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r— <br /> acORD CERTIFICATE OF LIABILITY INSURANCE ID:MDA 0410/2009 <br /> PRODUCER <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HUB International ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1750 East Glendale Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phoenix, AZ 85020-5505 <br /> Phone: 602-395-9111 Fax: 602-395-0222 INSURERS AFFORDING COVERAGE <br /> INSURED: <br /> Muscular Dystrophy Association, Inc. INSURER e. Philadelphia Indemnity Insurance Company <br /> 3300 East Sunrise Drive INSURER C: <br /> Tucson, AZ 85718 INSURER D: <br /> COVERAGES INSURER E: <br /> THE POLICIES OF INSURANCE LISTED BELUVVHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWRHSTANDIISSUED OR <br /> INSR NG <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS PAID. <br /> CONDITIONS O SUCH <br /> LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> A GENERAL LIABILITY DATE MMIDD/YY DATE MM/DD LIMITS <br /> PHPK397858 04/01/09 04/01/10 EACH OCCURRENCE <br /> X COMMERCIAL GENERAL LIABILITY $1 000'ODD <br /> CLAIMS MADE I-XI OCCUR FIRE OHMAGE(Ary,one fire) $ 300 000. <br /> MED EXP(Arty one Person) $ 15,000. <br /> PERSONAL&ADV INJURY $ 11000,000. <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000. <br /> POLICYPRO- x LOC PRODUCTS•COMP/OPAGG $2,000,000. <br /> JECT <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO COMBINED SINGLE UNIT $ <br /> (FJs ecci6e.M) <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS BODILY INJURY S <br /> HIRED AUTOS (Per parson) <br /> NON-OWNED AUTOS BODILY INJURY $ <br /> (Per encderrt) <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY (Per accident) <br /> ANY AUTO AUTO ON:Y-EA ACCIDENT $ <br /> OTHER THAN EA ACC <br /> EXCESS LIABILITY <br /> ONLYY AGG <br /> CLAIMS MADE ❑ OCCUR EACH OCCURRENCE $ <br /> AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS LIABILITY <br /> WC STATU- On.,, <br /> TORY UMIrTS ER <br /> E.L EACH-UMT $ <br /> OTHER �- E.L.DISEASE-EA EMPLOYEE $ <br /> E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED YY ENDORSEMENT/SPECIAL PROVISIONS <br /> Additional Insured-State or Political Subdivisions-Permits Endorsement CG 2012(11 85) <br /> The Certificate Holders are added as additional insured as respects their interest in the Central CA Firefighters Fill the Boot®, taking place <br /> May 2nd,2009 at the intersection of East Highway 26&Duncan Road,Linden,CA. San Joaquin County is Additionally Insured. CAL NS, <br /> its officers and employees are Additionally Insured. <br /> * <br /> CANCELLATION EXCEPTION:10 DAY NOTICE FOR NON PAY <br /> CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER <br /> : <br /> Linden-Peters Fire District — CANCELLATION <br /> 17725 E.Highway 26 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATRION <br /> Linden, CA 95236 DATE THEREOF,CERTIFI THE ISSUING INSURER WILL ENDEAVOR TO MAIL •30 DAYS WRITTEN <br /> (209)$87-371 RE TO 00 So SHALL <br /> O M OSE NO OBLIGATION OR LIABILITY OF ANY KIND PON THE(INSU ER,ITS AGENTS OR <br /> REPRESENTATIVES <br /> San Joaquin County Public Works CAL TRANS AUTHORIZED REPRESENTATIVE <br /> 1810 E.Hazelton Ave. PO Box 2048 q,eKl <br /> Stockton,CA 95201 Stockton,CA 95201 <br /> ACORD 25-S <br /> ©ACORD CORPORATION 1988 <br />