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DATE (61HIDDAYI^!)
<br />01/0512016
<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. - - t
<br />{MPO RTANT: If 4he certificate holder is ah ADOl7lONAt 1N5URED, the policy(iesj 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 cart'rficate does not confer rights to the
<br />carffficate holder in lieu of such enel rseErpi ft(3). ----- ----
<br />ONTACT
<br />PRODUCER NAME:_......_.._;..«....:
<br />THIS IS TQ CERTIFY 1nAT THE POLICIES OF INSURANCE Lf5"I=D BELC!N! HAVESEEN ISSUED TO THE INSURED NAIViEU ABOVE FC1ft THE r.. t, -
<br />INDICATED, NOTAITHSTANDiNG ANY REQUIREMENT, TERN? OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT T4' WHICH rHVf
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 1'0 ALL THE TERAS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO1AN MA.Y' HAVE SEEN REDUCED BY PAID CLAIMS. µ
<br />T4 •._.� iCl+pg �f+0'l.0 EFF E%P LIMfrS
<br />TYPEOF!NSURANCE IN `MO POOLICY NG r1 ER I NtNI+D
<br />A l COMMERCIAL GENERAL TI IASILITY � C � BUSMESS OFFRCE POLICY EACR OCCURRENCE S i LLD h.;
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<br />4111 UE NL
<br />B 11Uio nalt,._Tlne.ury I +3414787F2475 12!2412095 [ 06124/2010
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<br />EXCESS UAa
<br />EMPLOYERS '
<br />WIN
<br />o' JQ RIRTION CP OPERA 'OMS; LOCATIONS i VELItC GS ACORD 109
<br />SuELL Ea3 Office Proper: f Locations:
<br />1891 Buaineso Center Dr, San Bernardino, CA 97,403
<br />1543 Aoacepa Rd Ste 7C Victcnlli 11e. CA 52392
<br />444 Camino Del Ric Sr, 2^'i5,San Diego, CA 92108
<br />4290 Bob Hope Dr Sta 110, Rancho Mirage, CA 32:d7C
<br />428W Harr:„.an Ste 101, Claremont, CA 91711
<br />r lonal R -marks FCF^Dviz, may Yx aaa¢hod Ir netts xipz� Is rayldredj ;
<br />39755 klub reale Hot Springs Rd. Sta D 1*4?fi la: 2553
<br />135 S State College Blvd Ste 2GU, Brea, CA 9232
<br />5
<br />s
<br />$ IG SOLI
<br />IT'7
<br />'SO '00
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE ENFIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ACORD 25 (2014101) The AIDORD name Ono 1090 are te915;arod marks of ACORD v 1001426 132849.9 172-04--2011
<br />Skala Insurance Agency Inc
<br />HONE?}; 90e-sa3-8861
<br />ter: r
<br />Gene Skala, Agent
<br />4214 N Sierra VVay, San Bernardino, CA 92407
<br />wsatmiRlSk
<br />{1011
<br />tNBUt{ERA;State Farm General
<br />LF R=o
<br />N NCY K S HU NC
<br />INSURE, rMaata Farm Mulnel I
<br />DBA THE COUNSELING TEAM
<br />IN&URMCI
<br />INTERNATIONAL AND DSA THE.
<br />ORGANIZATIONAL NETVVVORh
<br />rs sun v _
<br />THIS IS TQ CERTIFY 1nAT THE POLICIES OF INSURANCE Lf5"I=D BELC!N! HAVESEEN ISSUED TO THE INSURED NAIViEU ABOVE FC1ft THE r.. t, -
<br />INDICATED, NOTAITHSTANDiNG ANY REQUIREMENT, TERN? OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT T4' WHICH rHVf
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 1'0 ALL THE TERAS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO1AN MA.Y' HAVE SEEN REDUCED BY PAID CLAIMS. µ
<br />T4 •._.� iCl+pg �f+0'l.0 EFF E%P LIMfrS
<br />TYPEOF!NSURANCE IN `MO POOLICY NG r1 ER I NtNI+D
<br />A l COMMERCIAL GENERAL TI IASILITY � C � BUSMESS OFFRCE POLICY EACR OCCURRENCE S i LLD h.;
<br />r,Ln. „Inez=, MX .�.,. R' 4 82f.61*4269 07112720'18 07I12t2015 P s ar D „„
<br />X HIREDrAUTO
<br />I 97YLQE220 onlarzolC, 07712016 �eFnFIP(Art or e rnssnl
<br />-
<br />Edl 13CR4( itti'rA tfr `Iii � � i .---
<br />-,,r � ttRGA T Pt'4 tICT�:S
<br />TidEh I a
<br />4111 UE NL
<br />B 11Uio nalt,._Tlne.ury I +3414787F2475 12!2412095 [ 06124/2010
<br />T ! IIIIII B DIV!ILR"
<br />I
<br />AN AU r �^+;�
<br />- !)rr P 4 `€� E b4 l LED I # 1� a n .Y .uaY
<br />AL ".:v ,4X N'ON O 4! I, :.R h'E.nPY DA!
<br />I F'OA S 1 _3 A 4 ?iS�'aL'(R,it
<br />pC:JUR
<br />EXCESS UAa
<br />EMPLOYERS '
<br />WIN
<br />o' JQ RIRTION CP OPERA 'OMS; LOCATIONS i VELItC GS ACORD 109
<br />SuELL Ea3 Office Proper: f Locations:
<br />1891 Buaineso Center Dr, San Bernardino, CA 97,403
<br />1543 Aoacepa Rd Ste 7C Victcnlli 11e. CA 52392
<br />444 Camino Del Ric Sr, 2^'i5,San Diego, CA 92108
<br />4290 Bob Hope Dr Sta 110, Rancho Mirage, CA 32:d7C
<br />428W Harr:„.an Ste 101, Claremont, CA 91711
<br />r lonal R -marks FCF^Dviz, may Yx aaa¢hod Ir netts xipz� Is rayldredj ;
<br />39755 klub reale Hot Springs Rd. Sta D 1*4?fi la: 2553
<br />135 S State College Blvd Ste 2GU, Brea, CA 9232
<br />5
<br />s
<br />$ IG SOLI
<br />IT'7
<br />'SO '00
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE ENFIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ACORD 25 (2014101) The AIDORD name Ono 1090 are te915;arod marks of ACORD v 1001426 132849.9 172-04--2011
<br />
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