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ACORD. CERTIFICATE OF LIABILITY INSURANCE ID:MDA 05/07/22 10 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HUB International HOLDER THIS CERTIFICATE DOES NOT AMEND,EX'T'END 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: 602-395-0222 <br /> )NsuRSD: INSURER A: Philadelphia Indemnity Insurance Company <br /> Muscular Dystrophy Association, Inc. INSURER e: l <br /> 3300 East Sunrise Drive INSURER c j <br /> Tucson, AZ 85718 INSURER D: <br /> I 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 /> INeR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PDUCY EXPIRATION LIMITS <br /> LTR DATE MNVDD DATE MM/DD/YY <br /> A GENERAL LIABILITY PHPK539039 04/01/10 04/01/11 CACM OCCURRENCE s t,D00.o00. <br /> � X <br /> COMIAERUAL GENERAL LIABILITY ' FIRE DAMAGE I&AY am ft) S 300.000. <br /> CLAIMS MADE O OCCUR WD Ex��paw) S 15.000. <br /> I PERSONAL 8 ADV 11CURY S 1,000.000. <br /> CENERAL AGGREGAYE $2,000,000. <br /> GCN'LAGGREGATE LIMIT APPLI_SPER: PROOUCTS•COMPfOPAGG S 2,000,000. <br /> POUCv PRC X , Loc <br /> AUTOMDBILS LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUT, (Eup,aJ(IAN: <br /> � ALL OWNED AUTOS DOpLY INXIRY S <br /> (PN pOP.Dn) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BOMY vuuaY g <br /> NON-OWNED AUTOS (Pa acano.) <br /> PROPERTY DAMAGE 5 <br /> (Por aedder.L) <br /> GARAGE LIABILITY I ATOON:Y-EAACCIDENT y <br /> ANY AUTO OTHER T4AN EA ACC <br /> AUTO ONLY <br /> AGO <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> CLAiMSMADC OCCUR AGGR:GATE <br /> __j 5 <br /> I <br /> I DEDUCTIBLE <br /> RETENTION <br /> WORKERS COMPENSATION AND c,6rATIy, o+,. <br /> EMPLOYERS LIABILITY <br /> TORY UNIr¢ f.R <br /> i <br /> E.LEACHACCCDEhn S <br /> E.L.DISEASE-VA-L7 WLOYEE S <br /> i <br /> E 4 019EASE_o0uC1'LIMIT S <br /> OTHER <br /> I �I <br /> DESCRIPTION OF OPERAT10NSILOCAT10N9NEHICLESr,XCWSIONs ADDED BY EN OR5EMENTISPECIAL PROVISIONS <br /> Additional Insured—Designated Person or Organization Endorsement—Permits Endorsement CG 20 26(11 85) <br /> The Certificate holder is added as additional Insured as respects to their interest In the Linden-Peters Fill the Boot®taking place on May 8'", <br /> 2010 at the Intersection of Highway 26&Duncan Road,Linden,CA. <br /> 'CANCELLATION EXCEPTION:10 DAY NOTICE FOR NON PAY <br /> CERTIFICATE HOLDER ADD--NAL INSURED:INSURER LETTER:— CANCELLATION <br /> SHOULD ANY OF THE A59VE DESCRIBED POUCES IIF CANCELLED BEFORE THE EXPIRATRION <br /> San Joaquin County Public Works Cal Trans <br /> DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL -30 CLAYS WRI TEN <br /> NOTICE TO THE CERTIFICATE HOLDER TO THE LEFT,BUT FAILURE TO 00 SO SMALL <br /> 1810 East Hazelton Avenue PO Bax 2048 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,IT5 AGENTS OR <br /> Stockton,CA 95201 Stockton,CA 95201 REPRESENTATIVES <br /> (209)468-3000 (209)948-7543 AUTHOR12EO REPRESENTATIVE <br /> ACORD 25-S(7/97) ®ACORD CORPORATION 1988 <br />