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1---orn.rvonaa aucK rax;u.inst-ro rgents s brOK t-age 2 of 3 Date 5152010 10:40 AM Page:2 of 3 <br /> CERTIFICATE OF LIABILITY INSURANCE OP ID RB DATE(mWDD/YYYY} <br /> PRODUCER CRUZB-1 05/05/10 <br /> InsPro- (Sv) ---- Branch 1 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR <br /> 4 010 Moorpark Avenue, #112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> San Jose CA 95117 <br /> Phone: 408-241-0014 Fax:408-241-0037 INSURERS AFFORDING COVERAGE NAIL# <br /> INSURED '----- ---------_--- <br /> .._--._-..__ ..—__---------- <br /> INSURER A--- Mt gawlay zns uzu�ce Co�a�y <br /> IrhsLrFtFRB Nationwide Mutual ins Co <br /> Cruz Brothers Locators ------ —_ <br /> Robert & Denise Cruz dba; INSU2ERC Evanston Insurance Company <br /> P.O. Box l ley INSURER D Tower Ins. CO. Of New York <br /> Scotts valley CA 95067 — _ <br /> INSURER RSUI Indemnity Company --- <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELO`N HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOT'WITHSTANDiw, <br /> NNY REOUIREM£NT.TERM OR t;CNDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS('-'f RTIFICATF M,y BE 1.{SUED OR <br /> NiAY PERTAIN,THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONSAND CONDITICWS OF SLNLh <br /> =-"AICIE`;_A6GNEGATE LIMITS S710WN MAY I-4'+,VE BEEN REDUCED BY PAID CLAIMS. <br /> --r----- — ----- -- -- -------- -- -- <br /> LTR JNSIRTYPE OF INSURANCE POLICY NUMBER DATE(MMIDD7YYYY} DATE(MMIDD1YYWj LIMBS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,090,000 <br /> I <br /> X c;vnvtERCLnt ENE(At LIAEIutY i MGL0159341 10/24/09 10/24/10 PREM13EES{Ecxxtj.xe; $50,000 <br /> -- — — - <br /> ..�a, I MED -"1P;Any ori Tie $5,000 <br /> $5,000 <br /> �X X,C & U MGLO159341 10/24/09 i 10/24/10 �PFRSONAtaADV IN P" $_1,000,00_0 <br /> -- <br /> GENERAL AG REG ATE s2,000,000 <br /> GE'41.4GGREGATF Lit,117-s'PLIE� E�.. PRODUCTS-CiJMPIOF AGc. $excluded <br /> FL)Lk11X LETT UC I _. ..... <br /> AUTOMOBILE LIABILITY <br /> ACP7804191160 10 24/09 uMBINFE SIN ,F I MIT <br /> B I X�;r+v ro Eaac�ldarc I$1000000 <br /> A t o,vrDI, / 10/24/10 --- <br /> --- I BODILY INJURY <br /> I --- SCHEDULED 4' ,S I(Per person} $ <br /> HIRED LIT i<: <br /> jBODILY'INJLK't NJDrdr)VNEO AUT'.-iS (Per x•_IderX; $ <br /> i <br /> PROPERTY DNiAGF .. <br /> f leer aceldent <br /> GARAGE LIABILITY $ <br /> I A.UTO'i ON Y-Lq��I I{-M <br /> _.. <br /> i TTHER TWIN °40-' $ <br /> AI-LTO ON[Y <br /> ( EXCESS/1AY18RELLL-A.. -` at I $ <br /> LAETCH C .Cl2REY $ <br /> _2_000000E nsNA224818 10/24/010/24/10 $2000000_ <br /> ---- <br /> not exces $ <br /> of ucnEt= over PROF $ -- <br /> 1. j <br /> X RETENTION $10000 -----------------_.__ <br /> ---- <br /> WORKERS COMPENSATION $ _ <br /> AND EMPLOYERS'LIABILITYY,N X TORY IMITS_ SFR <br /> D aNYPROPR1EratPaR riER-E/ECUTIVE — WD9331042210 04/01/10 04/01/11 <br /> OFFICEWMEMBER EXCI UFIF' ��. =. EACHACCICtNI $1,000,000 <br /> (Mandatory in NH) ---- - -- <br /> If yas,dascnhe:mdar i I L.DISEASE-EA.I-Mf Lf YEE $ 1,000,000 <br /> SPECIAL PROVISIONS bi Ilk, -- —_ _ <br /> OTHER 1.DISEASE-POLIC'Y LIMIT $1,000,000 <br /> C Professional Liab. � EO841658 <br /> 10/24/091 10/24/10 ea claim 3000000 <br /> w <br /> DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS aggregate 3000000 <br /> *10 day notice of cancellation when for nonpayment of premium. Additional <br /> insured per attached CGL215. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> SAJOA-1 DATE THEREOF,THE ISSUING INSURER WILL a=XIBC =MALL *30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> San Joaquin County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 1810 E. Hazelton Ave. REPRESENTATIVES, <br /> Stockton CA 95205 auTHOR PRESENTATIVE <br /> ACORD 25(2009101) O 1988-2009 ACORD CORPOR TION::AN rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />