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DATE(MI WVYYY) <br /> II..� CERTIFICATE OF LIABILITY INSURANCE 12/18/2014 <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 endorsements. <br /> PRODUCER A T Michelle Sanchez <br /> Milestone Risk Management & Insurance Agency PHONE . (949)379-6956 FAX (949)85$-1131 <br /> M No Am <br /> License No. OB72766 EMAIL .meanchez@mLlestonepromise.com <br /> 8 Corporate Park, Suite 130 INSURER(P1 AFFORDING COVERAGE NAIC0 <br /> Irvine CA 92606 WSURERA;Starr Surplus Lines Insurance 13604 <br /> INSURED w$URERs:AmEerican Ec2aomy Insurance Co. 19690 <br /> Wayne Perry, Inc. INSURERc:Federal Insurance Compartv 20281 <br /> 8281 Commnwealtlh Ave. INSURER D.Travelers Pr22 & Cas Cc of Amer t25674 <br /> INSURER 0: <br /> . INSURRq F: <br /> COVERAGES CERTIFICATE NUMBER:14/15 Master Cert 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 -- ADDLOUNR <br /> TYPE OF INSURANCE POLICY EFF OLtCY EXP <br /> POL Y NUMBER LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ _ 1,000,000 <br /> tCLAIMS-MADE <br /> MERCIAL GENERAL LIABILITY D MISS r e $ _ 300,000 <br /> A ®OCCUR LSLEIL72023219 2/31/2014 2/31/2015 MED EXP Anyone person) $ 25,000 <br /> ntr. Pollution Liab. 1,000,000 Each Occurence PERSONAE.&ADV INJURY $ 1,000,000 <br /> of Liab. Claims Made j1,000,000 Each Claim, GENERAL AGGREGATE $ 2,000,000 <br /> GEWL AGGREGATE LIMIT APPLIES PER: a Subject to 02,000,000 PRODUCTS-COMPIOPAGO $ 2,000,000 <br /> POLICY X P LAC olicy Aggregate Limit $ <br /> AUTOMOBILE LIABILITY E ED S 1,000,000 <br /> is X ANY AUTO BODILY INJURY(Per person) $ <br /> AUTOS <br /> AUTOS 2CE2314482 2/31/2014 2/31/2015 BODILYINJURY(Par aodden0 $ <br /> FARED AUTOS NON OWNED PROPERTY DAMAGE <br /> AUTOS $ <br /> Madklal awments $ <br /> UMBRELLALIAB X OCCUR F.ACH000URRENCE $ 9,000,000 <br /> A X EXCESS UAB CLAIMS-MADE AGGREGATE $ 9,000,000 <br /> DED-[--FRETENTIONI SLSLXNV73017214 2/31/2014 2/31/2015 $ <br /> C WORKERS COMPENSATION OTH- <br /> AND EMPLOYERS'LIABILITYX JcB <br /> ANY PROPRIEro"ARTNERlEXECUTIVE Y/N® N f A EL EACH ACCIDENT S 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NH) 044727227 2/31/201412/31/2015 E.L.DISEASE•EA EMPLOYEE $ 1 000 000 <br /> der <br /> 0y �desorlbNOFO E.LDISEASE-POLICY LIMIT S 11000.000 <br /> Ilmd scrIbeIun OPERATIONS below <br /> - C Rented Leased Equipment 6601479C861 2/31/2014 2/31/2015 LIMIT $100,000 <br /> D Installation Bloater 66014790861 2/31/2014 2J31/2015 LIMIT $250,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,AddItIonal Remarks Schedule,If more space is requiredI RECEIVEE, <br /> APR 15 2015 <br /> CERTIFICATE HOLDER CANCELLATION ®I€� r�e�e r%66q- naIfhr" <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> **PROOF ONLY** ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> M Sanchez/MICSAN <br /> ACORD 25(2010/05) 01988_2010L ACORD CORPORATION. All rights reserved. <br /> INS025(201005).01 The ACORD name and logo are registered marks of ACORD <br />