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0 CERTIFICATE OF LIABILITY INSURANCE 7./3/2012 » 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 CNAOME•NTACT Teresa Shen Milestone Risk Management; & Insurance Agency PHONE-Ext); (949)852-0909 FXQ c:(949)652-1131 License No. OB72766 EDD,.Ss.tshen@milestonepromise.com 8 Corporate Park, Ste 130 INSURERS AFFORDING COVERAGE MAIC# Irvine CA 92606 INSURERA:Starr Surplus Lines Iris. Co. 13604 INSURED INSURERB:American Economy Ins. Co. 19690 Wayne Perry, Inc. INSURERc:Federal Ins. Co. 20281 8281 Commonwealth Ave. INSURER D: INSURER E: buena Park CA 90621 INSURER F: COVERAGES CERTIFICATE NUMBER:11/12 Master 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 ADDL S BR POLICY EFF POLICY EXP LIMITS POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DA AGE TO RENTED 300 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occunence $ r A CLAIMS-MADE ®OCCUR SLSLEIL72023211 12/31/201112/31/2012 MED EXP(Anyone person) $ 25,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 1,000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY OMBIINdEeD SINGLE LIMIT 1,000,000 B X ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 02CE22508901 12/31/201112/31/2012 BODILY INJURY(Per accident) $ AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Comp./Coll.Dad. $ 1,000 UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A X EXCESS LIAB CLAIMS-MADE SLSLXNV73017211 12/31/201112/31/2012 AGGREGATE $ 5,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION XWRSLATiU- OEH- AND EMPLOYERS'LIABILITY - ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 COFFICER/MEMBER EXCLUDED? N!A (Mandatory in NH) 0044727227 12/31/201112/31/2012 E.L.DISEASE-EA EMPLOYEE $ 1,000,_9_00 If yyes,describe under DESCRIPTIONOFOPERATIONS below E.LDISEASE-POLICY LIMIT $ 1,000,000 A Professional Liability SLSLEIL72023211 12/31/201112/31/2012 Limit(per Claim) $1,000,000 A Pollution Liability SLSLEIL72023211 12/31/201112/31/2012 Limit(Per Claim) $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN **PROOF ONLY** ACCORDANCE WITH THE POLICY PROVISIONS. � AUTHORIZED REPRESENTATIVE C Sariana/TERESA �`/� i ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD