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From: Milli Seltzer At: DiBuduo & DeFendis Ins Brokers, LLC #OE02096 FaxID: 5594317941 To: Gloria Date: 9/232010 09:36 AM Page: 2 of 3 <br />0 1*, nGCo\ft not ecser <br />`vv <br />ACO DTM CERTIFICATE OF LIABILITY INSURANCET <br />DATE(MM/DDNYYY) <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />9/23!2010 <br />PRODUCER (559) 432-0222 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />DIBuduo & DeFendis Insurance Brokers, LLC <br />License #OE02096 <br />P.O. Box 5479 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE MAIC # <br />Fresno, CA 93755-5479 <br />INSURED Larry & Cliff Enterprises, Inc., DBA: L.C. Services <br />3887 N. Valentine <br />Fresno, CA 93722 <br />INSURER a Westchester Surplus Lines Ins, Co. <br />INSURER B: Assurance Company of America <br />INSURER C: <br />INSURER 0: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />WILL BE INCLUDED IN THIS SPACE. <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />IMWDDIYYI <br />POLICY EXPDATE <br />DATE IRATION DNYI <br />LIMITS <br />AUTHORIZED REPRESENTATIVE <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,00 <br />-owPREMISEB <br />A <br />COMMERCIAL GENERAL LIABILITY <br />G24024593003 <br />6/7/2010 <br />817/2011 <br />Ea oaaxartce $ 60,00 <br />® <br />MED EXP (Any one person) $ 6,000 <br />CLAIMS MADE OCCUR <br />PERSONAL & ADV INJURY $ 2,000,00 <br />GE ERALAGGREGATE $ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />' 2,000,000 <br />C�,DUCTS - COMPIOP AGG $ <br />PRO F7 LOC <br />%� POLICY p <br />' <br />AUTOMOBILE <br />LIABILITY <br />t ED SINGLE $ <br />LIMIT <br />',A <br />ANY AUTO <br />ntl <br />ALL OWNED AUTOS <br />BODIL JURY $ <br />Per <br />SCHEDULED AUTOS <br />Person) <br />HIRED AUTOS <br />BODILY INJURY $ <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />OA <br />E <br />AUTO ONLY - EA ACCIDENT $ <br />01 HER *I HAN EA ACC $ <br />AUTO ONLY. AGG $ <br />EXCESSlUMBRELLA IA 1L1 <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCC CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMP6NSATtON AND <br />K WC STATU- OTH- <br />B <br />EMPLOYERS' LIABILITY <br />C0307686201 <br />11/1/2009 <br />11/1/2010 <br />C.L.CACI IIAACCIDENT $ 1,000,00 <br />ANY PROPRIETORIPARTNERIEXECUnVE <br />.rC:IC m.......C,V,CWQCL <br />­­­UCMPLOVCC m-nnn.nn <br />If yes, A t KU under <br />AL <br />5F't(.IVI.`IIVNJ WOW <br />a. L. ❑13EA3C-POLICI'LIM17 ® 1,000,00 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS--"'- " <br />10 day notice of cancellation applicable for nonpayment of premium. <br />ON AWARD OF THE CONTRACT, A JOB DESCRIPTION, PROJECT NUMBER AND A JOB LCOATION WILL BE INCLUDED IN THIS SPACE, <br />go] =1CidI CdsIk1114:IQIII]A • <br />ON AWARD OF THE CONTRACT, THE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CERTIFICATE HOLDER'S NAME AND ADDRESS <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />WILL BE INCLUDED IN THIS SPACE. <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />f GOku zo (Euuw0a) © ACORD CORPORATION 1988 <br />