000 _
<br />r _...°"
<br />i s ENCRAI. n6raR nr-
<br />ript'tot i SJ 1f I }'hi117 yff? Q.€ IE
<br />n
<br />2010000
<br />—
<br />PIv.,oGR OATEUMITAPPLEs PCr:
<br />F
<br />-
<br />+ ROCUoT oro Plol c
<br />..
<br />s _.
<br />JUO ¢DO
<br />i PeL Y ✓ ao7 -- Lo-
<br />to.Jns and condkitm, 1tt pbfic!
<br />j
<br />s
<br />AUTOMOBILE LIABILITY
<br />f MX.130301321 11111 70t3
<br />11 1 o F rpnJM IY I-0 aI IGL1
<br />A
<br />1000000
<br />._._
<br />( Y' ANY 'AUTO
<br />JCI2L V INJtR
<br />AL D!Mv[L LVL.,
<br />r
<br />, 30r&I r iN F,R i -arrol Ill
<br />R
<br />09 ✓ f Nf N O 4su
<br />�_✓
<br />1 OC AT Y AICA E
<br />3
<br />_..—
<br />NIH L ..S
<br />..I .Ali ��: t+----------
<br />?:_9l %4b _
<br />.
<br />.__..._��.,
<br />I1 JoBRCLLA UABI� ✓ � ace, A i
<br />r , 131 r L! '1 _013
<br />l i ' (II-! c -ac .Nre
<br />n c z
<br />s
<br />1 0 t1 U0G
<br />. E%Cess Ing
<br />C r t_ Lalals.aaAa!
<br />,3773,(
<br />!
<br />[I Al _
<br />t 0009011
<br />ran
<br />;P:racci4art
<br />_Uv'U,000
<br />WORKERSCOMPIRSATiONT
<br />fMILOYCR31.iABit1'IY
<br />1
<br />. flti it 1 7QTH
<br />...,LOGY iL!Ltd:.L,_...: KR
<br />.....___
<br />AND YIN'
<br />n.li ,3R PRL60.N ;RIE' C Idr VE"'
<br />�,VfAi
<br />ELC ACCIDENT
<br />$
<br />r
<br />_
<br />J'FdCERMA WFA CY LUCED7
<br />lMantlaf ry(n NH)
<br />.
<br />EL DISC lS EAGNFLQY t
<br />(G j 5, de ct6s LL tkr��'
<br />trSTNIP ON FCFER.AT N3'ri:rW I
<br />1 � ,.,,�,,,
<br />� PL44rhaE i'GLGY S+AI
<br />e
<br />IPolludan Llal,lihry
<br />L;211 Al 1iH12013
<br />_t[ 120 ,In +9r
<br />Uv=.Oh
<br />U
<br />i �
<br />_ n.I. I v_c:11,11
<br />LGOQQOf
<br />O69r.¢IPTION qF gPERAeONS Z LOGAPUN$ fVeHIULES fAHoce AODRO IU1 AdtllNOnal timneeNn eONobWq IfmOru spaCo s oanbaanl
<br />Re 1 Aa o.era ta.L of _ca IeArled X ,._':c. T'.'.l, C.x.Y c li,. Ana, is I J<.:: ra. 3 _,`.s, n rxe,etl as '.
<br />Sa .al r .d.' m.-. e�ll.:.3nat ;.'As a—ed ,a _..,,„v', i, n 2, deo, :.c t 1ulrt- d i/ I_ c°°.an n x�` Oe'
<br />he ro ;a r,. ate.'"rI A.€'k'� 6 5� ,�3 A J ill i ik3*.xIM
<br />Laura A. ROSSiui
<br />HUIdarls NelUlc >t lniCfeiClC T lbil--Holder SHOULD ANY OF TiE ABOVE DE SC RI BBD HOLD ICS BE CAN CELLED HEEORE
<br />THE, EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Sense Ana ACCORDANCE WI rH THE POLICY PROVISIONS.
<br />20 IGCcntf LAc;"I36'
<br />hall Aa➢. CA )2 70' AUTNoN FC ReP�gSENTATUC
<br />ACORO 25 (2010105) The ACORO name end logo are registered marks of ACORD
<br />
|