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, o CERTIFICATE F LIA ILITY I Su NCE
<br />E04/14/214/2 DATE/Y0144
<br />4.
<br />BY THE POLICIES DESCRIBE I S SUBJECT TO ALL THE TERMS,
<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 lieu of such endorsement(s).
<br />PRODUCER LIC #OB29370 1-925-244-7700
<br />CONTACT
<br />NAME: Certificates Department
<br />Edgewood Partners Insurance Centers (EPIC)PHONEFAX
<br />- -
<br />DAMAGE TO
<br />. PREM SES Ea occur ence)
<br />[San Ramon Branch]
<br />N (925) 244-7700 A/C No): (925) 901-0671
<br />P. O. Box 5003
<br />E-MA
<br />ADDRESS: EPICcerts®edgewoodins.com
<br />$ 5, 000
<br />San Ramon, CA 94583
<br />_-,.___,,.,,__ INSURER(S)AFFORDING COVERAGE NAIC#
<br />$ 1,000,000
<br />INSURER A: WESTCHERF& 11111111111111P1110%10172
<br />INSURED
<br />INSURERS: PEERLES .-.' 24198
<br />Gettler-Ryan inc.
<br />-------- --
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />_!
<br />INSURERC: STATE C&P O INS FUND 35076
<br />INSURER D:
<br />6805 Sierra Court, Suite G
<br />Dublin, CA 94568
<br />INSURER E : 12
<br />-_ ..AUG
<br />............_.-- .-.__..
<br />INSURER F:
<br />B
<br />COVERAGES
<br />CERTIFICATE NUMBER: 39245312
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOT B V THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHERPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
<br />BY THE POLICIES DESCRIBE I S SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IY
<br />LTR TYPE OF INSURANCE - - 'ADDL�SUBR ------INSR POLICY NUMBER
<br />EXP
<br />! MM/DD EFF MMI-POLDRain LIMITS
<br />A
<br />GENERAL LIABILITY 624014484007
<br />+
<br />04/01/1; 04/01/15 EACH OCCURRENCE
<br />$ 1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />- -
<br />DAMAGE TO
<br />. PREM SES Ea occur ence)
<br />50,000
<br />$ _
<br />CLAIMS -MADE X OCCURMED
<br />EXP (Anyone person)
<br />$ 5, 000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />i
<br />iGENERAL AGGREGATE
<br />,,
<br />$ 2 000 000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />_!
<br />PRODUCTS-COMP/OPAGG'
<br />$ 2,000,000
<br />POLICY X :PRO- .. LOC I�
<br />• -_--. ----. -_
<br />$ --.. _..... ...-
<br />B
<br />AUTOMOBILE LIABILITY BA8404396
<br />04/01/14 4 O1 15 COMBINEDSINGLE LIMIT
<br />(Ea_accide_nt�
<br />$ 1, 000,000
<br />X ! ANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />ALL OWNED SCHEDULED
<br />I AUTOS � AUTOS
<br />-- _ -
<br />BODILY INJURY (Per accident) $
<br />X NON -OWNED
<br />X !,, �i,
<br />PROPERTY DAMAGE
<br />-
<br />$
<br />HIRED AUTOS ..- ;AUTOS
<br />j -Per accident
<br />- - - ----_
<br />- -__-. --_-. -..._._..
<br />$
<br />A
<br />UMBRELLALIAB X OCCUR 624014502007
<br />/ 04 O1 15
<br />04 01/14 / / EACH OCCURRENCE
<br />$ 4,000,000
<br />X�
<br />EXCESS LIAB CLAIMS -MADE•
<br />- -
<br />AGGREGATE
<br />$ 4,000,000
<br />DED X : RETENTION $ 0
<br />' $
<br />C
<br />WORKERS COMPENSATION' 9 0 512 2 9 14
<br />�I
<br />WCSTATU- OTH-:.
<br />04/01/14 04/01/15 X 'TORY LIMITS' ER
<br />AND EMPLOYERS' LIABILF Y YIN
<br />_
<br />PROPRIETOR/PARTNER/EXECUTIVEANY ❑ li, N/A
<br />I
<br />E.L. EACH ACCIDENT.---_
<br />$ 1,000,000
<br />OFFICER/MEM ER EXCLUDED
<br />(Mandatory in NH).....
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1, 000, 000
<br />If yes, describe under
<br />- - _
<br />-- -- __- --
<br />DESCRIPTION OF OPERATIONS below
<br />! E.L. DISEASE - POLICY LIMIT
<br />$ 1, 000, 000
<br />A ,Professional
<br />Liability G24014484007
<br />04/01/14 04/01/15'',Per Claim
<br />1,000,000
<br />B 'Rented/Leased
<br />Equipment CBP8404796
<br />04/01/14 04/01/15'!Per Item
<br />100,000
<br />A
<br />Pollution iG24014484007
<br />04/01/14 04/01/15IPer Occurrence
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Proof of Insurance
<br />11-1 .-Me PIM U A 0
<br />*EVIDENCE OF COVERAGE*
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />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 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />mcadinha-sro
<br />39245312
<br />
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