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AC"R®® CERTIFICATE OF LIABILITY INSURANCE `l DATE(MMMDIYYYY) 12/03/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER NTA T NAME: Jim Miller(9761314) E 951-777-2450 FaAxC, Nel: 951-848-9803 PHONIN E-MAIL imilierl@farmemagent.com 4160 Temescal Canyon Rd Ste 206 INSURERIS) AFFORDING COVERAGE NAIC p INSURER A: Truck Insurance Exchange 21709 Corona CA 92883-4627 INSURED INSURER B: Farmers Insurance Exchange 21652 INSURER C: Mid Century Insurance Company 21687 ENGINEERING SOLUTION SERVICES INSURER D: 2182 DUPONT DR STE 201 INSURER E: 1 INSURER F: IRVINE CA 91612 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AML SUBS POLICY NUMBER POLIGYEFF MMIDDIYYYY POLIGYEXP MMIDD/YYVY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ee wcurcence $ CLAIMS -MADE ❑ OCCUR MED EXP Any one person $ PERSONAL S AOV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP ADD _ $ IPCT POLICY PRO- n LOC $ AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT COMBINED 2,000,000 BODILY INJURY (Par parson) $ ANY AUTO B ALL OWNED X SCHEDULED AUTOS AUTOS Y 605822922 03112/2015 03/12/2016 BODILY INJURY (Par accident) $ PROPERTY DAMAGE ci $ X HIRED AUTOS NON-OWNEO /� AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDT I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER)EXECUTIVE WC STATU- OTH- TQRY t IMIJS ER E,L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E,L. DISEASE -EA EMPLOYEE $ E.L. DISEASE, POLICY LIMIT $ Ifyes, describe under DE SC RIK ON OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) 2014 TOYOTA PRIUS V; VIN: JTDKN3DU1 El 759055 REVIEWED BY; 41�EUNICE HEREDIA (PGZ OFB). CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) r 0'1988.2010 ACORD CORPORATION. All rights reserved. - __-- -- TheACORDname and logo are registered marksof ACORD --___- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPR ENTATIVE _ /AUTHORIZED ACORD 25 (2010/05) r 0'1988.2010 ACORD CORPORATION. All rights reserved. - __-- -- TheACORDname and logo are registered marksof ACORD --___-