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I <br /> 0 <br /> JONECOV-02 DADACA <br /> '4 ®� CERTIFICATE OF LIABILITY INSURANCE DATE(MNYD0IYYYY) I <br /> 6/3012017 � <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 I <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. { <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER License#OE67768 c CT Stacy Ownbey <br /> IOA Insurance Services PHONE FAX <br /> 130 Vantls AIC No Ext): A/C,No:(949)297-5960 <br /> Suite 250 Stacy.Ownbey@loausa.com <br /> Atlso Viejo,CA 92666 <br /> INSURER AFFORDING COVERAGE NAIC S <br /> INSURERA.Colony Insurance Company 39993 <br /> INSURED INSURER B•Philadelphia Indemnily Insurance Company 18058 <br /> Jones Covey Group,Inc. INSURER C:Everest National Insurance Company 10120 <br /> 9595 Lucas Ranch Rd Ste 100 INSURER D: <br /> Rancho Cucamonga,CA 91730 <br /> INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE UMBER: 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP IDMMI LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH ENCE 6,000,000 <br /> CLAIMS-MADE ®OCCUR PACE306426 07/01/2017 07/01/2018 DAMAGERENTED 500,000 <br /> MED P(Any one erson � 26,000 <br /> PERSONAL&ADV INJURY 6,000'000 <br /> GEN'L AGGREGATE LRIIMpIIT.API AI S PER: GENERAL AGGREGATE 5,000,000 <br /> POLICY®JECT 1�1 LOG PRODUCTS-COMP/OPAGO 6,000,000 <br /> OTHER: <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> X ANYAUTO PHPKIS78139 07/01/2017 07/01/2018 BODILY INJURY Per rson <br /> OWNED SCHEDULED -- <br /> AURRTEEO��S ONLY AOU7��0S pp BODILY INJURY Per accident <br /> AORS ONLY AUTO Y �OaPE �AMAGE <br /> A UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 2,000,000 <br /> X EXCESS LIAB CLAIMS-MADE EXC306426 07/01/2017 07/01/2018 AGGREGATE 21000,000 <br /> DED I X I RETENTION$ 0 <br /> C WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITYUTE ER <br /> ANY PE,PNREIEMTgO�RIPARTNERIEXECUTIVE Y r N CAI 0002046171 05/01/2017 06/01/2018 1,OOQ000 <br /> an story in NH)EXCLUDED? ® N!A E.L.DISEEACE- A 11000,000 <br /> E.L.DISEASE-EAE EMPLOYE <br /> tt yyes,describe under 1,000 000 <br /> DESCRI WNl OF OPE TIONS below E L DISEASE-POLICY LIMIT <br /> A Professional L)ab PACE306425 07/01/2017 07/01/2018 5,000,000 <br /> A Contractors Poll PACE306425 07/01/2017 07/01/2018 _" 5,000,000 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> Proof of Coverage. <br /> E!""I <br /> CERTIFICATE HOLDER CANCELLATION <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 /> Jones Covey Group.Inc. <br /> 9595 Lucas Ranch Rd,Sults 100 <br /> ACORD 25(2016/03) 01988-2016 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />