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ACORD. CERTIFICATE OF LIABILITY INSURANCE ID:MDAt?4/10/o s' <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATER OF INFORMATION <br /> ONLY ANTHE CERTIFICATE <br /> HUB International OLDER.T H SNFERS CERTIFICATE DOES KNONO RIGHTS T AMEND,EXTEND OR <br /> 1750 East Glendale Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phoenix, AZ 85020-5505 INSURERS AFFORDING COVERAGE <br /> Phone. 602-395-9111 Fax- 602-395-0222 <br /> INSURED: INSURER A: Philadelphia Indemnity Insurance Company <br /> Muscular Dystrophy Association, Inc. INSURER B: <br /> 3300 East Sunrise Drive INSURER C: <br /> Tucson, AZ 85718 INSURER D: <br /> i <br /> INSURER E: <br /> COVERAGES <br /> ' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS PAID <br /> INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POATEW <br /> LICY EXPIRATION LIMITS <br /> LTR DATE MMlDD DDD <br /> A GENERAL LIABILITY PHPK397858 M01/09 04/01/10 EACH OCCURRENCE $1,0D0,000 <br /> x COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Arty one fire) $ 300,000 <br /> CLAIMS MADE. OCCUR MED EXP(My one person) $ 15,000 <br /> I <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> i <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> POLICY PRJECTO- x LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a <br /> ANY AUTO (Ea acodent) <br /> ALL OWNED AUTOS BODILY INJURY g <br /> SCHEDULED AUTOS (Pa P—) <br /> I <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per aoadM) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ON;Y-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC <br /> AUTO ONLY <br /> _ AGG <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> CLAMS MADE ❑ OCCUR AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION <br /> WORKERS COMPENSATION ANDR E.L T <br /> E ACC WENT <br /> EMPLOYERS LIABILITY E.L.DISEASE OERr <br /> ta <br /> $ <br /> —EA EMPLOYEE $ <br /> E.L.DISEASE—POLICY LIMB $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESJEJCCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> Additional Insured—State or Political Subdivisions—Permits Endorsement CG 20 12(11 85) <br /> The Certificate Holder is added as additional insured as respects their interest in the Central CA Firefighters Fill the Boot,taking place May <br /> 2nd,2009 at the intersection of East Highway 88&Elliott,Lockeford,CA. San Joaquin County Public Works is Additionafty Insured. <br /> CALTRANS,its officers and employees are Additionally Insured. <br /> i <br /> 'CANCELLATION EXCEPTION:10 DAY NOTICE FOR NON PAY <br /> CERTIFICATE HOLDER ADDITIONAL INSURED:INSURER LETTER CANCELLATION <br /> Molekumne Fire District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATRION <br /> PO Box 1357 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL '30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Lockeford,CA 95237 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR <br /> (209)727-0564 REPRESENTATIVES <br /> AUTHORIZED REPRESENTATIVE <br /> San Joaquin County Public Works CAL TRANS <br /> 1810 E.Hazelton Ave. PO Box 2048 <br /> Stockton.CA 95201 Stockton.CA 95201 <br /> (2091 )481-2702 <br />