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DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE �... 10/20/2016 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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. I M PORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subJectto Cheterms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT POLICY EXP (MM/DD/YYYY) NAME: Golsa Dolatabadi(295033N) PHONE FAX 1451 W 7th St Ste A (A/C, NO, EXT): 310-371-3575_ (A/C, NO): 855-320-8748 E-MAIL ADDRESS: gmin$Uranceservices1@gmail.com San Pedro CA 90732-3524 INSU RER(S) AFFORDI NG COVERAGE NAIC# CLAIMS -MADE OCCUR INSURED INSURERA: HUSDON SPECIALTY INSURANCE COMPANY 25054 DULUX PAINTING INSURERS: DAMAGETORENTED PREMISES (Ea Occurrence) - -- INSURERC: MED EXP (Anyone person) $ 5,000 INSURER D: 26 ROCKINGHORSE RD INSURER E: RCH PALOS VRD CA 90275 --- INSURER F: – PERSONAL &ADV INJURY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSRTYPEOPINSURANCE LTR 20 CIVIC CENTER PLAZA M-11 DDTANSOL SURR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE OCCUR DAMAGETORENTED PREMISES (Ea Occurrence) $ 100,000 MED EXP (Anyone person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 HBD 10007003 GENT AGGREGATE LIM IT APPLIES PER: GENERALAGGREGATE $ 4,000,000 POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBIN ED SING LE LIM IT (Ea accident) $ BODILY INJURY(Per person) $ ANY AUTO BODILY INJURY (Per accident)$ B OWNEDAUTOS SCHEDULED ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOSONLV PROPERTY DAMAGE (Per accident) $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSLIAB CLAIMS -MADE UED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTFIER $ E. L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E. L. DISEASE - EA EMPLOYEE E. L. DISEASE -POLICY LIMIT $ Ifyes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEli1CLES(ACORD 101, Additional Remarks Schedule, may be attached if morespace Is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION ACORD 25(2016/03) 31-1769 11-15 ©1988-2015 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF SANTA ANA DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W ITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA M-11 AUTHORIZED REPRESENTATIVE GOLSA DOLATABADI 10/20/2016 SANIA.ANA— r1�927ll9— ACORD 25(2016/03) 31-1769 11-15 ©1988-2015 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD