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CERTIFICATE OF LIABILITY INSURANCE <br />DATE tMhvoorcrvv) <br />01(11/2018 <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endomement(s). <br />PRODUCER <br />CONTACT Mike Espama <br />NAMEAil-Cal <br />Insurance Agency <br />PHONE. Ext: 1416)764-9070 u FAX Nnp (916)784-0158 <br />505 Vernon Street <br />EMAIL Mike@alkcalinsurance.com <br />INSURER($) AFFORDING COVERAGE NAICN <br />wsuRERA: Nonprofits' Insurance Alliance of California T 011845 <br />Roseville CA 95678 <br />INSURED <br />INSURERS; <br />_ <br />INSURER c u <br />Firefighters Bum Institute <br />3101 Stockton Blvd. <br />INSURER D: <br />INSURER E: <br />Sacramento CA 95820 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CLI81406876 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN t5 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />LTR <br />TYPEOFINSURANCE <br />Man <br />WVD <br />POLICY NUMBER <br />FOUCYEFF <br />JMnR= <br />POLJCYIEXP <br />IMMIDDIYYYY) <br />LIMITS <br />X COMMERCIALGENERALLLABILITY <br />EACH OCCURRENCE <br />5 1.000,000 <br />CLAIMS MADE x OCCUR <br />ATE <br />PREP.115ES Ea orwrrencel <br />5 500,000 <br />MED EXP(Any oneperson) <br />S 20,000 <br />PERSONAL a ADV INJURY <br />S 1,000,000 <br />A <br />Y <br />2018-14425NPO <br />01/01/2018 <br />0110112019 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />5 2,000,000 <br />X PRO POLICY ❑ E <br />JEGT OC <br />-PRODUCTS <br />5 2,000,000 <br />Improper Sexual Conduct <br />$ 250,000 <br />OTHER; <br />AUTOMOBILELIASILITY <br />COMBINED SINGLE LIMIT <br />Es accident <br />S <br />BODILY INJURY (Per person) <br />5 <br />ANY AUTO <br />OWNED SOHEOULEO <br />AUTOSONLY AUTOS <br />N <br />BOOBY INJURY(Par actidentl <br />S <br />PR PERTYOAMAGE <br />Peraccidenl <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />S <br />X <br />Uh1aRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />5 4,000,000 <br />A <br />EXCESS DAB <br />GLAedS-rMOE <br />Y <br />2018-14425UMB <br />01/0112016 <br />01/01/2019 <br />AGGREGATE <br />S 4,000,000 <br />DED x RETENTIONS 10,000 <br />S <br />WORKERS COMPENSATION <br />ANDEMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />EL EACH ACCIDENT <br />5 <br />ANY PROPRIETOR/PARITERIEXECUTIVE ❑ <br />OFFICER/MEMeER EXCLUDED? <br />NrA <br />EJ_ DISEASE - EA EMPLOYEE <br />S <br />(Mandatory in NH) <br />If yes, desune under <br />DESCRIPTION OF OPERATIONS below <br />E.L DISEASE -POLICY LIMIT <br />$ <br />A <br />EmploLimits <br />Forgery &Alteration yce Dishonesty <br />Forge <br />2018-14425PROP <br />01101/2018 <br />01/01/2019 <br />Deductible <br />100,000 <br />25D00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IADDRD tot, wddilional Remarks Schedule, may be attached if more space is rcnuiretl) <br />San Joaquin County, its officers, agents, officials, employees and volunteers are named additional insured for "Fill the boot for burns" boot drive February <br />1041, 2018. Tom) OG 20 26 applies <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />San Joaquin County ACCORDANCE WITH THE POLICY PROVISIONS. <br />1810 E . Hazelton Ave <br />Stockton CA 95210 <br />All rinhtc <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />