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� 1 <br /> , ATE(IAWOWYYY) <br /> k.-- CERTIFICATE OF LIABILITY INSURANCE °03/31/2 11 <br /> 03/31/Z011 <br /> THIS CERTIFICATE IS ISSUED AS A 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 be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In(leu of such endorsement(s). <br /> PRODUCER LIC #0829370 1-925-244-7700 CONTACT <br /> CT Edgenood Partners Insurance Center <br /> Edgewood Partners Insurance Centers (EPIC) PHONE FAx <br /> (San Ramon Branch] (925) 244-7700 No; (925) 901-0671 <br /> P. O. Box 5003 ADDRESS: EPICcertseedgeroodins.com <br /> San Ramon, CA 94583 INSURERS AFFORDING COVERAGE MAIC i <br /> INSURER A: WESTCMESTSR SURPLUS LINES INS CO 10172 <br /> INSURED INSURER B: PEERLESS INS CO 24198 <br /> Oettler-Ryan, Inc. <br /> INSURER C: TRAVELERS PROPERTY CAS CO OF AMER 25674 <br /> 6747 Sierra Court, Suite J INSURER D: <br /> Dublin, CA 94568 INSURER E: - <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20468751 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE �ADL B POLICY NUMBER POU pY EFF POU D EXP LIMITS <br /> LTR <br /> A GENERAL LIABILITY 624014484004 04/01/1 04/01/12 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE T <br /> % COMMERCUIL GENERAL LIABILITY PR MI 5 Ea $ 50,000 <br /> CLAIMS-MADE 11-il OCCUR MED EXP(Any onepenon) $ 5,000 <br /> PERSONAL 8 ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2.000,000 <br /> GENT AGGREGATE DMR APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 <br /> POLICY % rrTRO- LOC $ <br /> B AUTOMOBILE LIABILITY BAS404396 COMBINED SINGLE OMIT dent 1,000,000 <br /> % ANY AUTO BODILY INJURY(Per Person) S <br /> ALL OWNED SCHEDULED I BODILY INJURY(Per accident)AUTOS AUTOS <br /> i S <br /> % HIRED AUTOS X NOTOSWNED PR(PaOPERTY DAMAGE S <br /> $ <br /> A - UMBRELLA LIAR % OCCUR 624014502003 04/01/1 04/01/12 EACH OCCURRENCE $4,000,000 <br /> % EXCESS UAB CLAIMS-MADE AGGREGATE S 4,000,000 <br /> DED %TRuENTON 0 - S <br /> C WORKERS COMPENSATION DTJUB7827P41511 04/01/1 04/01/12 % WCSTATRU, OTH• <br /> AND EMPLOYERS'LIABILITY Y I N <br /> ANY PROPRIETORRARTNERIEXECUTIVE NIA E.L EACH ACCIDENT $ 1,000,000 <br /> OFFICERNEMBER EXCLUDED? Y❑ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYFE $ 1,000,000 <br /> K es,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> A Pollution 024014484004 04/01/1: 04/01/12 Per Occur - $1XILL DED:10% <br /> B Rented/Leaned Equipment CBP8404796 04/01/1 04/01/12 Per Item - $100% DED:1% <br /> A Professional Liability 624014484004 04/01/1 04/01/12,Per Claim - $1NILL DED:10% <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,AdOtlonel Remarks Scheduls,H mon space Is rsquked) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> -EVIDENCE OF COVERAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> ztalebzadsh <br /> 20468751 <br />