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A�� CERTIFICATE <br /> OF LIABILITY INSURANCE DATE(MMIDDlYYYY) <br /> THIS CERTIFICATE IS ISSUED AS q MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFlCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> 11 <br /> IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy{les)must be endorsed, if SUBROGATION IS WANED,subject to <br /> certificate holder in lieu of such endorsement(s). <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> PRODUCER <br /> CON <br /> NAME: Kathy Bruno <br /> Mid-Central Valley Insurance PHONE <br /> (209)334-4242 - <br /> 301 S. Ham Lane, Suite F E-MAILax L .—_ AIC No;(209)369-0684 <br /> P.O. Box 4 90ADDREsS lklbrulw@mOvinB com -- <br /> PRODUCER -- <br /> Lodigrcra� QrDaA0005060 -__ <br /> CA 95241 <br /> INSURED INSURERS AFFORDING COVERAGE <br /> INSURER A Western SecuritySu 1_1__i_8__Ins NAICC <br /> Linden-Peters Chamber of Commerce INSURER B: <br /> P. O. Box 557 INSURER C: <br /> INSURER 0: <br /> Linden CA 95236 INSURER E: -- <br /> COVERAGES <br /> CERTIFICATE NUM8M-2010-2011 Liability <br /> THIS IS TO CERTIFY THAT THE POLICIES OFUI INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMREVISEDIA OVENUMBFOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR <br /> LTR TYPE OF INSURANCE EA t EFF I POLICY EXP <br /> GENERAL LIABILITY wM POLICY NUMBER <br /> IYYYY ° LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> S 1,000,000 <br /> f DAMAG7 is D <br /> A CLAIMS-MAGE X, OCCUR X NC951010 it/1/2010 21/1/2013 M ES(Eaoccurrencal $ <br /> PEMED EXP Any one per S 5,0 0 0 <br /> AL&ADV INJURY S 11000,000 <br /> GEN-L AGGREGATE LIMIT APPLIES PER GENERAGGATE S 21000_ ,0 0.0 <br /> _ <br /> X POLICY PRO- }LOC PRODUCTS-COMPIOP AGG S - _- Include- <br /> AUTOMOBILE LIABILITY S <br /> I COMBINED SINGLE LIMIT <br /> ANY AUTO I(Ea accident) s <br /> ALL OWNED AUTOS F�BrODILYINJ�URY(Peraccident)': <br /> erson) "S <br /> SCHEDULED AUTOS I SHIRED AUTOSGE <br /> (Per accident) !5 <br /> NON-OYVNED AUTOS i � <br /> tS <br /> UMBRELLA LIAB OCCUR IS <br /> EXCESS UAB CLAIMS-MADE EACH OCCURRENCE S — <br /> DEDUCTIBLE I AGGREGATE S <br /> RETENTION S I 5 <br /> WORKERS COMPENSATION I S <br /> AND EMPLOYERS,LIABILITY WC STATU- <br /> ANY PROPRIETORIPARTNERIEXECUTNE YIN <br /> " TORY-- R ,.Y r��.LT�.S- ! R <br /> OFFICER/MEM$ER EXCLUDED? N/p <br /> (Mandatory In NH) i ESL EACH ACCIDENT S <br /> -- <br /> yyees.describe rgtder --- <br /> DESCRN�TIDN OF OPERATIONS barnv E.L DISEASE-EA EMPLOYEE 5 <br /> E.L.DISEASE-POLICY LIMB 5 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Add)tlonal Remarks Schedule,Nmore space Is requlmd) <br /> Cherry Festival & Parade May 21, 2011 <br /> CERTIFICATE HOLDER CANCELLATION <br /> —7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> San Joaquin County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1810 E. Hazelton Ave. <br /> Stockton, CA 95201 AUTHORIZER REPRESENTATIVE <br /> ACORD 00 (2009109) <br /> INS025(zoo ©9988-2009 ACORD CORPORATION. All rights reserved. <br /> so9) The ACORD name and logo are registered marks of ACORD' <br />