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Apr 28 08 02: 42p p' 3 <br /> aCORD,. CERTIFICATE OF LIABILITY INSURANCE ID:MDA 04117!DOB <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HUB International Milne of Arizona HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 1750 East Glendale Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phoenix, AZ 85020-5505 INSURERS AFFORDING COVERAGE <br /> Phone: 602-395-9111 Fax: 602-371-4264 <br /> INSURED: INSURERA: Philadelphia Indemnity Insurance Company <br /> Muscular Dystrophy Association, Inc. INSURER B: <br /> 3300 East Sunrise Drive INSURER C: <br /> Tucson, AZ 85718 INSURER D: <br /> 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS PAID. <br /> INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR _ DATE MM/DD DATE(MMIDDIYY _ <br /> A GENERALLIA91LITY PHPK298646 04/01/08 04/01/09 EACH OCCURRENCE $1,000,000. <br /> x COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anyone 9re) $ 300,000. <br /> CLAIMS MADE O OCCUR MED EXP(Any one person) $ 1$,000 <br /> PERSONAL A ADV INJURY $1,000,000. <br /> GENERAL AGGREGATE $2,000,000. <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGG $2,000,000. <br /> POLICY PRO' x LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY i <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per acaderd) <br /> GARAGE LIABILITY AUTO ON;Y-EA ACCIDENT $ <br /> ANY AUTO OTHERTFWN EA ACC <br /> ALTO ONLY <br /> AGO <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> CLAIMS MADE ❑ OCCUR AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION <br /> WORKERS COMPENSATION AND I Wcsraru OTH- <br /> EMPLOYERS LIABILITY 70RYLIMITS ER <br /> ELEACH ACCIDENT $ <br /> E.L.DISEASE—EA EMPLOYEE $ <br /> OTHER E.L DISEASE POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> The Certificate Holder is added as additional insured as respects their interest In the Central CA Firefighters Fill the Boot®, taking place <br /> May 3a°,2008 at the intersection of Highway 88&Elliott,Lockeford,CA.San Joaquin County Public Works is additionally insured. <br /> 'CANCELLATION EXCEPTION:10 DAY NOTICE FOR NON PAY <br /> CERTIFICATE HOLDER ADDITIONAL INSURED,INSURER LETTER: _A_ CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATRION <br /> Citof Lockeford Mokulumne Fire District DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL '30 DAYS WRrTTEN <br /> y NOTICE TO THE CERTIFICATE HOLDER TO THE LEFT,BUT FAILURE TO 00 SO SHALL <br /> PO BOX 1357 PO Box 1357 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Lockeford,CA 95237 Lockeford,CA 95237 REPRESENTATIVES <br /> 209-727-0564 209-727-0564 AUTHORIZED REPRESENTATIVE <br /> ACORD 26S(7/97) OACORD CORPORATION 1988 <br />