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JONECOV-02 DADACAYA <br /> CERTIFICATE OF LIABILITY INSURANCE DAT12812OIY <br /> 6128/2012 <br /> 2 <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. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER License#OE67768 NAME Celeste Garcia <br /> IDA Insurance Services-ORG PHONE 949 297-5962 AIC,No: (949)297-5960 <br /> 130 Vantis,Suite 250 (Air. No El:( ) <br /> Aliso Viejo,CA 92656 aooRess:celeste.garcia@ioausa.com <br /> INSURER(S)AFFORDING COVERAGE MAIC9 <br /> INSURER A:OneBeaconInsurance Company 21970 <br /> INSURED INSURER B:Golden Eagle Ins Corp 10836 <br /> Jones Covey Group,Inc. INsuRERe:Granite State Ins Co 23809 <br /> 9595 Lucas Ranch Rd Ste 100 INSURER D: <br /> Rancho Cucamonga,CA 91730 INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> [LTIR MRTYPE OF INSURANCE INSR WVD POLICY NUMBER MMIODIYYYY MWDD/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 <br /> _DAM�E TO RENTED <br /> A X COMMERCIAL GENERAL LIABILITY X 7930001440001 7/1/2012 7/112013 PREMISES Ea occurrence $ 50,000 <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 5,000,000 <br /> GENERAL AGGREGATE $ 5,000,000 <br /> GENLAGGREGATE LIMIT APPLIES.PER: PRODUCTS-COMPIOP AGO $ 5,000,000 <br /> POLICY X j�T LOC $ <br /> AUTOMOBILE LIABILITY CA(Esaccideent SINGLE LIMIT $ 1,000,000 <br /> B X ANY AUTO BABS53096 7/1/2012 7/1/2013 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON OWNED PROPERTYDAMAGE $ <br /> HIRED AUTOS AUTOS (Per accident <br /> 8 <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 <br /> A X EXCESS LIAR CLAIMS-MADE 930001450001 7/1/2012 7/1/2013 AGGREGATE $ 2,000,000 <br /> DED I X I RETENTION$ $ <br /> WORKERS COMPENSATION X VRYLIMIIT OTH- <br /> ANDEMPLOYERSLIABILITY TORY LIMITS ER <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVEY� NIA 0009970790 2/1/2012 2/1/2013 E.L.EACH ACCIDENT $ 1,000,000 <br /> O RCER EMBER EXCLUDED? <br /> (Mandatory M NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,descrbe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> A Professional Liab 7930001440001 7/1/2012 7/112013 Limit: 5,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if mon,space is requlmd) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Costco Wholesale Gas Station Service l"J• _ _ <br /> 999 Lake Drive �' 'S' <br /> Issaquah,WA 96027 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />