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A b ®�� CERTIFICATE OF LIABIINSURANCE DATE(MWDDNYYY) 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(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 Milestone Risk Management & Insurance Agency No. OB72766 8 Corporate Park, Ste 130 Irvine CA 92606 CONTACT Michelle Sanchez NAME: PHONE (949)852-0909 AIC No: (949)852-1131 (AIC, NzLicense ADDRESS:msanchez@m:i.lestonepromise. coin INSURER(S) AFFORDING COVERAGE NAIC9 INSURERA:Starr Surplus bines Insurance 13604 INSURED Wayne Perry, Inc. 8281 Commonwealth Ave. Buena Park CA 90621 1 INSURER B: American Economy Insurance 19690 INSURERC:Federal Insurance Company 20281 INSURER D -Travelers Prop & Cas Co of Amer 025674 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:13/14 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. INSR LTR TYPEOFINSURANCE ADDL iu5a SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR 3LSLEIL72023213 2/31/201312/31/2014 DAMAGE TO RENTED 300 000 PREMISES Ea occurrence $ r M ED EXP (Any one person) $ 25,000 PERSONAL&ADV INJURY $ 1,000,000 X Contr Pollution Liab $1,000,000 Each Occurence X Prof Liab - Claims Made GENERAL AGGREGATE $ 2,000,000 $1,000,000 Each Claim GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMP/OPAGG $ 1,000,000 Subject to $2,000,000 PRO El LOC POUCYFx_1 laggregate Limit $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident) $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS AUTOS NON -OWNED AUTOS 02CE23144810 12/31/201312/31/2014 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident Com /Collision Deductible $ 1 000 UMBRELLA LIAB IX OCCUR EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9,000,000 A X EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ SLSLXNV73017213 12/31/2013 12/31/2014 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 0 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTIONOFOPERATIONS below NIA 0044727227 2/31/201312/31/2014 WCSTATU- OTH- X Y 1 ITY/N ER E.LEACH ACCIDENT $ 1,000'.000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 D Rented/Leased Equipment 66014790861 12/31/201312/31/2014 Limit $100,000 Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION **PROOF ONLY** ACORD 25 (2010105) INS025 onlna,nn1 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�`- ©1988-2010 ACORD CORPORATION. All rights reserved. Tho Arf)Rr1 name and Innn arc ronicforcrl markc of A('-r)R11