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i <br /> Terra Insurance Company <br /> (A Risk Retention Group) <br /> Two Fifer Avenue, Suite 100 <br /> Corte Madera CA 9492.5 <br /> CERTIFICATE OF INSURANCE <br /> DATE 4 RISK RETENTION GROUP <br /> 01/01/08 <br /> NAME AND ADDRESS OF INSURED <br /> Blackburn Consulting <br /> 11521 Blocker Drive;, Suite 110 <br /> Auburn,CA 95603 <br /> This certifies that the insurance policy (described below by a policy number) written on <br /> forms in use by the Company has been issued. This certificate is not a policy or a <br /> binder of insurance and does not alter, amend or extend the coverage afforded by that <br /> policy. <br /> Notwithstanding any requirement, term or condition of any contract or-other document <br /> to which this certificate may pertain, the insurance afforded by the policy is subject to <br /> all of its terms, exclusions and conditions. <br /> 1 <br /> TYPE OF INSURANCE Professional Liability <br /> POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE <br /> 208180 01/01/08 12/31/08 <br /> LIMITS OF LIABILITY $1,000,000 EACH CLAIM <br /> $1,000,000 ANNUAL AGGREGATE <br /> PROJECT DESCRIPTION <br /> Proof of Insurance <br /> CANCELLATION If the described policy is cancelled by the Company before its <br /> expiration date, the Company will mail written notice to the certificate holder thirty (30) <br /> days in advance, or ten (10) days in advance for non-payment of premium. If the <br /> described policy is cancelled by the insured before its expiration date, the Company will <br /> mail written notice to the certificate holder within thirty (30) days of the notice to the <br /> Company from the insured. <br /> CERTIFICATE HOLDER ISSUING COMPANY: <br /> TERRA INSURANCE COMPANY <br /> (A Risk Retention Group) <br /> This is a speciment certificate of <br /> insurance. If you require a true <br /> certificate of insurance,please <br /> contact Terra Insurance Company. _ <br /> President <br />