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RJO\/ISION NUMBER:
<br />CAIIICI<~LAT10N
<br />CERTIFICATE NUM6ER'CL161605112
<br />Cl"RTlFICATE HOLDER
<br />COVERAClESTHISISTOCERTIFY THAT THE POLICIES OF [NSURANCE LISTED BELOW HAVE BEEN {SSUED,TO 1I1E [NSURED NAMEO AIlOVE FOR THE POLICY PERiOD
<br />INDICATED,NOTWTHSTANO[N<l ANY REQUIR.MENT,T.RM OR CONPIT10N OF ANY CONTAAC"OR OTHER DOCUMENT WITH 'RESPECT TO WHICH TH[S
<br />CERTlF[CATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBfD HEREIN IS sUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH FOLIC1ES.L1M!TS SHO'w\IN MAY HAVE BEEN REDUCED By.pAID CLAIMS_
<br />I~¥~TYPe OF tNSURANCEi DD SR.pOllev Nur"!IER'11~J5g~\~ve.,"--'
<br />LIMITS
<br />-"-.COMMERCIAL GeNE!RAl UABILlTY EACH OCCURRENC&:$~,OOO,OOO
<br />A I CLAIM&-MADE W OCCUR I~~~~~s9c~~u~rt~'$500/000
<br />X DWRO)?EP.smxvAL CONDUC'X X Q01G-:l4.425NPO ;1/1/2016 1/112017 ME:O EXP IAnv (Jlg tlereoni ,20,000
<br />~250,000 /150,000 FERSONAl-&ADV [NJURY $l.,OOO,.OOO
<br />:Ij'LAMREGATHIMfY APPLIESPt'"
<br />GENERAl.AGGREGATE ~2,000,000
<br />X DeRD'D 2,000,000
<br />POlICY JECT LOC
<br />PRODUGTS _L:OMPIOPACliQ •
<br />OTHER"
<br />LIQUOR UABIUTY ,1,000/000
<br />~TOMoeH.l!UA91l..rrr
<br />~GU:LIMJT S
<br />"'0
<br />.-
<br />-ANY AUTO -
<br />BODILY INJuRY (Par pwr.oDCl)$
<br />AtLOI,f.n,JE:D SCHEDULEO
<br />-AtJrOB -AUTOS
<br />BODi\.Y INJURy(Pe~;'lc:ddent~•
<br />HIREDAlITOa NQN,()VllNED rp~PERTY DAMAGE •
<br />f---AUTOS e.rlltt::!l:l9Il1.\_•
<br />~UMBRaLAUA8 HOCCliR EACHOc;vlJR •••~CE ,•000 000
<br />ll.~C~3LJA8 CLAIMS-PJIA.,D.!:AGGREGAi'E ,•000 000
<br />p,",I X I RFn'W'r,ON.10,OllO 2016~14425UMB 1/1./2:016 ~/:L/2017 ,
<br />WORKER3 r.;:OMP81SAllON 1lri'~1UT'I I~.:,~
<br />ANO EMPLOYERS'UAerU'l"Y YINAN.Y F'ROP'R!ETQRlFARTN~R:/EX.ECunVE.nNfA
<br />f;.L EACK AcclOENT $
<br />1)F"F1C!:Rq..~::,'A!:'tR 8!:CLUDEO?
<br />(Ml'lfli:1lnory m Nt'l)
<br />ELlJlg~f ~EA EMPLOYE S
<br />If~~FJ~~~deroNOPERATlOf'lS below E.,LDISEASe.-POI.ICYUMIT S
<br />B mMPLO!X~n!sHONESTY ewe 000 3e44~12 1442~1/1/2016 1/1/2.017 LIMITS 100,000
<br />FORGER"t &ALTERAT.t.ON DE:tlUCTIElL£250
<br />OES'CRlPllON OF OPERATIOnal LOCATIONS J ViiiHIOLES (.ACORD 1'G1,AddltJon.a1 Romlrld!;Sdtlll1U1~,ffillYbe B.ttactled Ifmoreepll.CQ l'll!"llqulretll
<br />s»l JOAQ1JIN COUNTY,l'TS OFli"J:CERSI ,AGENI'SI OFE'ICIAI.S,E16)?LOYEES,=VOLo=E"'l ARE Nl\ME:P ADDITIONAL
<br />INSUP.ED FOR '.rHE "F.1LL THE :aOO'!'FOR B~S"1lO0T IlJuVE ON SEPTKMEER 2~5TR/201.6 AT HJ;GB:WA7 4 AND
<br />~BCALON-~ELLO'l:A •F01lli:C(;20 26 ,ll)PL:tES
<br />CORi:f CERTIFICATE OF LIABILITY INSURANCE I DATE{MMJDDfYYH}~6/29/2016
<br />THIS CERTlFI(;ATE IS ISSUED AS A MATTER OF INI'ORJl'lAT10N ONLY AND CONFERS NO RleHTS UPON THE CERT[FICATe HOLDER.,HIS
<br />•CERTIFICATE DOES NOT AFFIRMATIVEl-Y OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES
<br />'I BELOW,THIS CERTIFICATE OF INSURANCE DO~S NOT CONSTITUTE A CONTRACT BElWEEN THI!ISSUINe [NSURER(6),AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDgR,
<br />rMPORTANT:[f the cortlf;o~'"holder Is an ADOITIONAL INSURED,tho pollcy(I ••)must ba endorsed,If SUBROGATION IS WAIVSJ,.ubJect to
<br />the terms and condItions of the policy,certain policies may raqulm a.rtendol'5ement.A statement on this certlf1cste does not confer rIghts to the
<br />certificate holdoc in lieu of such endo~ment(g\.
<br />PRODIJC~N~~~~CTOiAnna ML\rtin
<br />All-Cal In:iru~anoe Jl>.gency I r~QNE rt"(916)764-9070 I f~~\~\P~6)7B4~01B9
<br />505 VElrnon Street ~cMnAJbs;di,anna@i!l11.-ca.1infJu;ranCle.oom
<br />INSURJ;R'Sl AFFORDING covERAGE I'lA.IC#
<br />Roseville CA 95678 INSUREm.A ;Non'TIrofi ts I Insur&ncs A11iance of 01191,\5
<br />-msuR50 tNSUFUiiR El:'No~th1Unerican Eli tEl :rn,,~G&nCli;l 29700A
<br />E'irefighte%'f!>Burn :rnetitl,lte:IN'JUR~C~
<br />31.01 Stockton Blvd,If'lSURMP:
<br />INSI,fR~E:
<br />83.cremento CA 95820 INSU~!:1t il=
<br />SAN JOAQUINCO=~6~O E.HAZEL~ON AVE,
<br />s'l?OCKTON,Ch 95210
<br />ACORD 25 (2014/01)[Rece i ved Time Jul.L 2016
<br />SHOULDANY OF THEASOVE D.SCRIBED poLiCIES 8~CANCELLED BEFORE
<br />TH~EXl"IRATION DA,TE THEREOF,NOTICE WILL S,E rn;;:UVSRIiii:C IN
<br />ACCORDANCE WITHTHE POLlCY PROVISIONS,
<br />AUTHoro:!:~b.RsrRESEo;:NT A1NE
<br />@ 1ge6-2014 ACORD COR
<br />The ACORDname and logo are registered marka.of ACORD
<br />3:08PM No.7687
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