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RIPOCHA-01 HFISHER <br /> ,��oFzaa <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(M <br /> 7/3111201201YYYj <br /> 5 <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(ies)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 /> PRODUCER License#OE02096 CONTACT <br /> NAME: <br /> DiBuduo&DeFendis Insurance Brokers,LLC <br /> PNHONN E ,(209}578-0183 Arc No: (209)578-1641 <br /> E-MAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC d <br /> INSURERA Monprofits Insurance Alliance of California 29700 <br /> INSURED <br /> INSURER B <br /> Ripon Chamber Foundation INSURER C <br /> P.O.BOX 327 INSURER D <br /> Ripon,CA 95366 <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 /> ILTR TYPE OF INSURANCE N D WVD POLICY NUMBER MMIDDY EFF MMIDDYYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE 70­RMTr5'15___ <br /> CLAIMS-MADE T OCCUR X 201544762NPO 07/1012015 07/10/2016PREMISES Ea occurrence S 500,000 <br /> MED EXP(Any one person) $ 20,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 <br /> POLICY E PRO- F-1JECT LOG PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER. LIQUOR LIABILIT $ 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY Per accident 5 <br /> AUTOS AUTOS ( ) <br /> NON-OWNED PROPERTYCAMAGE <br /> HIREDAUTOS AUTOS Per accident $ <br /> S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESSLIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION S g <br /> WORKERS COMPENSATION I PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? ❑ N I A E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S <br /> .f yes,describe under ---- <br /> DESCRIPTION OF OPERATIONS below E,L DISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1c1,Additional Remarks Schedule,may he attached if more space is required) <br /> San Joaquin County is named additional insured per company form CG 2012 0798 attached <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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 222 E Weber Ave <br /> Stockton,CA 95202 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. Ali rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> I <br /> I <br /> I <br />