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JUL/22/2016/FRI 09:17 AM SIMSGRUPE MANAGEMENT FAX No,12094781404 p,006
<br />HAIC.
<br />25674 ,
<br />10'346,
<br />REVISION NUMBER;
<br />S AFFPfUltNG COVERAGE
<br />:T'ra~ers pi:'"Cas.~o of AmAr
<br />10 '/l:P""f~Ii.s Co
<br />Lori.':Jnger
<br />,(209)47S-1400
<br />s'Lori9dohrins.com
<br />rNSURER ;
<br />CA 95207 fNSUIlEIIF:,
<br />CER11FiCATE NUMBER:.tS'-17'AU Lines
<br />l.C~.CERtiFICATE OF LIABILITY INSURANCE.o~~~,,;=
<br />THIS CERllACATE IS ISSUED AS A MA~OF'INFORMAll0N ONLY AND CONFERS No RlGInS UPON TliE CERllACATE HOLDER.'ntisCERllFICATEDOESNOTAFFlRMAllVELYORNEaA'I1VELY AMEND,EXTEND OR ALttR lHE COVERAGE AP~ORDEIi BY THE POLICIEs"!,I..QW.'Ill1!!CER'Ill'ICATE OF INSURANCE DOE!!NOT ~ONsnTUTE A CONTRACT BIflWEllN,'IllE ISSUING INSURER(S),AUTHORIZED
<br />REPRESENT~l1VE OR PRODUCER,AND THE cEJil1FICATE H,OLDEIi.'"'",,'"
<br />IMPORTANT:If tho cenlftcalo holder Is an ADDIlIONAL INSURED,tho pollcyp ••)must b••n o~.d.If SUBROGAllON IS WAIVED,su~ecllDthoto;",s and .endIUo;,••'tho policy.cllllaln policies may require an ondorliomoriL A slllloment on thl.cortlllcalo dolS nul confer i1ghls 10 thecertlncatehardorIn'hru afsuch endDfSllfnlQlt 8 .'..
<br />l'RoCUCER
<br />Dol=6ann In:roranoe Agency
<br />PO 1100:7956
<br />341.5 IIrook.id"Rd..ate .too
<br />St~kton CA 95267
<br />,INSURED .
<br />~-Grupe Mana\l'=ment;COl<p..Ino ••
<br />i?~;Lincoln CenteJ;Merohant ••!'s ••n
<br />,374,I4n0!,ln~ter
<br />Stoe>kton
<br />"COVERAGES
<br />'1';000,00(1
<br />,.
<br />U ODD000
<br />11 00'0"000
<br />..1'000'1)00
<br />l'00'0''(fOO
<br />1 000 OOQ
<br />EAci<oCo.J!!FleNCl1
<br />AGGREGATe
<br />$
<br />I
<br />s~'I If"';'~TUTE ER
<br />e",EACHI<:CICl!NT I
<br />Ef".~..ASE.EAMQved s'
<br />et OIs£-.POI.IC'IL.ili'I.
<br />111120~7
<br />"
<br />1/1110,15 1/1121)17
<br />1/1/2011
<br />"
<br />..lHlS,IS TO CERTIFYlHAT 'fHl!POLICIES O.F IN$URANcE USTED SElo.v HAVE B~ISSl!EP TO nr!;lNSURED NAMED AB~F.OR.m.e POlICV PERIOD'•;g:,°J=Tt=~~~~~~Ji.~E~~~,:~'{~:~&or:.~n~c.;:.r-n::=~ESO~E~~~~1S ~BJ~~frAI~im'W~"EXC~USlciNs ANO CONDI1l00S OF sui:H pot'iCiES,UMTTSSHqwN MAY HAIlE JlEEN REDUCED BY PAIDCLAIMS.,••:'
<br />~:...1YPliioFM~e:'"POUCf'NlJ,(BER '~~.uMtTa'',",
<br />..'':X:.COMMERCIALGENERALUAm..tN 'EACH oC:C::oAAeNCE:C .1,°90;'00.°':''A'I~~liJoco.m ~\,.,10~,OOO
<br />X SSO-6CGOUn~L ••15 1/1tZ.t;J'U 1/11:.011 MEO'E)(plAiN~~nl S ..'ezcl .
<br />FeRSOtw.&A6VIfUJRY s ...1,OOO~OQO
<br />GeNEAALMOR~$.2,'DQO;OOO
<br />AAOtoCts.COh9/OPAGG S 2,"OOO/!300
<br />$
<br />s
<br />DES~ON OF OPERAnoNS I LOCA110NS IVEHICU!!J Io'aum 101,A4dllfcnw Rtmltb SCNidld(mir b.crtadnit If1I)Of'.Plcel."qufn-dJ'S,(q JOll'lUin county Dei?a.:tment of Public ~qrks is ~as an /!dditicmU insuritd as xequ1red pez:..n,t:t:on
<br />'c:6ntraot pez:the foz:m attached ..
<br />!'Ie:Lincoln cent••"Liir••Car Show-Road Cl=e
<br />~t n"t..:J\UgUSt 19,20],6
<br />••(.to)Ten day notic"of c""call.ation f'o"non-payment of premium
<br />CERllACATE HOLDER CANCEUAll0N
<br />SHOULDANYOFlliE ABOI/liDEllCAIIli!DPOUCI!!Bl!!!CANCElJ.EoaEFoAE
<br />San Joaquin Coun~lKe I!l\PlRAnON DATE lliEREOF.NOne"WILL lie DELIVERED IN
<br />DePartment of 1?u1>1ieWo:rl/:s ACCOR,DANce WITH 1"H2"POUCY PROVlsION8.
<br />1910 Haze1tpn Ave
<br />Stoakton.CA 96201 AU'1'H)RflB)REPRESEHTAnYE
<br />Gregory Dohrmann/LORI ~,c:::9~.-'~.~----:-",.','
<br />A'Received Time Jul.22.2016INS02S(20140'1
<br />l!l1988.2014 ACORD CORPORATION.All righta rea.N.di
<br />10 :54Afv!{iN 0,7999'"logo are roglotored marka of ACORD
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