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I NAIO# <br />1011845I29700A95675CA <br />lNSUlt50 <br />RoeeviJ.18 <br />..-~~E.o/i:f CERTIFICATE OF LIABILITY INSURANCE I o~;;9~~~~T' <br />•••THIS CERTIFICATE lS ISSUED AS A MATTER OF INI'ORJl'lATION ONI.Y AND OONFERS NO RISHTS UPON THE CERTIFICATe HOLDER.THIS <br />••CERTIFICATE DOCS NOT AFFIRMATIVEl.Y OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />•BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TH~ISSUING INSURER(6),AUTHOFIJZeD <br />REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE KO~DgR. <br />'MPORTANT:If the ""rtJlioalB holder Is an ADDITIONAL INSURED,tho polley(I88)must blI endorsed.If SUBROGATION IS WAIVSl,subject tothetermsandc:ondltlons of the policy,certain policies may raquTm an en(jorsemGnt.A statement on thi~certlfJcBtadoes not confer rights to thA <br />certificate holdB{in lieu of such endon;ement(sl, <br />PRODUCER I ~~~~~-CTDi.Anna MlIrtin <br />All ..cal Insuran(je ~gGnc:y pt10N~rt':(916)7e4-9Q70 If~.!I1ll1:(P~6)7B-4_0tBB <br />505 V~rnon Street ~t'nAJ~~s;d:i-aJVla@a.ll-~ca1insu;J:'an(le.com <br />IN~Uro=RIS\AFfORDINGCOVERAOE <br />INSUReRA ;Non'Crofi ts I InsU!'i!L!"I.C8 A11.:i..a.nce of <br />rnaURiR Ii!~North .Americz:wEl.i ts :rnflU%'~1;l <br />...- <br />REVISION NUMBER' <br />IN!;lURBRC! <br />INsUAERD: <br />INlilJRlffi.E: <br />lNSUR~~P"~ <br />CERTIFICATE NUMBER.CL16160S112 <br />CA 95820$aoreunento <br />COVERAClES <br />Firefighter!!:Btu"n J:netitT,1te <br />3101 Stoalcton Blvd. <br />THIS IS TO CERllFY TIiAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED,TO TIlE INSURED NAMEOAllOVE FOR THE POLICY PERIODINDICATE'D.NOiWTHSTANDIN<l ANY R.auIRoME'NT,T5RM OR CONDITION OF ANY CON1RAC,OR oTHER DOCUMENT W1TIlRESPECT TO WHICH TIllsCERTIFICATE'MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY "!HE POLICIES DESCRIBgD HEREIN IS sUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH FOLl:LIMITS SHOVolNMAY HAVE BEEN REDUCED By.pAID CLAIMS.. <br />Ir¥~TYFeOFmaURANC5 '!1~;~p"'''•.•••.••'UM8ER 1,,':S~guet\POWn 5){1'I t.1MlTS'- <br />X COUlMERCIALGENeRALUABIUTY ~CURRENO&:$1,000,000 <br />A l Cl.A1Ms-MADE ~OCCUR ~~9E~~~J1N>1 $SOO,000 <br />X IMElRQJ?Sl\8J!lXUAL CONDUCT X 2.0~G-l4.425NPO ;1./1/2016 t/1/2017 Mt::OEXP(ArN009OeJl>QI1\S 20,000 <br />$.250,000 /250,000 PERSONl\!.8ADV INJURY S ;L,OOO,.oooijEN':LAG~REGATE LIMIT APPLIES PER:GENERAL AGGREGAm .$2 rOOD r 000 <br />X POLICY D~rgT 0 LOC PRODUcre-COMPfOPAGiG 5:2,000,000 <br />OTIiER.LIQUORLIABILITY If.1,000,000 <br />~TOMOall-2 UABII.ITY t:e "N.G~IT $ <br />f-.-ANYAUTO BODILYINJuRY(Parp=oo}$ <br />I-~t~g~ED =~8~6~UlEO BODI\.YINJURY(Per3cddanl~$ <br />~HI~EDAlITOS _~~WNED fP~~~~nI.?AMAC3E $ <br />$ <br />~UMBR6.LA LiAS ROOClJR <br />A !!XC!!SS WAS I CLAIMS-MAP!". <br />O~!x I R~ITIAN S 10.one <br />WORKER.S i;:OMPENSAlTON <br />ANDEMPLOYERS'UAelurv y /N <br />ANY PROPR!ETORIFART"NER/EXECunVE.nOFF1CgV?.~::ME'E~ga..UDED?~NIA(t"anaalOry In Nt'llIfy~~-d~~e1ibaLJndl3rDE.S",I.J~TiAN r&OPEFATlONS below <br />B EMPLO¥Xm OISHcNEBTY <br />FORGiERY &ALT:ElRAT:tON <br />2016-14425UMB 1/1/2016 <br />1/1/2016 <br />1/1./2017 <br />l/l/2017 <br />EACHOCGlJRl'\ENCE S <br />AGGREGATE $ <br />$ <br />Ilfili=E'1 I~,';' <br />J:;..LEAC~AccIO~II.'T S <br />E-l DIS~!:.M EMPLO~S <br />E"L DISEASE -POlleY UM1T .'Ii <br />LIMITS <br />DE:oUCTIBl£ <br />4 000 000 <br />4 000 000 <br />1001000 <br />250 <br />D~cRJPnON of OPERATIot.lS ILOCATIONS IVl;HIClES (ACORD 1D1,AddlUonll!Ram.rld'l StltaduJ",m"y btl Mta~tt6<lIf more flPe.~,.•I'IOqulred) <br />aAN JOAQUIN COUNTY,rTS OFF!CERS1 AGENTS, <br />INStmED FOR ':rHi:"FILL 'l'IlE BOO~FOR BURNS n <br />)!:BCALON-BELLOTA •ri'O:RMCQ 20 2.llPLUS <br />OE'E'ICIlILB,E16)?LOYEES,AN!'VOLUNl$"ml ARE Nl'IMED ADDITIONAL <br />SOOT P:Rl.VE ON S!:PTKMBER2~5TH,2016 AT H'I:r;HWAYIj,.AND <br />CgRTlFICATE HOLDER CANC"'~I-ATION <br />SAN JOAQUIN C01JN'I'Y1610E.HAZELTON AVE, <br />S'fO=ON,C1\.95210 <br />ACORD 25 (2014/01)IReceived Time Jul.I.2016 <br />SHOULDANYOF THEABOVEDoSCR1BED POLICIES So cANCE~LEP BEFORETHFEXl"IRATION OA.TE.THEREOF,NOTICE WlL.L El:E OEUVGRIiiO INACCORDANCeWllHTHEPDUCYPROVISIONS. <br />@ 1986~014 ACORD COl> <br />The ACORD name and logo are registered marks'of ACORD <br />3:08PM No,7687