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A CERTIFICATE OF LIABILITY Y INSURANCEDATE(MMIDDIYYYY) 12/26/2013 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(ies) 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 Milestone Risk Management & Insurance Agency License No. OB72766 8 Corporate Park, Ste 130 Irvine CA 92606 CONTACT NAME: Michelle Sanchez PHONE (949)852-0909 AAC1949)852-1131 ADDRESS: msanchez 13mileS tonepromi se. COM INSURER(S) AFFORDING COVERAGE NAIC9 INSURERA:Starr Surplus Lines Insurance 13604 INSURED Wayne Perry, Inc. 8281 Commonwealth Ave. Buena Park CA 90621 1 INSURER B:Aafterican Economy Insurance 19690 INSURERC:Federal insurance Company 20281 INSURER D.Travel Prop & Cas Co of Amer 025674 INSURER E: INSURER F: tivvcNv-tveo rxasr-en KEVIS10NNUMBER: 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICYNUMBER MM/DDIYYYY MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETORENTED 300 000 PREMISES Ea occurrence $ r A CLAIMS -MADE FOOCCUR SLSLEIL72023213 12/31/201312/31/2014 MED EXP (Any one person) $ 25,000 X Contr Pollution Liab $1,000,000 Each Cccurence PERSONAL&ADV INJURY $ 1,000,000 X Prof Liab - Claims Made $1,000,000 Each Clain GENERAL AGGREGATE $ 2,000,000, GEN'L AGGREGATE LIMITAPPLIES PER: Subject to $2,000,000 PRODUCTS-COMPIOPAGO 1 $ 1,000,000 POLICY X PRO- LOC llggxeg.t. Limit Is AUTOMOBILE LIABILITY Ee BINEaccideDSINGLELIMIT $ 1,000,000 B X ANY AUTO BODILY INJURY (Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS 02CE23144BIO 12/31/201312/31/2014 BODILYINJURY Peraccident ( ) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Cam /Collision Deductible $ 1 0 0 0 UMBRELLA LIAB X OCCUR EACH OCCURRENCE Is 9,000,000 � X EXCESS LIAB I ICLAIMS-MADE AGGREGATE $ 9,000,000 DED RETENTION$ SLSLXNV73017213 12/31/2013 12/31/2014 Is WORKERS COMPENSATION WC STATU- OTH- X ANDEMPLOYERS' LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. EACH ACCIDENT $ 1 000,000 (Mandatory in NH) 0044727227J12/3112013 1/201312/31/2014 E.L. DISEASE -EA EMPLOYE $ 1,000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 1 Rented/Leased Equipment 6601479C86112/31/2014 Limit $100,000 Deductible $1, 000 SCRIPTION OF OPERATIONS LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) **PROOF ONLY** ARD 25 (20101051 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sanchez/ELISAN (nl An00 •1nAn Al+nnn nnnni.�aT..... ... ..