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ASR e SERVSTA-01 <br /> CERTIFICATE OF LIABILITY INSURANCE DAIZ <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEIRTIFICATE NOLO <br /> BELOW. <br /> DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE I <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUMIG INSU <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. RER(S),AUT, <br /> IMPORTANT. N the holder Is an ADDITII INSURED,the <br /> the terms and conditions of the paicy,CertaM policies ma Polky�iK)nwst be endorsed. K SUBROGATION IS WAIVED,e <br /> holder M lieu of such endoreament(a y require an a M. A statement on this certificate does not cooler Hgf <br /> Mcouces Lkome*0603247 <br /> Petersen Insurance Agency,Inc. <br /> PA. 3li38 . 800 236-gOt6 <br /> Saha Rao,CA 95402 No <br /> ORMUG COVERAGE <br /> INSURED aauRae A:ICIIV thou <br /> alsuRER s <br /> StaQuinn Ave8yatems,Inc. e C: <br /> San Jae,CA 05112 0 <br /> E: <br /> COVERAGES CERTIFICATE NUMBER: F <br /> TH►s Is To COMFY THAT THE PouC►Es tNsuRAnK:E usTED Bt Low HAVE.BEENIssuE0To31iEaysuRREVISION Eo NUMBER: <br /> -- — -- — yNDICATE[). NOTWTHSTANDMG ANY QtAREMENT, TERM OR <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, CONDITION OF ANYCONTRACTOR <br /> +MEO ABOVE FOR THE POLICY P <br /> EXCLUSIONS AND CONDITIONS OF SUCH THE INSURANCE AFFORDED BY THEOTMER DOCUMENT WITH RESPECT TO WHIG <br /> P�CIES,L'MrM SHOWN MAY HAVE BEEN QED HEREIN IS SUBJECT TO ALL THE TI <br /> TR TYPE OF BY PA►0 CLAIMS. <br /> GENERAL POLICY NUIxaFJo <br /> LIMITS <br /> COeAERCUL GENERAL umiLrrY EACH s <br /> CLAIMS•MADE O OCCUR M E <br /> MED EW are : <br /> PERSONAL&ADV INJURY s <br /> GEAf L AGGREGATE LaAIT APPLIES FER GENERA!.AGGREGATE _ <br /> POLICY PRO LAC PR TO-COMI AGG s <br /> S <br /> ANYAUTO <br /> OWNED!�DAUTOS <br /> AU ULEDSODILYINJURY(P itperiph) s <br /> AUTO$ SODILYIN URY(PereoddI s <br /> UMBRELLA LMS S <br /> OCCUR S <br /> EXCESS Low CWMS MgDE EACH OCCURRENCE <br /> s <br /> RETENTION AGGREGATE <br /> A LOY 'LMasJTy S4A 11- S <br /> OFFIOERI WM EER Ez i"Ei�? ctnn�E Y® NIA 1.602130700SOZ130700 X WC <br /> obnddwy on N"? 6/4/2012 6/4/2013 EL.EAI .—.. <br /> a deieMe under $ 11000 <br /> DESCRIPTION OF OPERATIONS Delow E.L.DISEASE.EA EMI s 1.000, <br /> EL,DISEASE•POLICY LRAR s 1,�0, <br /> OESCRWTON OF OPERATIONS I LOCATIONS I VEHICLES(AUseb ACORD 101,Add*oml Remetks <br /> Proof Of cowrage Sihetl,di,I(NOR epeoi Is required) <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> Proof of coverage 11M THE VE DESCRIBED s BE CANCELLED BMRE <br /> ACCORDANCE WITH THE ATE <br /> THEREOF, Nonce tam L BE DELIVERED 1N <br /> PoucY PRowswNs. <br /> .A aTrvE <br /> ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD®CORPORATION. All rights reserved, <br />