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CERTIFICATE OF LIABILITY INSURANCE
<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 CONTACT
<br /> NAME: Michelle Sanchez
<br /> AX
<br /> Milestone Risk Management & Insurance Agency 1-379-6956 (FAIC, o.
<br /> License
<br /> License No. OB72766 ,hez@milestonepromise.com
<br /> 8 Corporate Park, Ste 130 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Irvine CA 92606
<br /> INSURERA:Starr Su1us Lines Insurance 13604
<br /> INSURED jNSURERB.General Ins. Co. of America 24732
<br /> Wayne Perry, Inc. INSURER C:Travelers Property Casualty of 25674
<br /> 8281 Commonwealth Ave. INSURER D;
<br /> INSURER E:
<br /> Buena Park CA 90621 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:12/13 Master REVISION NUMBER-
<br /> THIS IS TO CERTIFY THAT THE POLICIES 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 /> INSR AD) I POLICY N L ICY EFF &
<br /> PM
<br /> LTR TYPEOFINSURANCE IN
<br /> SViVn UBRPOLIMITS
<br /> GENERAL LIABILITY
<br /> EACH OCCURRENCE $ 1,000,000
<br /> GAVAGE I U KtN I tU
<br /> X COMMERCIAL GENERAL LIABILrrry PREMISES(Ee occu encs
<br /> $ 300,000
<br /> CLAIMS-MADE ®OCCURSLSLEIL72023212 12/31/201212/31/2013 MED EXP(Anyone person) $ 25,000
<br /> X Contr Pollution Liab $1,000,000 Each Occurence, PERSONAL&ADV INJURY $ 1,000,000
<br /> X Prof Liab - Claims Made $1,000,000 Each Claim GENERAL AGGREGATE $ 2,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: subject to 02,000,000 PRODUCTS-COMPIOP AGG $ 1,000,000
<br /> POLICY[j]=PRO- D LOG gregate Limit I— $
<br /> AUTOMOBILE LIABILITY COM"'VEDSINGLE LIMIT
<br /> — $ 1,000,000
<br /> B 2L I ANY AUTO BODILY INJURY(Par person) $
<br /> ALL OWNED SCHEDULED 24-cc-305967-11 12/31/2012 12/31/2013 BODILY INJURY Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE
<br /> HIRED AUTOS AUTOS $
<br /> P - -
<br /> Cam/Collision Deducible _ $ 1.000
<br /> UMBRELLA LIAR x I OCCUR EACH OCCURRENCE $ 9,000,000
<br /> EXCESS LIAR A x CLAIMS MADE AGGREGATE $ 9,000,000
<br /> DIED RETENTION I ON�I SLSLXWn30l7212 12/31/201212/31/2013
<br /> A WORKERS COMPENSATION x
<br /> WC STATU- 0TH-
<br /> AND EMPLOYERS'LIABILITY YIN
<br /> ANY PROP3%OgMA
<br /> RTNERIEXICUTIVE
<br /> E.L.EACH ACCIDENT 1,000,000OFF1CERIME �EEXCLUDED? EMIA
<br /> (Mandatory In NH) 0044727227 12/31/201212/31/2013 E.L.DISEASE-EA EMPLOYE' 1,000,000
<br /> Il'yes,describe under
<br /> DESCRIPTION OF OPERATIONS.balow E.L.DISEASE-POLICY L 00
<br /> C Rented/Leased Equipment 6601479CS61 12/3112012 12/31/2013 Limit $100,000
<br /> DecluWlbls $1,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required)
<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 /> "PROOF ONLY" ACCORDANCE WITH THE POLICY PROVISIONS,
<br /> AUTHORIZED REPRESENTATIVE
<br /> M Sanchez/MICSAN
<br /> ACORD 25(2010106) ©1988 2010 ACORD CORPORATION. All rights reserved.
<br /> 1N.1;025f9n1nrLmn1 nam®2nd innn aro mniafg%rdxri market of Annan
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