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A�C D,DD/Yl 04/02/2013 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 LIC #OB29370 1-925-244-7700 Edgewood Partners Insurance Centers (EPIC) [San Ramon Branch] CONTACT gd ewood Partners Insurance Center g PHONE FAX A/C No Ext: (925) 244-7700 A/C No: (925) 901-0671 ADDRESS: EPICcerts@edgewoodins.com P. O. Box 5003 INSURER(S) AFFORDING COVERAGE NAIC # San Ramon, CA 94583 INSURER A: WESTCHESTER SURPLUS LINES INS CO 10172 04/01/1 INSURED INSURER B: PEERLESS INS CO 24198 Gettler-Ryan, Inc. INSURER C: STATE COMPENSATION INS FUND 35076 INSURER D: 6747 Sierra Court, Suite J INSURER E: Dublin, CA 94568 INSURER F: DAMAGE TO RENTED 50, 000 PREMISES Ea occurrence $ COVERAGES CERTIFICATE NUMBER: 32915929 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY G24014484006 04/01/1 04/01/14 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X1 OCCUR DAMAGE TO RENTED 50, 000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT LOC $ B AUTOMOBILE LIABILITY BAS404396 04/01/12 04/01/14 COMBINED SINGLE LIMIT 1,000,000 Ea accident BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X NON -OWNED HIRED AUTOS X AUTOS A UMBRELLA LIAB X OCCUR G24014502006 04/01/1 04/01/14 EACH OCCURRENCE $4,000,000 AGGREGATE $ 4,000,000 X EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEN/A OFFICER/MEMBER EXCLUDED? 9051229-13 04/01/1 04/01/14 X WCSTATU-JOTH- gR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability G24014484006 04/01/1 04/01/14 Per Claim 1,000,000 B Rented/Leased Equipment CBP8404796 04/01/1 04/01/14 Per Item 100,000 A Pollution G24014484006 04/01/1 04/01/14 Per Occurrence 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION *EVIDENCE OF COVERAGE ACORD 25 (2010/05) rjohnsonl 32915929 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD