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'4`coR1 CERTIFICATE OF LIABILITY INSURANCE D/01/lDDlYYY1r) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NQ.RIGHTS UPON THE CERTIFICATE HOLDER,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($), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollay(ies)must be endorsed. If SUBROGATION IS WAIVED,subjeoi to <br /> the terms and conditions of the policy,certain policies may require an endorsement, A statement on this cartlflGate does not confer rights to the <br /> certfflcate holder in Neu of such endorsemen s. <br /> PRODUCER Di.AT> Martin <br /> All-Cal Insurance Agency PHONE (916)784-9070 Fax (91fi)78G-018E <br /> 505 Vernon Street .dienna®all-ealinsurarice.eom <br /> INSUR S AFFORDING COVERAGE NAIC0 <br /> Roseville CA 95678 INSUREiA.-NOn rOfits' Insurance Allianc® 1184.5 <br /> INSURED INSURERa:North American N1ite Insuranera <br /> Firefighterey Burn Institute INSURER <br /> 3101 Stockton Blvd. INSURGR D <br /> Sacrament o CA. 95820 IN9URE1(e <br /> INSURERF <br /> COVERAGES CERTIFICATE NUMBERICL1410104118 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 1Mi1014 THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 9Y 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 /> 8R TYPE OF INSURANCEPOL D MPOIJCY P LIMITSPOLICY NUM <br /> GENERAL LWILrtY <br /> EACH OCCURRENCE 8 11000,000 <br /> X COMMERCIAL GENERAL LU1aILnY 6 500,000 <br /> 1+i CLAIM34MOE ©OCCUR X 014-144252Qe0 1/7/2014 11/7/8015 IJ1Ep DIP A cmrac 9 20,000 <br /> X IDIPROPJ@A l9yp(UJ►y CO!!®UCT Pl=R9pt�s.opvINJURY B 1,000,000 <br /> 280 000/ $250,000 fR111 <br /> NERALAEGREGATE 9 2,000,000 <br /> GENLAGGREGATELIMIT APPLIES PUL- ODUCTS-C01eP1OPAGQ 2,000,000 <br /> X POLICY PAO� LOC LICUORLIABILITY $ 1,000,000 <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO BODILY MURY(Per person) 6 <br /> AUTOS LL CWNED AUTTOS SODILYINJURY(Persommu S <br /> HIRED AUTOS q TAa1hMED ROPERTY KAGE 6 <br /> Per eccdare <br /> X UMBREUAWAGOCCUR EACH OCCURRENCE 6 4,000,000 <br /> A <br /> =MS LIAR HCLAN&*ME <br /> AGGREGATE S 41000.000 <br /> DED I x I a Ns 10,00 0,14-1442sDMB 1/7/201a 111712015 <br /> WORKERSCOMPENBATiON wCSTATII- OTH- <br /> AND EILPLOYERSr LUU3ILrrY <br /> ANY PROPRIETORIPARTNER EXECLITIVE YIN <br /> OPFICERINEMBER EXCLUDED? WA A EL,EACH ACCIDENT 9 <br /> (Maedailoly In NH) <br /> Hy�,descIbm under EL DISEASE-EA EMPLOYE i <br /> DORIPTION OF OPERATIONS belOW E,L,DISEASE.POLICY LIMIT I3 <br /> B PNPLOYEE DISHONESTY WH 000 3844-11 14425 1/7/2014 1/7/2DbS LIMITS 100,000 <br /> FORGERY/ALTERATxox DEDUCTIBLE 260 <br /> UESCRIPTION OF OPERATION3I LOCATIONS/VEHICLES CAU60 ACORD 101,Additloreal Remarks Schedule,II morespgce Is reyulrod) <br /> SAN JOAQUIN COUNTY, ITS OFFICERS, AGENTS, OFFICIALS, E'MBL0YEZ8, AMID vOLUNT&ERS APE MW ADDITIONAL <br /> INSURED REGARDING TEM FARMINGTON BOOT DR-TVH AT HIGHWAY 4 AND ESCALON-HELLOTA ON FEBRI�IRY 13-16, 2015. <br /> FORM CG 20 26 APPLIES <br /> CERTIFICATE HOLDER CANCELLAVON <br /> SHOULD ANY OP TWE ABOVE PROCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOP, NOTICE WILL BE DELIVF.AED IN <br /> SAN JOAQUM COUNTY ACCORDANCE MTN THE POUCY PROVISIONS. <br /> 1$10 E. HAZELTON AVE. <br /> STOCKTON, CA 95210 AUTAGRIZEDREPRESENTATNE <br /> QI <br /> 4GORD 26(2090/06) ®1988-2010 ACORD COR ORATION. rights reserved. <br /> Ns0 R e c e i v e d Time Jan, 2 3. 20 1 5rt 3:0 9 P M„N o, 0 3 9 7 opo are registered marks of ACORD <br />