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A CERTIFICATE OF LIABILITY DATE(MM/DD/YYY7) 12/26/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NA0 CT Michelle Sanchez Milestone Risk Management & Insurance Agency PHONE 949-379-6956 F c o License No. OB72766 MAIL msanchez@milestoneprom:i.se.com 8 Corporate Park r Ste 130 INSURERS AFFORDING COVERAGE NAIL t/ Irvine CA 92606 INSURERA-.Starr Surplus Lines Insurance 13604 INSURED INSURER B.General Ins. Co. of America 24732 Wayne Perry, Inc. INSURERC:Travelers Property Casualty of 25674 8281 Commonwealth Ave. INSURER D: INSURER E: Buena Park CA 90621 INSURER F: COVERAGES CERTIFICATE NUMBER:12/13 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD . INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL USS POLICY N MBER POLICY EFF POLICY EXPJMMILIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISESkGE TO RENTED $ 300,000 A CLAIMS MADE OCCUR SLBLEIL72023212 12/31/2012 2/31/2013 MED EXP(Anyone arson) $ 25,000 X Contr Pollution Liab $1,000,000 Each Occurence -PERSONAL&ADV INJURY $ 1,000,000 X Prof Liab - Claims Made $1,000,000 Each Claim GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: Subject to $2,000,000 PRODUCTS-COMP/OPAGG $ 1,000,000 POLICY X JECIPRO LOC ,agate Limit $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (93 ode $, 1,000 000 B X ANY AUTO BODILY INJURY(Perperson) $ ALL OWNED SCHEDULED 4-CC-305967-11 12AUTOS /31/2012 2/31/2013 BODILY INJURY(Per accident) $ NON-OHIRED AUTOSold AUTOSWNED PRDPERTY DAMAGE $ n I com/CollisionDeductble $ 1.000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000 A X EXCESS LIAS CLAIMS-MADE AGGREGATE $ 9,000,000 DED I I RETE O LsLxwn30l7212 12/31/2012 12/31/2013 $ A WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRICTORIPARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? El NIA E.LEACH ACCIDE":T $ 1,000,000 (Mandatary in NH) 0044727227 2/31/201212/31/2013If EL.DlSEASE-EAEMPLOYE $ 1,000,000 DESCRIPTION eSCRIPTIONOs,describe der E.LDISEASE-POLICY LIMIT $ 1,000 000 DESGRIPT(ON OF OPERATIONS below C Rented/Leased Equipment 6601479C861 12/31/201212/31/2013 Limit $100,000 Deducctlble $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN "PROOF ONLY" ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE M Sanchez/MICSAN ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS02S/7ninnsint Tho Annon nam®and Innn mora rranictcrad marka^f Anr%mn