|
COVERACIPS CERTIFICATE NUMBER:OT,1562511838 REVISION'NUMBEM
<br />THIS IS' TO CERTIFY THAT THE- POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY'RFOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENY VATH RESPECT To WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCt= AFFORDED BY THE POLICIES DEOCRISED HEREIN IS St16JEOT TO ALL THE TERMS,
<br />EXCLU3IONS AND CONDITIONS OF $UCH PCLIQIM.L {NETS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
<br />C<?R CERTIFI A OF LIABILITY INSURANCE
<br />DAreMLnot$Yr
<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 NSGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFPORDkD OY THE POLICIES
<br />BELOW', THIS CERTIFICATE OP INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUOER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: It tffe, aertifloate, hdlddr Is airARDITIONAL INSURED, tile policq(ias) inust Ua Endorsed. If BUD ROGATION IS WAIVED, su loot to
<br />The terms and conditions of the policy, csrtatn policies may squire as endorESmont. A statement on ihts certificate does not confer Holds to the
<br />certtfloate holder to 838 of such endorsamant(s).
<br />FACDUCER.
<br />Amormlli, Rosomonn & Assootatna Tnsuranoa Servlaes
<br />9333 E ConootAve St
<br />Building 9 -200
<br />Ontario CA 91384
<br />0% Lixette Gerdes
<br />p"'�Mll: ( 909 ) 987 -7611 X, chEadaiaR7 -ne55
<br />anOe:,aom
<br />,
<br />�,UIeIIRRR(aj AFFOnDINO CQV3 RAaE ,w
<br />NAIOC
<br />to Comm. Yneurancs Lund
<br />350.6
<br />INSURER
<br />Mdg Amsoakates, Tno,
<br />10722 Arrow Route IICe. 822
<br />R'anaho CLwaidong'a. CA 91730
<br />INSU e a s
<br />.
<br />lN8UR2R6E_ .
<br />P CH COCURfiENCI
<br />INS RERti• _,�,______W_..........
<br />MIMS -MADE Q OCCUR
<br />COVERACIPS CERTIFICATE NUMBER:OT,1562511838 REVISION'NUMBEM
<br />THIS IS' TO CERTIFY THAT THE- POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY'RFOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENY VATH RESPECT To WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCt= AFFORDED BY THE POLICIES DEOCRISED HEREIN IS St16JEOT TO ALL THE TERMS,
<br />EXCLU3IONS AND CONDITIONS OF $UCH PCLIQIM.L {NETS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
<br />15R
<br />C..T.TX OF SANTA ANA
<br />TYPEOFIUE RANGE
<br />ATTN; TERAX EGGERS, SEN16R MNGMT, ANALYST
<br />R
<br />p
<br />C
<br />LIMITS
<br />SANTA. ANA, CA 92701.
<br />O'OMMlftC4l6 e042fth1.1IA2141TY
<br />P CH COCURfiENCI
<br />S .
<br />MIMS -MADE Q OCCUR
<br />III?I.SES.o a NiE a"""""'"
<br />8
<br />MEp EXP An uns pgrEafl
<br />tERWKAL &AWINJURY
<br />S'
<br />POLICY ❑ j l�rl D LOU
<br />42NDRALAdOsTfiOhT�
<br />.FRODU ITS • OOMPaP iVI
<br />��
<br />S- _
<br />S
<br />4ENIAOOREOATELLMITAPPL12S,PER:
<br />'$
<br />OTHER:
<br />ADTOMODILe LIA81LUY
<br />III nt E
<br />5
<br />&
<br />ANY AUTO
<br />aICO1LV INJURY(Pdrp6igd10
<br />REVD 4EYRTY'JW4 h V {p,Sr e ctY'egdll
<br />�,
<br />S
<br />A4LOWNNR.
<br />HIRSt}$UTOS SCHEDULED
<br />SqDp A
<br />A0
<br />E
<br />$
<br />S ~��_
<br />UMBRELLA WAD
<br />pl,'CUR
<br />_EACH OCO4RRENOE
<br />__
<br />eXBRE$LIAR
<br />I
<br />I CLAIMS MACE
<br />AGQREgATfi
<br />S ,
<br />DEC.
<br />INDIANTIONS
<br />w
<br />A
<br />WORMERS COMPENSATION
<br />ANDDMPLOYEaS'UXI
<br />ANY rYtOPRIETOR
<br />OFFfOMFLIEMER
<br />(M3edntorylaNIP
<br />N.ITY
<br />tFARYtiI°.tttEx£CUTiYE Y(jNIA
<br />EXCLUDED? LJ
<br />1940760 -14
<br />7(1(2013
<br />1/4,12016
<br />6�l, EACH ACCikENT.
<br />& 1x000 0„dq!
<br />ELL. DREASe —EA EMPLOVp
<br />$ 4 000 400.
<br />@.L.CISEA3£• POLICY Li611T
<br />5 '11000,000
<br />11 OxondneItba under
<br />nOSGRIPTION OF.
<br />PERATIONS hepF(
<br />0660RIPTION OF OPERATIONS LO0ATION$IVE1ICLEE(ACQRAY9 #, Addllttlnal3amgrkq 6clhgduln, nmgpn q'Ud'aNZtl lPoram9papc lt, taggLgd) �~���,~
<br />PROOF OF YLTf4URANCE roil CEtiT1F1CATE HOLDER.
<br />II
<br />C:PE2TIFICATF "of. rim CANCELLATION
<br />0..1888x2014 ACORD GORPURA "i ION. All rtgnt5 rgsarVEU,
<br />ACORD 26 (2014101) The ACCIRD Hama anti logo are retitstered morks of AGt7RD
<br />INS025 rn6laml
<br />o
<br />&HOULD ANY OF THE AROVS 0ESCR €860 POLICIES HE CANCI E.t.EA WORD
<br />C..T.TX OF SANTA ANA
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL HE DELIVERW IN
<br />ATTN; TERAX EGGERS, SEN16R MNGMT, ANALYST
<br />ACCURDANGEWITH THE POLICY PROVISIONS,
<br />C*WJNT.r�CY DE'CtPuLOPbdRNT AGENCY
<br />AUTROAIY,ED RMPRESENTATIVE
<br />20 aVTC CCNTZR PLMA
<br />SANTA. ANA, CA 92701.
<br />PtaxlceYa CeaYIa.d'PIAAZCG .� .
<br />0..1888x2014 ACORD GORPURA "i ION. All rtgnt5 rgsarVEU,
<br />ACORD 26 (2014101) The ACCIRD Hama anti logo are retitstered morks of AGt7RD
<br />INS025 rn6laml
<br />o
<br />
|