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Apr 28 08 02: 42p p• 1 <br /> acoRla. CERTIFICATE OF LIABILITY INSURANCEID:MDA DATE 7/20 8 <br /> 04/17/2008 <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: INSURER A: Philadelphia Indemnity Insurance Company <br /> Muscular Dystrophy Association, Inc. INSURER s: <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 Le TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GATE MM/DDIYY DATE MWDDIYY <br /> A GENERAL LIABILITY PHPK298646 04/01108 04101/09 EACH OCCURRENCE 31,0D0,0oo- <br /> x COMMERCIAL GENERAL LI�A0IU TY FIRE DAMAGE(Any mef) 3 300,000. <br /> I <br /> CLAIMSMADE X1 OCCUR MED EXP(Any one person) S 95,000- <br /> PERSONAL 6 ADV INJURY $1,000,000. <br /> GENERAL AGGREGATE $2,000,000. <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUDTscOMP)OP AGG $2.000,000. <br /> POLICY PRO- X LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 3 <br /> IF <br /> aodnenq <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY S <br /> (Per Prsen) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per acwenl) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ON,V-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC <br /> AUTO ONLY <br /> AGG <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> CLAIMS MADE ❑ OCCUR AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION <br /> WORKERS COMPENSATION AND wcsTATu orw <br /> EMPLOYERS LIABILITY TORY ER <br /> E.L EACH ACCtOCCID ENT $ <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> OTHER E.L.DISEASE-POLICY UMIT $ <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS 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 3"',2008 at the intersection of Thornton,Starr&Highway 12,Woodbridge,CA.San Joaquin County is Additionally Insured. <br /> CALTRANS,its officers and employees are 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 /> Cif of Woodbrid a DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL -30 DAYS WRITTEN <br /> y g NOTICE TO THE CERTIFICATE HOLDER TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 400 East Augusta IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Woodbridge,CA 95246 REPRESENTATIVES <br /> 209-369-1945 AUTHORIZED REPRESENTATIVE <br /> San Joaquin County Public Works CALTRANS s!'�•�--CGr1 _ <br /> 1810 E Hazelton Ave. PO Box 2048 <br /> Stockton,CA 95201 Stockton,CA 95201 <br /> AWood <br />