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• RECEIVED <br />ACCO OCT 18 2016 <br />lllk. .-- CERTIFICATE OF LIABILITY INSURANCE DATa1MM/pp/yyyY) <br />THIS CERTIFICATE IS 13SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO F 16 <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVE� ��jj! ER. THIS <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE4SBl)IN� � THE POLICIES <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDERS), AUTHORIZED <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the Policy(le') 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 certlflcste does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />AmOrelli, Roseman 4 Associates Chris Calderon <br />3333 >£ Concours St . (909)907-7600 �V (9o9)e97-76as <br />..Building 9-200 <br />ohrisclarsinsurancte.com <br />Ontario CA 91764 INEMP-1) AFFORDING COVERAGE _ NAAC0 <br />arsuRlo -- -- IN A Colony Insurtlnq Comoan� 39993 <br />Fuel Pros Inc., s,Allied P i C Insurance Co. _ 42579 <br />clba: Wash pros Inc. Ci[itiereet EmDlovere Casualty Com 23612 <br />14774 Central Avenue INSURERD` <br />Chino CA 91710 INSURER a : <br />I Nib IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ABOVE FOR THE POLICY PERIOD <br />INSURED NAMRr—ED <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />THE INSURANCE <br />TO WHICH THIS <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. lIMI7S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR TYPE OF INSURANCE <br />X I COMMERCIAL GENERAL LIABILITY <br />Ll <br />A CWMSMADEEX pCCUR <br />EACH OCCURRENCE S <br />_1,000,000 <br />1 <br />PACE303953 10/1/2015 10/1/2016 MED EXP one n 1 <br />50,000 <br />51000 <br />GEML AGGREGATE OMIT APPLIES PER; <br />PERSONA. & AM INJURY / <br />1, 000 , 000 <br />X POLICY Q jE IOC <br />GENERAL AGGREGATE / <br />2,000,000 <br />THEE' <br />PRODUCTS - COMP/OP AGO a <br />2,000,000 <br />AUTOMOBILE LIAMUTY <br />Is <br />H X ANY AUTO <br />1 _ <br />1,000,000 <br />ALL OWNED SCHEDULED <br />AUTOS <br />BODILY INJURY (Per person) 1 <br />AUTOS <br />HIRED AUTOS NNOtOWNED <br />ACP7644795326 10/1/2015 10/1/2016 BODILYINJURY(Persoddem) 3 <br />Pr A 1 <br />^ v <br />-- <br />A UMBRELLA LIAS OCCUR <br />lu"cal payments S <br />5,000 <br />X EXCESS LIAB CWMS MADE <br />OCCURRENCE S.—.__4,000,_000 <br />9=304453 1/21/2016 <br />1/21/2016 10/1/2016 <br />D R I—$---.--4.000 <br />AGORECATE <br />000 <br />WORKERS COMPlNBATION <br />1 <br />AND EMPLOYERS' LlABILIiY YIN <br />X Bit TH. <br />ANY PROPRIETOMPARTNER/EXECUTNE l <br />OFFICERIMEMBER EXCLU0 07 CJ NIA <br />T T - <br />C (Mandatory M NH) <br />N yyssss dasonbe under <br />OESGIRIPTION OF OP RATIONS below <br />E.L EACH ACCIDENT S _ <br />BNtli/C0133329 _�- <br />10/1/2013 10/1/2016 E DISEASE - EA EMPLOYE t;_._ <br />1 00 000 <br />1,000,000 <br />A Pol;cation Liability <br />E.L.DISEASE - POLICY LIMIT <br />21000,000 <br />A Professional Liability <br />PACR303953 10/1/201S 10/1/2016 Each PdAutlonCoofton <br />$1,000,000 <br />PACS303953 10/1/2015 10/1/2016 Each WrorO/u1AdUmt <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORO 101, Additional Remadre Schedule, be <br />may attached K more span Is raqulred) <br />PROOF OF INSURANCE <br />'ERTIFICATE HOLDER <br />CANCELLATION <br />PROOF OF INSURANCE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />IN <br />AUTHORIZED REPRESENTATIVE <br />Chris Calderon/CHRISC <br />ACOR1Y21f 7f14-ffif©1988-2014 ACORD CORPORATION. AA rights reserved. <br />The ACORD name and logo are <br />IMs025 r�mann _ 9 registered marits of ACORD <br />