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Acc>R & ERTIFI ATE OF LIABILITY IN URA E <br />UA1E[VM4II <br />oa�21.12.024�za <br />THIS CERTIFFCATE 15 355UE11 A A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTJFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATJVELY OR f4EGATFVF- rYAMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW- THIS CERTIFICATE OF INSURANCE ODES NOT CONSTITUTE A CCIETRACT>3ETLAFEC-LATHE ISSUMG INSURER{Sj,AUTHORIZEO <br />RF PR585 N l`ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT. If the Cerlitlelkte holdoT is an ADDIMNAL INSURED, the poll.cyjierrj must trove ADDITIONAL INSURLD prowlsions or he endorsod. <br />If SUBROGATIQN 15 WAIVED, sublorl tv the terms and ccnd!IODns of thle pollCy, Certeln PUBWes may requlre an endorsement• A staternunt on <br />this tarlllicale dnes net confer rights tp the certificate hoFdar in lieu of Such endoraornent(s). <br />PROEUCFA <br />Nrf E: A=unts T9am <br />Scow JS McCaulay Insurance Agonw <br />pH4NF (948) 543-1R53 rtirt Na - <br />2 Rlrz f:allGan Drive <br />ArL Ca. sminsurarloeagenry.Ccvn <br />AMR* -Ss: <br />Smile 264 <br />It, SURER;SI AFFORQIN4 COVERAGE <br />I ALC r <br />Dalu Pourt CA !M29 <br />riJSLWJ=A A : AXIS Surplus tnauranra G4mparTy <br />2692U <br />RISrJRED <br />11ISURER B . The CovlLmsntal Incurarm5a Ccmp9rry <br />n259 <br />Tall &Assodates, Inc <br />uaSLWERC Val" Forge Insurance Company <br />205M <br />701 N. Park4:enW or <br />Ib1 tMER u . <br />kISLI1kER S <br />Sapta Ana CIS 70-5 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER. TPJT - MSTR-24-25 REVISION NUMBER: <br />THUS IS TO CERTIFY THAT TM POL.IGLES OF FNSURANGE USTEO BELOW HAVE BEEN ISSUM TO THE INSURED NAMED ABOVE FOR THEr POI,ICY PERIOD <br />iNDiCATEv. NOTWITHSTANDING ANY REQUIREMENT, TERM QR COhICRIOH OF ANY CONTRAOT OR OTHER DOCLWENT WITH R*SP€CT TO MICH THIS <br />CERTIFICATE MAY K M$UED OR MAY PER AW. THE INSURANCE AFFORDED BY THE POLIOIES DESCRIBED HEIRS -IN I$ SLKD4c:T TO ALL TF¢ TERMS, <br />EXCLLISIOH$AND CONDITJ4N6 OF 5UGH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYpEWINSURANCE <br />POLICYIIUMEI94 <br />R11JIM0111fm <br />(Numpffmi <br />UbUTR <br />r1OMNUtCIAL4E4ERALLMOLITV <br />EACH0CCLRpfMCE <br />1 2.040,004 <br />CL 'Ar &WI E IX-1 4COUR <br />2�J.044 <br />I,wpw ww <br />S 6,000 <br />A <br />$P002747-0&202q <br />0"V2024 <br />091=2025 <br />PE GCftkiLAwINUuRy <br />2,000,4013 <br />GEEniA04REGATEInrRRYIITyyAPPLYESPER <br />GEHERA>.Lk3 EpGATE <br />S 2,000.0013 <br />POLICY =Ze' f 'I J�C7 LCC <br />PFtD RJCTS -a3WP 0PAGG <br />S -2-OC'o-Mo <br />t <br />OTHEA: <br />AUTOMOa4ELFAU41T7 <br />00100INED 4NGLf LMAIT <br />L111i emi. <br />+j 1,444,4Q4 <br />00PILY111JURTWwpirwl <br />a <br />OdYALITG <br />g <br />0"KID 8CRSDLRrE4 <br />AUTOSONLV ACJTp9 <br />703A395496 <br />49mv2084 <br />OS10142425 <br />DOMLYLNJLFRVVFwr•p"wil <br />s <br />HIRED NBM.OWTU <br />_WNITM DAMAGE <br />AUTOS ONLY ALITGBCWLY <br />r <br />S <br />UMBRELLA LIAO <br />OC.✓WUR <br />LAQ-H0.CgJRRE10E <br />S $,004,UOU <br />+K yONC aitE <br />S .040.0 0 <br />A <br />EXCESS LIAR <br />CLV syueE <br />S710027b9-0R-202A <br />00A)IM24 <br />(Igj41Y10Q5 <br />DEQ I I RETENTON S <br />$ <br />WORKER$ CQIIPf;J15ATI0R <br />PFR OTT* <br />Arco UrL0V&qS-LIABILITY YIH <br />E.L. PAE4H 4'01PFN1r <br />f 1,000,400 <br />c <br />ANYPROPRM7015tPARTIIEIRIMEOURVE <br />OFFICFRi74MB�R EkCL4JGEQ3 ❑ <br />H rA <br />703439551 5 f 76�439$5 <br />100M V7024 <br />owwa025 <br />[.I-Qls-FAEFAP"YU <br />1, 1,004,40U <br />INanduerrinNW <br />II yyes, davubi uFKW <br />dESGRG4I0NOFOPEAATpA2rbekw <br />E.LCHSEAS-WLICYUMPT <br />f 1.00G.GOF1 <br />slurs <br />A <br />dluulk <br />Gantrar6ors Pdluilon <br />came <br />SP002747.0a.202a <br />09H11rM21 <br />09M 25 <br />PerClaiM <br />$2,000,D00 <br />Per Claim <br />$ 2,000,000 <br />12S090PTrCa'I GK 0I`r;" *NI9 r LOCAW0145I VEHICLES IAGGRU 101. AddlHnnd idamrrkv Sehedu*, mV be ■nl hd r ma ■pre■ I■ e& Wlnw) <br />RE: Coafabons of Ih9 T12m9d insured daring #w current polity Lean, TAIL Enwlronmea18a * AftWnsl Inauf4d with ratpocl 10 Ganeral Liability. <br />SHOULb ANY OF THE ABOVE 13ESCRIBEC POLICIES IRE CANCELLED BEFORE <br />THE EKNRATJON DATE THERE -OF. MOTiCie VAILL ee OELIVEREO Ire <br />Tai4 EwiTonmenlel ACCORDANCE WITH THE PCIUCY PRUYi$EON$, <br />701 P2fkC9n<9r Dr. <br />ALrTH4HIZE4 REPRFSFNTATI E <br />SanwAna CA 92705 <br />01989-2015 ACORD CORPORAT10R, Aid fights reserved. <br />ACOR026 (2018I03) Th$ACORD name and log are reglsterad marks OfAC0RD <br />