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�R0 CERTIFICATE OF LIABILITY INSURANCE 003/31/20111 <br /> ATE(MWDDfYYYY) <br /> 03/31 <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 pollcy(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 lieu of such endorsement(s). <br /> PRODUCER LIC #0929370 1-925-244-7700 aWACT Edgewood Partnere Ineuraace Center <br /> Edgewood Partnere Insurance Centers (EPIC) PHONE I FAX <br /> [San Ramon Branch] U (925) 244-7700 AIC Na: (925) 901-0671 <br /> P. O. Box 5003 gpDRL EPICcertseedgewoodins.com <br /> San Ramon, CA 94583 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A: WESTCHESTER SURPLUS LINES INS CO 10172 <br /> INSURED INSURER B: PEERLESS INS CO 24198 <br /> Gettler-Ryan, Inc. <br /> INSURER C: TRAVELERS PROPERTY CAS CO OF AMBR 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 D 8UBR POLIPOLICY NUMBER MMIDD�Y EFF POLICY EXPL1MrrS <br /> LTR <br /> A GENERALuABIUTY 624014494004 04/01/1 04/01/12 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY I P E E8 Ea occu n• $ 50,000 <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $5,000 <br /> PERSONAL BADV INJURY 51,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG 52,000,000 <br /> POLICY X PRO- LOC S <br /> B AUTOMOBILE LLABILfTY BA8404396 COMBINED SINGLE LIMITEa accident 1,000,000 <br /> X <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED — ------- ..__—. <br /> AUTOS AUTOS BODILY INJURRYY(Per <br /> Par accidentt)) $ <br /> NON-OWNED PROPERTY DAMAGE $ <br /> X HIRED AUTOS X AUTOS (Peraccident) <br /> S <br /> A U <br /> MBRELLA X_ OCCUR 624014502003 04/01/1 04/01/12 EACH OCCURRENCE $4,000,000 <br /> X CLAIMS-MADE AGGREGATE S 4,000,000 <br /> ENTION$0 S <br /> C WORKERS COMPENSATION DTJ B7827P41511 04/01/1 04/01/12 X WC STAT OTE- — <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? Y <br /> (Mandatory In NH) E.L.DISEASE-EAEMPLOYE $ 1,000,000 <br /> If yes,describe under 1,0 0 0,0 0 0 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Pollution 024014484004 04 01 1 04 O1 12 Per Occur - $1MILL DED:10X <br /> B Rented/Leased Equipment CBP8404796 04/01/1 04/01/12 Per Item - $100R DED-1X <br /> A Professional Liability 1 1 1024014484004 04/01/1 04/01/12 Per Claim - $1MILL DED-10K <br /> DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES(Attach ACORD 101,Additlonal Romarks Schedule,If more space Is raqulrod) <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 /> a� <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br /> ztalebzadeh <br /> 20468751 <br />