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ATE(MM/DDIYY) <br /> ACORDM CERTIFICATE OF LIABILITY INSURANCE D 06/05/2007 <br /> PRODUCER Serial# 357304 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> SHAHINIAN INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> POST OFFICE BOX 4093 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> TUSTIN CALIFORNIA 92781-4093 <br /> PHONE(800)457-2231/FAX(714)544-4370 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED JIM&LINDA NYLON INSURER A: PENN STAR INSURANCE CO <br /> C.A.R.T./COMMUNITY SPECIAL EVENTS INSURER B: <br /> " DAUGHTERS WEDDING" INSURER C: <br /> 7540 MEADOW AVE. INSURER D: <br /> STOCKTON CA 95207 INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR NSR DATE MMlDDlYY DATE MM/DDNY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY CPS 5012810 6/30/07 7/1/07 PREMISES (RENTED cnce) $ 250,000 <br /> CLAIMS MADE FRI OCCUR MED EXP (Anyone person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ EXCLUDED <br /> POLICY PRO- <br /> JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY. AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR FICLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ $ <br /> TATWORKER'S COMPENSATION AND WCTORY LIMITSLIMIY O R <br /> S ER <br /> EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNERIEXECUIIVE EL EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> EL DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ <br /> OTHER 350 ATTENDEES <br /> 5*****8874091434 WEDDING <br /> LL <br /> DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> LOCATION: MEADOW AVENUE, STOCKTON, CALIFORNIA, 6/30/07 ONLY. <br /> CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO THE STREET CLOSURE ON MEADOW AVENUD ON <br /> 6/30/07 BUT ONLY WITH RESPECT TO THE LIABILITY ARISING OUT OF THE NAMED INSUREDS OPERATIONS. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> SAN JOAQUIN COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> ATTN: SCOTT COOPER IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 1810 S. HAZELTON AVE. I REPRESENTATI E <br /> STOCKTON CA 95201 AUTHORIZED�SENTATIVE <br /> ACORD 25(2001/08) f� kl-)AtuKu CORPORATION 1988 <br />