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THIS CERTIFICATE IS ISSUED ASA -- - F I • • _ — _N ONLY A D CONFERS <br /> r F r^vva v-EswV 11/27/2011 <br /> ND <br /> GHTS U1 <br /> CERTIFICATE DOES NOT AFFIRMATIVELY NEGATIVELYOAMEND, EXTENDNORRALTER�THE COVERAGEAFFORDEDBY OLDER. IS <br /> CIEs, <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI,THE AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certigpte holder Ls an ADDITIONAL INSURED,the pollcy(les) must is endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the PORGY,certain Policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in Ileo of such endomement(s). <br /> PRODUCER <br /> ABC INSURANCE SERVICES NAJAE <br /> PMB 35 2033 Ralston Ave P"c°N E, (650) 832-1300 <br /> ac.Nor(650)595-2529 <br /> Belmont, CA 94002 <br /> ADOREss: araskevas@insabc.com <br /> 1"UIIEnRI AFFORepe COVERAGE <br /> INSURER A:Safeco Insurance Co an moa <br /> INsuRED Gardelis, John <br /> INSURER B <br /> PO BOX 923 INSURER C <br /> San MateoCA 94903 INSURER D. <br /> INSURER E: <br /> COVERAGESINSURER F <br /> AIE THIS IS TO CERTIFY THAT THE POLICIES OIF INSURANCENUMBER:D BE OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> REVISION NUMBER: <br /> INDICATED_ NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAV BE ISSUED OR MAY pERTA1N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.DMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWMS. <br /> liiq TYPE OF INSURANCE NaIR vrVO POLICY NUMBER <br /> GENERAL LIABILITY I MMIpDM/Yyl MMNp LIMBS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 300 000 <br /> CLAIMS-MAD E pCCUR PREMISES Ea otaxrenm $ 100 000 <br /> A MED EXP(Any one parson) $ 5 000 <br /> A2712084 10/15/1110/15/12 PERSONAL S ADV INJURY $ 300,000 <br /> GENL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE s 300,000 <br /> POLICY PR� nLOC PRODUCTS-COMPIOP AGG S 300,000 <br /> AUTOMOBILE L ABILITY S <br /> ANYAUTO Be acci0enl S <br /> AUTOSEO SCHEDULED BODILY INJURY(Per parson) s <br /> AUTOS <br /> HIRED AUTOS NON-OWNED BODILY INJURY(Per aoodern) s <br /> AUTOS <br /> Per-0.dem $ <br /> UMBRELLA LIAR S <br /> OCCUR <br /> EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ <br /> DED RETENTIONS AGGREGATE $ <br /> WORKERS COMPENSATION s <br /> AND EMPLOYERS'LIAEILfTY VIN WC STATU- OTH- <br /> ANY PROpRIETCIWARTNEPop�cuiNE TORY MD ER <br /> �F in NM IXUV�T NIA EL EACH ACCIDENT S <br /> NYes.describe under E.L.DISEASE-EA EMPLOYE S <br /> pESCRIPTION OF OPERATIONS below <br /> E L DISEASE-POLICY LIMB S <br /> DESCRIPTION OF OPE ON J LOCATIONS I VEHICLE5 LA ACORD 101.A ftiooai Rsoe 5rh Ie d more space is Houseboat coverage fKp"fedl <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION 9ATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE W E POLICY PROVISIONS. <br /> AUTHORIZED EP NTATNE <br /> ACORD25(2010/05) 01 88-2010 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />