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LINDE-1 OP ID:BILL <br /> ACRO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) <br /> 05/08/2014 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to <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 /> certificate holder in lieu of such endorsement(s). <br /> CONTAPRODUCER Phone:209-465-5671 NAME: Bill Johns <br /> Brown&Brown Ins Svc of CA <br /> PO Box 200 Fax:209-465-8737 A/C" o .209-465-5671 aC No;209-465-8737 <br /> Stockton,CA 95201 ADDRESS:Greg Williamson SS:bjohns debock-muth.com <br /> — <br /> INSURER($)AFFORDING COVERAGE NAIC p <br /> INSURER A:Scottsdale Insurance Co <br /> INSURED Linden Athletic Booster Club INSURER B: <br /> Richard Remington INSURERC: <br /> P.O.Box 121 <br /> Linden,CA 95236 INSURER D: <br /> INSURER E; <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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 /> POUCYEXP <br /> LTR TYPE OF INSURANCE WvDPOLICY NUMBER POLICY <br /> M DDY/YYYYMM DDIYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> XW <br /> A X COMMERCIAL GENERAL LIABILITY CPS1985104 05/12/2014 05/12/2015 pREMIS $ Ea occurrence $ _ 100,00 <br /> CLAIMS-MADE �OCCUR MED EXP(Any one person) $ 5,00 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE v $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 1,000,00 <br /> X POLICY I JECT Ll PRO LOC y <br /> AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT <br /> Ea accident)g <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED ._ <br /> AUTOSAUTOS I BODILY INJURY(Per accident) E <br /> " NON-OWNED PROPERTY DAMAGE S <br /> HIRED AUTOS AUTOS <br /> Per accident <br /> $ <br /> UMBRELLA LIAO OCCUR EACH OCCURRENCE b <br /> EXCESS LIAR H_CLAIMSP11 <br /> AGGREGATE $ <br /> DED RETENTION$ S <br /> I WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY L fT <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EAC�HACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory b NH) E.L DISEASE-EA EMPLOYEE S <br /> Ifyes,describe antler <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ <br /> 3 <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> EVIDENCE OF LIABILITY INSURANCE: Linden Cherry Festival Event 05/17/2014 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> San Joaquin County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1810 E.Hazelton Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Stockton,CA 95205 AUTHORIZED REPRESENTATIVE <br /> Greg Williamson <br /> ©1988-2010 ACORD CORPORATION. All righ " reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks ofACORD <br /> _ I <br />